Ascending Aortic Diameter after Dissection Does Not Reflect Size before Dissection

EJVES Vascular Forum

Axel C.P. Diederichsen¹  Jes S. Lindholt²  Qais W. Saleh³ 

[1] Centre for Individualised Medicine in Arterial Diseases (CIMA), Odense University Hospital, Denmark;Centre of Clinical Excellence in Southern Denmark (CAVAC), Odense University Hospital, Denmark;Department of Thoracic-, Cardiac- and Vascular Surgery, Odense University Hospital, Odense, Denmark;

关键词: Acute disease;    Aortic aneurysm;    Computed tomography;    Dissecting;    Organ Size;    Thoracic aneurysm;   

DOI  :  

来源: DOAJ

【 摘 要 】

Introduction: Current guidelines for prophylactic resection of ascending aortic aneurysms are based on post-dissection aortic diameter. However, this may not reflect the diameter prior to dissection. Report: Pre- and post-dissection aortic diameters were compared in 34 patients with available computerised tomography scans. The median time interval between these scans was 536 days (interquartile range 354 – 1237). Discussion: There was a statistically significant difference in diameters from the sinotubular junction to the proximal abdominal aorta, the largest was in the ascending aorta with a mean of 7.6 mm (standard deviation 4.5). This suggests that the ascending aortic diameter is a poor predictor of dissection in most patients.

【 授权许可】

Unknown