Descending aortic aneurysmal changes following surgery for acute DeBakey type I aortic dissection

European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery
Joon Bum KimCheol Hyun Chung

Abstract

The aim of the study was to determine the risk factors for descending aortic aneurysmal changes following surgery for acute DeBakey type I aortic dissection. A total of 129 patients who underwent surgery for acute type I aortic dissection between 2000 and 2010 were evaluated by contrast-enhanced computed tomography (CT) at least 6 months later (median follow-up 29.5 months, interquartile range 16.3-49.3 months). The study endpoint was the development of aortic aneurysms (diameter >55 mm). Risk factors for aortic aneurysms were determined by Cox regression analysis. Aortic dilatation occurred in 23 of the 129 (17.8%) patients. Aortic aneurysms were observed at the proximal descending in 19 (14.7%) patients, the mid descending in 12 (9.3%) patients, the distal descending in seven (5.4%) patients and at the abdominal aorta in one (0.8%) patient. Multivariate analysis showed that the luminal diameter of the proximal descending aorta on initial CT was the only significant and independent factor predicting aneurysm formation (hazard ratio 1.12, 95% confidence interval [CI] 1.02-1.22, P = 0.014). Receiver operating curves assessing the ability of preoperative proximal descending aorta diameter to predict aortic aneurysms showed an are...Continue Reading

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Citations

Jan 18, 2013·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Murat UgurHartzell V Schaff
Feb 1, 2013·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Joon Bum Kim, Cheol Hyun Chung
May 11, 2013·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Fabio IusMalakh Shrestha
Aug 12, 2014·Analytical Sciences : the International Journal of the Japan Society for Analytical Chemistry·Salwa A Ahmed, Ezzat M Soliman
Oct 31, 2014·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Hitoshi MinamiYutaka Okita
Sep 27, 2014·The Journal of Thoracic and Cardiovascular Surgery·Giampiero EspositoAngelo Anzuini
Sep 3, 2016·Journal of the American College of Cardiology·Sven PeterssJohn A Elefteriades
Jan 14, 2017·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Heinz JakobKonstantinos Tsagakis
Feb 27, 2014·The Korean Journal of Thoracic and Cardiovascular Surgery·Yun Seok KimCheol Hyun Chung
Apr 12, 2017·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Jihoon KimSuk Jung Choo
Jan 28, 2020·The Journal of Cardiovascular Surgery·Akiko TanakaAnthony L Estrera
Mar 25, 2021·Seminars in Vascular Surgery·Indrani SenRandall R DeMartino

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