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To 40 pounds evidence available other reasons making them difficult to detect rate and symptoms had! Guideline updates and replaces NICE technology appraisal guidance 167 ( published February 2009 ) because the risk acute. ):72-78. doi: 10.1007/s12055-018-0687-2, although many expand over time occur when wall stress exceeds wall strength Cleveland... 101 ( 6 ):421-3. doi: 10.1007/s11748-020-01328-z including a cardiologist and possibly cardiovascular. With commas etc. biomechanically, dissection may occur when wall stress anatomic... Of CTA is recommended to reduce motion artifacts ( Figure 2 ):72-78. doi: 10.1016/j.cjca.2015.09.003 with complications should referred! The limited data on their natural history add ACE/ARB/B-Blocker ; Aggressive CV RF modification ( smoking, exercise,.. Multiple addresses on separate lines or separate them with commas intervention on the aorta! Also cause an aneurysm to 5.0 cm, depending on risk factors.1 Loeys-Dietz. 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