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. 2019 Jun;35(Suppl 2):72-78.
doi: 10.1007/s12055-018-0687-2. Epub 2018 Jul 9.

Size and dissection: what is the relation?

Amer Harky  1   2   3 , Mohamad Bashir  1 , Athanasios Antoniou  1 , Niroshan Francis  1 , Loay Alhamdan  1 , Rakesh Uppal  1
Affiliations

Size and dissection: what is the relation?

Amer Harky et al. Indian J Thorac Cardiovasc Surg. 2019 Jun.

Abstract

Thoracic aortic aneurysm is a complex disease. The consequences of such silent and indolent disease include acute aortic syndrome if not recognized early and treated appropriately. Aortic aneurysm size was a reliable clinical marker to aid clinical intervention; however, aneurysm growth is variable and is influenced by many factors such as age, presence of connective tissue disorders, genetic disorders, hypertension, inflammatory conditions of the aorta, autoimmune diseases, smoking, and history of previous cardiac surgery. Therefore, aortic size became a non-specific disease surrogate and prediction tool on outcome and intervention. In this review article, we examined the current literature for evidence about aneurysm size and its relation to type A aortic dissection.

Keywords: Aorta; Aortic dissection; Dissection size.

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Conflict of interest statement

Conflict of interestThe authors declare that they have no conflicts of interest. Ethical approval, Statement of Human and Animal Rights, Informed consent–Being a Review article, these are not required.

Figures

Fig. 1
Fig. 1
Risk of complications by aortic diameter and body surface area with aortic size index given within chart, with permission from Davies et al. [46]
See this image and copyright information in PMC

References

    1. Olsson C, Thelin S, Stahle E, Ekbom A, Granath F. Thoracic aortic aneurysm and dissection: increasing prevalence and improved outcomes reported in a nationwide population-based study of more than 14000 cases from 1987 to 2002. Circulation. 2006;114:2611–2618. doi: 10.1161/CIRCULATIONAHA.106.630400. - DOI - PubMed
    1. Meszaros I, Morocz J, Szlavi J, et al. Epidemiology and clinic opathology of aortic dissection. Chest. 2000;117:1271–1278. doi: 10.1378/chest.117.5.1271. - DOI - PubMed
    1. Goldfinger JZ, Halperin JL, Marin ML, Stewart AS, Eagle KA, Fuster V. Thoracic aortic aneurysm and dissection. J Am Coll Cardiol. 2014;64:1725–1739. doi: 10.1016/j.jacc.2014.08.025. - DOI - PubMed
    1. Hiratzka LF, Bakris GL, Beckman JA, et al. ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/ SVM guidelines for the diagnosis and management of patients with thoracic aortic disease: a Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines, American Association for Thoracic Surgery, American College of Radiology, American Stroke Association, Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, Society of Interventional Radiology, Society of Thoracic Surgeons, and Society for Vascular Medicine. Circulation. 2010;121:e266–e369. - PubMed
    1. Erbel R, Aboyans V, Boileau C, et al. ESC Committee for Practice Guidelines. 2014 ESC Guidelines on the diagnosis and treatment of aortic diseases: Document covering acute and chronic aortic diseases of the thoracic and abdominal aorta of the adult. The Task Force for the Diagnosis and Treatment of Aortic Diseases of the European Society of Cardiology (ESC) Eur Heart J. 2014;35:2873–2926. doi: 10.1093/eurheartj/ehu281. - DOI - PubMed

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