Evaluating the diagnostic accuracy of maximal aortic diameter, length and volume for prediction of aortic dissection.

Heart
Bouke P AdriaansPeyman Sardari Nia

Abstract

Management of thoracic aortic aneurysms (TAAs) comprises regular diameter follow-up until the indication criterion for prophylactic surgery is reached. However, this approach is unable to predict the majority of acute type A aortic dissections (ATAADs). The current study aims to evaluate the diagnostic accuracy of ascending aortic diameter, length and volume for occurrence of ATAAD. This two-centre observational cohort study retrospectively screened 477 consecutive patients who presented with ATAAD between 2009 and 2018. Of those, 25 (5.2%) underwent CT angiography (CTA) within 2 years before dissection onset. Aortic diameter, length and volume of these patients ('pre-ATAAD') were compared with those of TAA controls (n=75). Receiver operating curve analysis was performed to evaluate the predictive accuracy of the three different measurements. 96% of patients with pre-ATAAD did not meet the surgical diameter threshold of 55 mm before dissection onset. Maximal aortic diameters (45 (40-49) mm vs 46 (44-49) mm, p=0.075) and volume (126 (95-157) cm3 vs 124 (102-136) cm3, p=0.909) were comparable between patients with pre-ATAAD and TAA controls. Conversely, ascending aortic length (84±9 mm vs 90±16 mm, p=0.031) was significantly larg...Continue Reading

References

Mar 1, 1997·The Journal of Thoracic and Cardiovascular Surgery·M A CoadyJ A Elefteriades
Jan 16, 2002·Circulation·Rajendra H MehtaUNKNOWN International Registry of Acute Aortic Dissection (IRAD) Investigators
Feb 9, 2002·The Annals of Thoracic Surgery·Ryan R DaviesJohn A Elefteriades
Aug 22, 2007·Circulation·Linda A PapeUNKNOWN International Registry of Acute Aortic Dissection (IRAD) Investigators
Apr 10, 2009·JACC. Cardiovascular Imaging·Jun SugawaraHirofumi Tanaka
Feb 15, 2011·European Journal of Radiology·Rahul D RenapurkarScott D Flamm
May 20, 2011·The Journal of Thoracic and Cardiovascular Surgery·Santi TrimarchiKim A Eagle
Jul 5, 2011·The Annals of Thoracic Surgery·Dorinna D MendozaUNKNOWN GenTAC (National Registry of Genetically Triggered Thoracic Aortic Aneurysms and Cardiovascular Conditions) Study Investigat
Oct 24, 2012·Journal of Magnetic Resonance Imaging : JMRI·Michael MarklOliver Wieben
Apr 25, 2013·Journal of Vascular Surgery·Giampaolo MartufiT Christian Gasser
Jul 25, 2013·The Journal of Thoracic and Cardiovascular Surgery·Eun Kyoung KimDuk-Kyung Kim
Nov 5, 2013·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·N RudarakanchanaJ T Powell
Jan 17, 2014·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Bartosz RylskiRita K Milewski
Feb 11, 2014·Journal of the American College of Cardiology·Bartosz RylskiJoseph E Bavaria
Mar 7, 2014·BMC Medical Research Methodology·Brandy M RinghamDeborah H Glueck
Aug 22, 2015·Journal of the American College of Cardiology·David G GuzzardiPaul W M Fedak
Mar 18, 2016·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Tobias KrügerChristian Schlensak
Apr 14, 2016·The American Journal of Cardiology·Yoshihiro TanakaMasakazu Yamagishi
Sep 10, 2016·Journal of the American College of Cardiology·Joon Bum KimThoralf M Sundt
Mar 23, 2017·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Tobias KrügerChristian Schlensak
Feb 7, 2018·Journal of the American College of Cardiology·Rachael O ForsytheDavid E Newby
Mar 30, 2018·Heart·Bouke P AdriaansSimon Schalla
Mar 30, 2018·Heart·Samuel HeutsPeyman Sardari Nia
Dec 19, 2018·The Journal of Thoracic and Cardiovascular Surgery·Bulat A ZiganshinJohn A Elefteriades

❮ Previous
Next ❯

Citations

Apr 3, 2020·Heart·Ibrahim Akin, Christoph A Nienaber
Apr 14, 2021·Netherlands Heart Journal : Monthly Journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation·B P AdriaansS Schalla
Apr 24, 2021·Cardiovascular Research·Lucia MazzolaiUNKNOWN WG on aorta and peripheral vascular diseases
May 23, 2021·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Alessandro Della CorteMarisa De Feo
Jul 4, 2021·Seminars in Thoracic and Cardiovascular Surgery·Ilaria ChirichilliRuggero De Paulis

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cardiac Aneurysm

Aneurysm refers to a bulge of the wall or lining of a vessel commonly occurring in the blood vessels at the base of the septum or within the aorta. In the heart, it usually arises from a patch of weakened tissue in a ventricular wall, which swells into a bubble filled with blood. Discover the latest research on cardiac aneurysm here.

Aortic Aneurysm

An aortic aneurysm is the weakening and bulging of the blood vessel wall in the aorta. This causes dilatation of the aorta, which is usually asymptomatic but carries the risk of rupture and hemorrhage. Find the latest research on aortic aneurysms here.

Related Papers

Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery
Jared P BellerAbe DeAnda
Journal of the American College of Cardiology
Bartosz RylskiJoseph E Bavaria
Giornale italiano di cardiologia : organo ufficiale della Federazione italiana di cardiologia : organo ufficiale della Società italiana di chirurgia cardiaca
Paolo BerrettaMarco Di Eusanio
© 2021 Meta ULC. All rights reserved