After Performing an Annual Screening Echocardiogram on a Patient with a Known

Multiple Choice

After performing an annual screening echocardiogram on a patient with a known history of a thoracic aortic aneurysm (TAA) with a previous ascending aorta dimension of 3.0 cm the patient is now found to have an ascending aorta dimension of 4.4 cm. What is the appropriate management of this patient?

A) Continue annual screening
B) Increase screening frequency to every 6 months
C) Refer the patient for prophylactic surgical repair
D) Order a CT scan to confirm the echocardiogram findings