Association of dissected ascending aorta diameter with preoperative adverse events in patients with acute type A aortic dissection.
Acute
Aortic dissection
Ascending aorta
Diameter
Type A
Journal
World journal of cardiology
ISSN: 1949-8462
Titre abrégé: World J Cardiol
Pays: United States
ID NLM: 101537090
Informations de publication
Date de publication:
26 Apr 2022
26 Apr 2022
Historique:
received:
05
12
2021
revised:
02
02
2022
accepted:
03
04
2022
entrez:
18
5
2022
pubmed:
19
5
2022
medline:
19
5
2022
Statut:
ppublish
Résumé
Acute type A aortic dissection (ATAAD) is a life-threatening disease associated with high morbidity and mortality. To evaluate the diameter of dissected ascending aorta in patients diagnosed with ATAAD and whether the aortic diameter is associated with preoperative adverse events. A total of 108 patients diagnosed with ATAAD who underwent emergency operation under hypothermic circulatory arrest were enrolled in this study. Demographic characteristics and perioperative data were recorded. In all patients, preoperative chest and abdomen computed tomography (CT) scans were performed. Median age of the patients was 61.5 (52.5-70.5) years and median body mass index (BMI) was 28.2 (25.1-32.6) cm Although current guidelines suggest replacing the ascending aorta with a diameter > 5.5 cm, most of the patients with ATAAD had an aortic diameter of less than 5.5 cm. The diameter of the ascending aorta in patients diagnose with ATAAD is not associated with preoperative adverse events.
Sections du résumé
BACKGROUND
BACKGROUND
Acute type A aortic dissection (ATAAD) is a life-threatening disease associated with high morbidity and mortality.
AIM
OBJECTIVE
To evaluate the diameter of dissected ascending aorta in patients diagnosed with ATAAD and whether the aortic diameter is associated with preoperative adverse events.
METHODS
METHODS
A total of 108 patients diagnosed with ATAAD who underwent emergency operation under hypothermic circulatory arrest were enrolled in this study. Demographic characteristics and perioperative data were recorded. In all patients, preoperative chest and abdomen computed tomography (CT) scans were performed.
RESULTS
RESULTS
Median age of the patients was 61.5 (52.5-70.5) years and median body mass index (BMI) was 28.2 (25.1-32.6) cm
CONCLUSION
CONCLUSIONS
Although current guidelines suggest replacing the ascending aorta with a diameter > 5.5 cm, most of the patients with ATAAD had an aortic diameter of less than 5.5 cm. The diameter of the ascending aorta in patients diagnose with ATAAD is not associated with preoperative adverse events.
Identifiants
pubmed: 35582464
doi: 10.4330/wjc.v14.i4.231
pmc: PMC9048272
doi:
Types de publication
Journal Article
Langues
eng
Pagination
231-238Informations de copyright
©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
Déclaration de conflit d'intérêts
Conflict-of-interest statement: All authors declare that there are no any conflicts of interest to disclose.
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