Acute type B aortic dissection with communicating vs. non-communicating false lumen

Circulation Journal : Official Journal of the Japanese Circulation Society
Koichi AkutsuMorimasa Takayama

Abstract

In practice, patients with acute aortic dissection (AAD) are generally divided into 2 groups according to the status of the false lumen: non-communicating or communicating. The similarities and differences between the 2 groups, however, have not been fully determined in a large population. METHODS AND RESULTS: We studied 502 patients with Stanford type B AAD. Clinical background at symptom onset was compared, and similarities and differences characterized, for patients with non-communicating (NC group, n=288) vs. communicating (C group, n=214) false lumens. Time of day (00.00-06.00 hours, 06.00-12.00 hours, 12.00-18.00 hours, and 18.00-24.00 hours) and extent of physical activity (extreme exertion, slight exertion, at rest, and sleeping) at symptom onset were similar between groups. Patients in the NC group were older (mean age, 71±11 years vs. 64±14 years, P<0.01) and had lower prevalence of distally extended aortic dissection (26% vs. 8%, P<0.01) and deaths in hospital (2% vs. 7%, P=0.011) than those in the C group. At symptom onset, clinical circumstances and physical activity were similar between the groups, and old age and a background of DeBakey IIIa aortic dissection may be associated with determination of false lumen st...Continue Reading

References

Dec 1, 1974·The American Journal of Roentgenology, Radium Therapy, and Nuclear Medicine·K HayashiR Tarar
Jul 1, 1984·Japanese Circulation Journal·T TakanoK Hirosawa
Oct 1, 1980·AJR. American Journal of Roentgenology·J TisnadoF S Vines
Mar 1, 1994·Journal of the American College of Cardiology·S Mohr-KahalyJ Meyer
Oct 24, 1997·The Journal of Thoracic and Cardiovascular Surgery·K M HarrisV G Dávila-Román
Dec 5, 1997·Journal of Computer Assisted Tomography·E SueyoshiM Narimatsu
Mar 17, 1999·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·P A Berdat, T Carrel
Sep 5, 2002·The American Journal of Medicine·Jae-Kwan SongDae-Won Sohn
Oct 2, 2002·Circulation·Shuichiro KajiKiyoshi Yoshida
Sep 13, 2003·Circulation·Shuichiro KajiKiyoshi Yoshida
Aug 7, 2004·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Koichi AkutsuTeruo Takano
Mar 1, 2005·The Annals of Thoracic Surgery·Ron-Bin HsuShu-Hsun Chu
Jul 6, 2006·Circulation·Anthony L EstreraAdnan Allaham
Nov 26, 2008·The Journal of Thoracic and Cardiovascular Surgery·Naoyuki KimuraHideo Adachi
Mar 19, 2009·Circulation Journal : Official Journal of the Japanese Circulation Society·Yuiichi TamoriSatoshi Takeshita
Dec 19, 2009·Circulation Journal : Official Journal of the Japanese Circulation Society·UNKNOWN Tokyo CCU Network Scientific Committee
Mar 29, 2011·The Journal of Thoracic and Cardiovascular Surgery·Shunsuke MiyaharaMasato Yoshida
Aug 30, 2011·Journal of Cardiac Failure·Masashi TakahashiUNKNOWN Tokyo CCU Network Council
Dec 22, 2011·Circulation Journal : Official Journal of the Japanese Circulation Society·Takashi MurashitaTatsuki Fujiwara
Feb 16, 2013·Circulation Journal : Official Journal of the Japanese Circulation Society·UNKNOWN JCS Joint Working Group
Mar 15, 2013·Circulation Journal : Official Journal of the Japanese Circulation Society·Ryuji NoharaUNKNOWN Justification For Atherosclerosis Regression Treatment (JART) Investigators
Mar 22, 2013·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Keiji UchidaMunetaka Masuda
Sep 26, 2013·Journal of Vascular Surgery·Jip L TolenaarUNKNOWN IRAD investigators
Oct 22, 2013·Journal of Vascular Surgery·Akihito TanakaToyoaki Murohara
Oct 29, 2013·Circulation Journal : Official Journal of the Japanese Circulation Society·Koji KurosawaDai Yamanouchi

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Citations

Mar 6, 2015·Circulation Journal : Official Journal of the Japanese Circulation Society·Atsushi MizunoUNKNOWN Tokyo CCU Network Scientific Committee
Nov 26, 2015·The American Journal of Cardiology·Atsushi MizunoUNKNOWN Tokyo CCU Network Scientific Committee
Apr 15, 2016·Circulation Journal : Official Journal of the Japanese Circulation Society·Toshihisa IchibaHiroshi Naitou
May 8, 2019·Heart and Vessels·Koichi AkutsuUNKNOWN Tokyo CCU Network and Tokyo Acute Aortic Super Network
Nov 14, 2017·Journal of Atherosclerosis and Thrombosis·Shuichiro Kaji
Oct 20, 2017·Interactive Cardiovascular and Thoracic Surgery·Akihito MatsushitaWahei Mihara

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