Cited 11 times in
The long-term fate of ascending aorta aneurysm after wrapping versus replacement
DC Field | Value | Language |
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dc.contributor.author | 김효현 | - |
dc.contributor.author | 유경종 | - |
dc.contributor.author | 윤영남 | - |
dc.contributor.author | 이삭 | - |
dc.contributor.author | 이승현 | - |
dc.contributor.author | 주현철 | - |
dc.date.accessioned | 2022-08-23T00:33:42Z | - |
dc.date.available | 2022-08-23T00:33:42Z | - |
dc.date.issued | 2022-08 | - |
dc.identifier.issn | 0022-5223 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/189498 | - |
dc.description.abstract | Objective: The study objective was to examine the long-term fate of aortic diameter expansion at 4 cardiac regions (annulus, sinus, ascending aorta, and proximal arch) after wrapping or replacement during aortic valve surgery of the moderately dilated ascending aorta. Methods: From January 1995 to December 2018, 964 consecutive patients who underwent aortic valve replacement at our institution were reviewed. Of them, 204 (mean age, 60.7 ± 7.4 years) underwent ascending aorta wrapping (n = 96) or replacement (n = 108) for a moderately dilated ascending aorta (40 to 55 mm). The overall fate of the aortic diameter was analyzed with a linear mixed-effect model. The median follow-up duration was 7.1 years. Results: After propensity score matching, the baseline maximal ascending aortic diameter median value was 47.3 ± 3.1 mm and 49.4 ± 13.5 mm in the wrapping and replacement groups, respectively. The annulus, sinus, and ascending aorta did not redilate in either group. The proximal aortic arch diameter significantly increased over time (0.343 mm/year; P = .006) in the wrapping group but not in the replacement group (0.066 mm/year; P = .649). Multivariable competing risk analysis identified the initial ascending aorta diameter at the wrapping procedure as an independent risk factor of proximal arch redilation (0.071 ± 0.037, P < .001). The cutoff value was an initial ascending aorta diameter of 47.2 mm for the prediction proximal arch redilation (area under the curve, 0.703; P = .014). Conclusions: Aortic wrapping and replacement may be long-term durable treatment options in patients with a moderately enlarged ascending aorta. We suggest careful evaluation of redilation in the proximal arch after an aorta wrapping procedure. | - |
dc.description.statementOfResponsibility | open | - |
dc.language | English | - |
dc.publisher | Mosby | - |
dc.relation.isPartOf | JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.subject.MESH | Aged | - |
dc.subject.MESH | Aorta / diagnostic imaging | - |
dc.subject.MESH | Aorta / surgery | - |
dc.subject.MESH | Aortic Aneurysm* / diagnostic imaging | - |
dc.subject.MESH | Aortic Aneurysm* / surgery | - |
dc.subject.MESH | Aortic Valve / diagnostic imaging | - |
dc.subject.MESH | Aortic Valve / surgery | - |
dc.subject.MESH | Dilatation, Pathologic / surgery | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | Treatment Outcome | - |
dc.title | The long-term fate of ascending aorta aneurysm after wrapping versus replacement | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실) | - |
dc.contributor.googleauthor | Hyo-Hyun Kim | - |
dc.contributor.googleauthor | Sak Lee | - |
dc.contributor.googleauthor | Seung Hyun Lee | - |
dc.contributor.googleauthor | Young-Nam Youn | - |
dc.contributor.googleauthor | Kyung-Jong Yoo | - |
dc.contributor.googleauthor | Hyun-Chel Joo | - |
dc.identifier.doi | 10.1016/j.jtcvs.2020.12.110 | - |
dc.contributor.localId | A04741 | - |
dc.contributor.localId | A02453 | - |
dc.contributor.localId | A02576 | - |
dc.contributor.localId | A02807 | - |
dc.contributor.localId | A02935 | - |
dc.contributor.localId | A03960 | - |
dc.relation.journalcode | J01906 | - |
dc.identifier.eissn | 1097-685X | - |
dc.identifier.pmid | 33597100 | - |
dc.subject.keyword | aortic aneurysm | - |
dc.subject.keyword | aortic replacement | - |
dc.subject.keyword | aortic valve replacement | - |
dc.subject.keyword | aortic wrapping | - |
dc.subject.keyword | ascending aorta | - |
dc.contributor.alternativeName | Kim, Hyohyun | - |
dc.contributor.affiliatedAuthor | 김효현 | - |
dc.contributor.affiliatedAuthor | 유경종 | - |
dc.contributor.affiliatedAuthor | 윤영남 | - |
dc.contributor.affiliatedAuthor | 이삭 | - |
dc.contributor.affiliatedAuthor | 이승현 | - |
dc.contributor.affiliatedAuthor | 주현철 | - |
dc.citation.volume | 164 | - |
dc.citation.number | 2 | - |
dc.citation.startPage | 463 | - |
dc.citation.endPage | 474 | - |
dc.identifier.bibliographicCitation | JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, Vol.164(2) : 463-474, 2022-08 | - |
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