Journal of Cardiothoracic Surgery 2025, 20(1):16

Introduction

Aortic surveillance involves the systematic monitoring of patients post-surgery, those with genetic predispositions, and individuals with incidental findings at increased risk. Early detection allows for timely interventions, preventing catastrophic events and preserving life. Surveillance helps identify modifiable risk factors and guide preventive measures, reducing future risks. Aortic surgery treats various pathologies but comes with risks; thus, optimal timing for intervention and postoperative monitoring are essential for successful outcomes.

Discussion

The Aortic Surveillance Programme at St. Thomas’s Hospital, established in 2012, monitors 598 patients. It follows guideline-recommended imaging modalities and intervals (TTE, CT, MRI), and takes a patient-specific, holistic approach. The programme employs a multidisciplinary team approach (One Aorta, One Service) to determine appropriate interventions.

The Role of Clinical Nurse Specialist

Clinical nurse specialists (CNSs) provide a contact point for patients, families, and healthcare professionals, streamline follow-up processes, ensure regular imaging, conduct telephone consultations, evaluate abnormal findings, and refer patients to specialists. They also raise awareness about aortic diseases.

Conclusions

Aortic surveillance is crucial for monitoring aortic conditions, early complication detection, and risk factor identification. CNSs play a vital role in supervising patient care, organizing follow-ups, educating, and supporting patients, ultimately improving outcomes and reducing complications through excellent monitoring and multidisciplinary care.