Ascending Aortic Length and Risk of Aortic Adverse Events: The Neglected Dimension

Ascending Aortic Length and Risk of Aortic Adverse Events: The Neglected Dimension

Little information is available regarding the longitudinal changes of the aneurysmal ascending aorta. This study sought to outline the natural history of ascending thoracic aortic aneurysm (ATAA) based on ascending aortic length (AAL) and develop novel predictive tools to better aid risk stratificat...

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Veröffentlicht in:Journal of the American College of Cardiology 2019-10, Vol.74 (15), p.1883-1894
Hauptverfasser: Wu, Jinlin, Zafar, Mohammad A, Li, Yupeng, Saeyeldin, Ayman, Huang, Yan, Zhao, Rui, Qiu, Juntao, Tanweer, Maryam, Abdelbaky, Mohamed, Gryaznov, Anton, Buntin, Joelle, Ziganshin, Bulat A, Mukherjee, Sandip K, Rizzo, John A, Yu, Cuntao, Elefteriades, John A
Format: Artikel
Sprache:eng
Schlagworte:
Aneurysms
Aorta
Aortic aneurysms
Cardiology
Cardiovascular disease
Coronary vessels
Dissection
Elongation
Growth rate
Hospitals
Intervention
Medical imaging
Medical records
NMR
Nuclear magnetic resonance
Patients
Risk
Statistical analysis
Thorax
Ulcers
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Beschreibung
Zusammenfassung:Little information is available regarding the longitudinal changes of the aneurysmal ascending aorta. This study sought to outline the natural history of ascending thoracic aortic aneurysm (ATAA) based on ascending aortic length (AAL) and develop novel predictive tools to better aid risk stratification. The ascending aortic diameters and lengths, and long-term aortic adverse events (AAEs) (rupture, dissection, and death) of 522 ATAA patients were evaluated using comprehensive statistical approaches. An AAL of ≥13 cm was associated with an almost 5-fold higher average yearly rate of AAEs compared with an AAL of 
ISSN:0735-1097
1558-3597
DOI:10.1016/j.jacc.2019.07.078