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A Multidisciplinary Aortopathy Clinic: The McGill Experience.
Masaki Kodaira1,2,3, Kevin Lachapelle4, Richard L Leask5
1Division of Cardiology, McGill University, Montreal, Quebec, Canada.
CJC Open
|July 23, 2025
Summary
Multidisciplinary aortopathy clinics provide comprehensive care for thoracic aortic disease (TAD) patients. This 8-year study shows this approach ensures precise and timely management for complex cases.
Area of Science:
- Cardiovascular Medicine
- Genetics
- Radiology
Background:
- Thoracic aortic disease (TAD) patients require specialized care due to their complex and high-risk nature.
- Multidisciplinary aortopathy clinics are recommended but underreported.
- This study details the experience of an 8-year-old multidisciplinary aortopathy clinic.
Purpose of the Study:
- To evaluate the effectiveness of a multidisciplinary approach in managing thoracic aortic disease.
- To assess the impact of specialized imaging reanalysis and genetic testing in TAD patient care.
- To demonstrate the comprehensive, precise, and timely care provided by such a clinic.
Main Methods:
- Evaluated 567 patients with TAD from September 2016 to May 2024.
- Utilized a multidisciplinary team including cardiac/vascular surgeons, cardiologist, radiologist, geneticists, and researchers.
- Performed external imaging reanalysis and genetic testing for hereditary TADs.
Main Results:
- Radiologist reanalysis of external imaging altered clinical decisions in 9.8% of cases.
- Genetic testing identified a positive TAD gene in 12.8% of tested patients.
- 7% of patients underwent surgery within a median of 2.7 months.
Conclusions:
- An 8-year experience at McGill University's aortopathy clinic confirms the value of a multidisciplinary approach.
- This model delivers complete, precise, and timely care for complex thoracic aortic disease patients.
- The study highlights the successful integration of surgical, medical, radiological, and genetic expertise.
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