Ascending Thoracic Aorta Dimension and Outcomes in Acute Type B Dissection (from the International Registry of Acute Aortic Dissection [IRAD])
Ascending Thoracic Aorta Dimension and Outcomes in Acute Type B Dissection (from the International Registry of Acute Aortic Dissection [IRAD])
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DOI：
10.1016/j.amjcard.2010.09.020
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发表时间：
2011-01-15
影响因子：
2.8
通讯作者：
Eagle, Kim A.
中科院分区：
文献类型：
--
作者：
Booher, Anna M.;Isselbacher, Eric M.;Eagle, Kim A.
目前尚不清楚是否表现为胸升主动脉的大小可以预测急性B型主动脉夹层患者的表现、处理和结局。在国际急性主动脉夹层登记处（IRAD）数据库中查询所有急性B型夹层患者，这些患者在出现症状时有升主动脉大小的记录。根据胸主动脉升径= 4.6 cm进行分类。418例患者符合纳入标准；291例（69.6%）为男性，平均年龄63.2±13.5岁。63例（15.1%）升主动脉直径= 4.6 cm。胸主动脉升径>= 4.6 cm的患者中男性（p = 0.01）、有马凡氏综合征（p < 0.001）和已知的二尖瓣主动脉瓣疾病（p = 0.003）的可能性更大。在胸升主动脉cm的患者中，手术干预的发生率增加（p = 0.013）。在升主动脉>= 4.6 cm的患者中，手术修复更多涉及到升主动脉根、升主动脉弓和主动脉瓣。胸主动脉上升的病人
It is not well known if the size of the ascending thoracic aorta at presentation predicts features of presentation, management, and outcomes in patients with acute type B aortic dissection. The International Registry of Acute Aortic Dissection (IRAD) database was queried for all patients with acute type B dissection who had documentation of ascending thoracic aortic size at time of presentation. Patients were categorized according to ascending thoracic aortic diameters = 4.6 cm. Four hundred eighteen patients met inclusion criteria; 291 patients (69.6%) were men with a mean age of 63.2 +/- 13.5 years. Ascending thoracic aortic diameter = 4.6 cm in 63 patients (15.1%). Patients with an ascending thoracic aortic diameter >= 4.6 cm were more likely to be men (p = 0.01) and have Marfan syndrome (p < 0.001) and known bicuspid aortic valve disease (p = 0.003). In patients with an ascending thoracic aorta cm, there was an increased incidence of surgical intervention (p = 0.013). In those with an ascending thoracic aorta >= 4.6 cm, the root, ascending aorta, arch, and aortic valve were more often involved in surgical repair. Patients with an ascending thoracic aorta