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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
PubMed

Insights

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.
Abstract

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