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Sex Differences in Thoracic Aortic Disease and Dissection JACC Review Topic of the Week

Journal

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY
Volume 29, Issue 9, Pages 817-827

Publisher

ELSEVIER SCIENCE INC
DOI: 10.1016/j.jacc.2023.05.067

Keywords

aneurysm; aorta; disparities; dissection; pregnancy; sex

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Despite being more common in men, women with thoracic aortic aneurysm and dissection (TAAD) receive lower rates of treatment and surgical intervention, leading to worse outcomes. Additionally, an increasing number of women with TAAD desire pregnancy, which poses an increased risk of aortic complications. Understanding the sex-specific differences in TAAD holds the potential to enhance care delivery, reduce treatment disparities, and optimize outcomes for women with TAAD.
Despite its higher prevalence among men, women with thoracic aortic aneurysm and dissection (TAAD) have lower rates of treatment and surgical intervention and often have worse outcomes. A growing number of women with TAAD also desire pregnancy, which can be associated with an increased risk of aortic complications. Understanding sex-specific differences in TAAD has the potential to improve care delivery, reduce disparities in treatment, and optimize outcomes for women with TAAD. (c) 2023 by the American College of Cardiology Foundation.

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