Morphologic predictors of aortic dilatation in type B aortic dissection

Jip L. Tolenaar, Jasper W. Van Keulen, Frederik H W Jonker, Joost A. Van Herwaarden, Hence J. Verhagen, Frans L. Moll, Bart E. Muhs, Santi Trimarchi

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Abstract

Background: Conservative management of acute type B aortic dissection (ABAD) is often associated with aortic dilatation during follow-up increasing the risk of aortic rupture. The goal of this study was to investigate whether morphologic characteristics of the dissection can predict aortic growth. Methods: All conservatively managed ABAD patients from four referral centers were included (2000 to 2010). Aortic diameters were measured at five levels at baseline and at the last follow-up computed tomography angiography, and annual aortic growth rates were calculated for all segments. Linear regression was used to study the influence of aortic morphologic characteristics for aortic dilatation. Results: Included were 62 patients (41 men) with a mean age of 60.3 ± 10.7 years. Among the 310 analyzed aortic segments, 248 (80.0%) were dissected, of which 211 (85.1%) showed aortic growth. Overall, the mean diameter increased from 36.1 ± 9.4 to 40.2 ± 11.1 mm (P

Original languageEnglish
Pages (from-to)1220-1225
Number of pages6
JournalJournal of Vascular Surgery
Volume58
Issue number5
DOIs
Publication statusPublished - Nov 2013

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ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

Cite this

Tolenaar, J. L., Van Keulen, J. W., Jonker, F. H. W., Van Herwaarden, J. A., Verhagen, H. J., Moll, F. L., Muhs, B. E., & Trimarchi, S. (2013). Morphologic predictors of aortic dilatation in type B aortic dissection. Journal of Vascular Surgery, 58(5), 1220-1225. https://doi.org/10.1016/j.jvs.2013.05.031