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Changes in aortic growth rate and factors influencing aneurysmal dilatation after uncomplicated acute type B aortic dissection
DC Field | Value | Language |
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dc.contributor.author | Lee, Jae Hang | - |
dc.contributor.author | Jung, Joon Chul | - |
dc.contributor.author | Sohn, Bongyeon | - |
dc.contributor.author | Chang, Hyoung Woo | - |
dc.contributor.author | Kim, Dong Jung | - |
dc.contributor.author | Kim, Jun Sung | - |
dc.contributor.author | Lim, Cheong | - |
dc.contributor.author | Park, Kay-Hyun | - |
dc.date.accessioned | 2022-10-11T01:16:00Z | - |
dc.date.available | 2022-10-11T01:16:00Z | - |
dc.date.created | 2022-09-13 | - |
dc.date.issued | 2022-08 | - |
dc.identifier.citation | Interactive Cardiovascular and Thoracic Surgery, Vol.35 No.3 | - |
dc.identifier.issn | 1569-9293 | - |
dc.identifier.uri | https://hdl.handle.net/10371/185717 | - |
dc.description.abstract | OBJECTIVES: The aim of this study was to evaluate changes in aortic growth rate and factors influencing aneurysmal dilatation after uncomplicated acute type B aortic dissection (ABAD). METHODS: Medically treated patients with uncomplicated ABAD between September 2004 and January 2020 were retrospectively reviewed. Diameters of 6 different sites in the descending aorta were measured and aortic growth rate was calculated according to the time interval. Factors associated with aneurysmal changes were also investigated. RESULTS: This study enrolled a total of 105 patients who underwent >2 serial computed tomography with a mean follow-up duration of 35.4 (12.1-77.4) months. The mean overall growth rates of the proximal descending thoracic aorta (DTA), mid-DTA, distal DTA, proximal abdominal aorta, maximal DTA and maximal abdominal aorta were 0.6 (1.9), 2.9 (5.2), 2.1 (4.0), 1.2 (2.2), 3.3 (5.6) and 1.4 (2.5) mm/year, respectively. The growth rate was higher at the early stage. It decreased over time. Growth rates of proximal DTA, mid-DTA, distal DTA, proximal abdominal aorta, maximal DTA, and maximal abdominal aorta within 3 months after dissection were 1.3 (9.6), 12.6 (18.2), 7.6 (11.7), 5.9 (7.5), 16.7 (19.8) and 6.8 (8.9) mm/year, respectively. More than 2 years later, they were 0.2 (0.6), 1.6 (1.6), 1.2 (1.3), 0.9 (1.4), 1.7 (1.9) and 1.2 (1.7) mm/year, respectively. Factors associated with aneurysmal changes after uncomplicated ABAD included an elliptical true lumen (odds ratio = 3.16; 95% confidence interval: 1.19-8.41; P = 0.021) and a proximal entry >10 mm (odds ratio = 3.08; 95% confidence interval: 1.09-8.69; P = 0.034) on initial computed tomography imaging. CONCLUSIONS: The aortic growth rate was higher immediately after uncomplicated ABAD but declined eventually. Patients with an elliptical true lumen and a large proximal entry might be good candidates for early endovascular intervention after uncomplicated ABAD. | - |
dc.language | 영어 | - |
dc.publisher | Elsevier BV | - |
dc.title | Changes in aortic growth rate and factors influencing aneurysmal dilatation after uncomplicated acute type B aortic dissection | - |
dc.type | Article | - |
dc.identifier.doi | 10.1093/icvts/ivac126 | - |
dc.citation.journaltitle | Interactive Cardiovascular and Thoracic Surgery | - |
dc.identifier.wosid | 000799449500001 | - |
dc.identifier.scopusid | 2-s2.0-85137135364 | - |
dc.citation.number | 3 | - |
dc.citation.volume | 35 | - |
dc.description.isOpenAccess | N | - |
dc.contributor.affiliatedAuthor | Lim, Cheong | - |
dc.contributor.affiliatedAuthor | Park, Kay-Hyun | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
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