Cited 75 times in
Effects of partial thrombosis on distal aorta after repair of acute DeBakey type I aortic dissection
DC Field | Value | Language |
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dc.contributor.author | 송석원 | - |
dc.contributor.author | 유경종 | - |
dc.contributor.author | 윤영남 | - |
dc.contributor.author | 이기종 | - |
dc.contributor.author | 이삭 | - |
dc.contributor.author | 장병철 | - |
dc.contributor.author | 조범구 | - |
dc.date.accessioned | 2015-04-23T16:32:44Z | - |
dc.date.available | 2015-04-23T16:32:44Z | - |
dc.date.issued | 2010 | - |
dc.identifier.issn | 0022-5223 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/100779 | - |
dc.description.abstract | OBJECTIVE: Prognostic implications of partial thrombosis of the residual aorta after repair of acute DeBakey type I aortic dissection have not been elucidated. We sought to analyze the impact of partial thrombosis on segmental growth rates, distal aortic reprocedures, and long-term survival. METHODS: A total of 118 consecutive patients (55% were male; mean age, 60 years) with acute DeBakey type I aortic dissection underwent surgical repair (1997-2007). The hospital mortality rate was 17.8%. Survivors underwent serial computed tomography scans. Segment-specific average rates of enlargement were analyzed. Distal reprocedures and patient survival were examined. RESULTS: Sixty-six patients had imaging data sufficient for growth rate calculations. The median diameters within 2 weeks after repair were as follows: aortic arch, 3.5 cm; descending aorta, 3.6 cm; and abdominal aorta, 2.4 cm. Subsequent growth rates were artic arch, 0.34 mm/y, descending aorta, 0.51 mm/y, and abdominal aorta, 0.35 mm/y. Partial thrombosis of the residual aorta predicted greater growth in the distal aorta (P = .005). There were 13 distal aortic reprocedures (5 reoperations, 8 stent graft insertions) for 10 years, and reprocedure-free survival was 66%. Partial thrombosis (P = .002) predicted greater risk of aorta-related reprocedures. Cox analysis revealed that estimated glomerular filtration rate less than 60 mL/min/1.73 m(2) (P = .030), reintubation (P = .002), and partial thrombosis (P = .023) were independent predictors for poor survival. CONCLUSION: Partial thrombosis of the false lumen after repair of acute DeBakey type I aortic dissection, compared with complete patency or complete thrombosis, is a significant independent predictor of aortic enlargement, aorta-related reprocedures, and poor long-term survival | - |
dc.description.statementOfResponsibility | open | - |
dc.relation.isPartOf | JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Aneurysm, Dissecting/complications | - |
dc.subject.MESH | Aneurysm, Dissecting/surgery* | - |
dc.subject.MESH | Aorta/growth & development | - |
dc.subject.MESH | Aorta/physiopathology* | - |
dc.subject.MESH | Aortic Aneurysm/complications | - |
dc.subject.MESH | Aortic Aneurysm/surgery* | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Prognosis | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | Survival Analysis | - |
dc.subject.MESH | Thrombosis/etiology | - |
dc.subject.MESH | Thrombosis/mortality | - |
dc.subject.MESH | Thrombosis/physiopathology* | - |
dc.subject.MESH | Tomography, X-Ray Computed | - |
dc.title | Effects of partial thrombosis on distal aorta after repair of acute DeBakey type I aortic dissection | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Thoracic & Cardiovascular Surgery (흉부외과학) | - |
dc.contributor.googleauthor | Suk-Won Song | - |
dc.contributor.googleauthor | Byung-Chul Chang | - |
dc.contributor.googleauthor | Bum-Koo Cho | - |
dc.contributor.googleauthor | Gijong Yi | - |
dc.contributor.googleauthor | Young-Nam Youn | - |
dc.contributor.googleauthor | Sak Lee | - |
dc.contributor.googleauthor | Kyung-Jong Yoo | - |
dc.identifier.doi | 10.1016/j.jtcvs.2009.12.007 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A02028 | - |
dc.contributor.localId | A02453 | - |
dc.contributor.localId | A02576 | - |
dc.contributor.localId | A02697 | - |
dc.contributor.localId | A02807 | - |
dc.contributor.localId | A03430 | - |
dc.contributor.localId | A03821 | - |
dc.relation.journalcode | J01906 | - |
dc.identifier.eissn | 1097-685X | - |
dc.identifier.pmid | 20117798 | - |
dc.identifier.url | http://www.sciencedirect.com/science/article/pii/S002252230901602X | - |
dc.contributor.alternativeName | Song, Suk Won | - |
dc.contributor.alternativeName | Yoo, Kyung Jong | - |
dc.contributor.alternativeName | Youn, Young Nam | - |
dc.contributor.alternativeName | Yi, Gi Jong | - |
dc.contributor.alternativeName | Lee, Sak | - |
dc.contributor.alternativeName | Chang, Byung Chul | - |
dc.contributor.alternativeName | Cho, Bum Koo | - |
dc.contributor.affiliatedAuthor | Song, Suk Won | - |
dc.contributor.affiliatedAuthor | Yoo, Kyung Jong | - |
dc.contributor.affiliatedAuthor | Youn, Young Nam | - |
dc.contributor.affiliatedAuthor | Yi, Gi Jong | - |
dc.contributor.affiliatedAuthor | Lee, Sak | - |
dc.contributor.affiliatedAuthor | Chang, Byung Chul | - |
dc.contributor.affiliatedAuthor | Cho, Bum Koo | - |
dc.citation.volume | 139 | - |
dc.citation.number | 4 | - |
dc.citation.startPage | 841 | - |
dc.citation.endPage | 847.e1 | - |
dc.identifier.bibliographicCitation | JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, Vol.139(4) : 841-847.e1, 2010 | - |
dc.identifier.rimsid | 37813 | - |
dc.type.rims | ART | - |
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