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Proximal aortic dissection late after aortic valve surgery: 119 cases of a distinct clinical entity

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Proximal aortic dissection late after aortic valve surgery: 119 cases of a distinct clinical entity. / von Kodolitsch, Y.; Loose, R.; Ostermeyer, J.; Aydin, A.; Koschyk, D. H.; Haverich, A.; Nienaber, C. A.

In: THORAC CARDIOV SURG, Vol. 48, No. 6, 2000, p. 342-346.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

von Kodolitsch, Y, Loose, R, Ostermeyer, J, Aydin, A, Koschyk, DH, Haverich, A & Nienaber, CA 2000, 'Proximal aortic dissection late after aortic valve surgery: 119 cases of a distinct clinical entity', THORAC CARDIOV SURG, vol. 48, no. 6, pp. 342-346. https://doi.org/10.1055/s-2000-8346

APA

von Kodolitsch, Y., Loose, R., Ostermeyer, J., Aydin, A., Koschyk, D. H., Haverich, A., & Nienaber, C. A. (2000). Proximal aortic dissection late after aortic valve surgery: 119 cases of a distinct clinical entity. THORAC CARDIOV SURG, 48(6), 342-346. https://doi.org/10.1055/s-2000-8346

Vancouver

von Kodolitsch Y, Loose R, Ostermeyer J, Aydin A, Koschyk DH, Haverich A et al. Proximal aortic dissection late after aortic valve surgery: 119 cases of a distinct clinical entity. THORAC CARDIOV SURG. 2000;48(6):342-346. https://doi.org/10.1055/s-2000-8346

Bibtex

@article{20af63d2bd964084b551c389f4b21d95,
title = "Proximal aortic dissection late after aortic valve surgery: 119 cases of a distinct clinical entity",
abstract = "Background: Besides systemic hypertension and Marfan syndrome, only previous aortic valve replacement (AVR) is independently associated with proximal (type A) aortic dissection. Little, however, is known to date about the characteristic features of this clinical entity. Methods: Clinical, prognostic and predisposing profiles in 119 cases of dissection and/or aneurysm occuring 1 month to 16 years after routine AVR were analyzed comprising 62 cases from our database and 57 reported cases. Results: Dissection after AVR has been observed in 0.6% of all routine AVR procedures in the past four decades. With clinical signs, symptoms and anatomical features different from classic aortic dissection post-AVR dissection is a distinct clinical entity with a high intraoperative mortality of 44% and a 30-day and 5-year survival of 62% and 43%, respectively. Aortic regurgitation and a thin and/or fragile aortic wall at AVR, however, predict late dissection. Using a prediction model, the risk of late dissection can be stratified based on information obtained during AVR surgery. Conclusions: Aortic dissection following AVR is likely to represent a distinct clinical entity which can be predicted and possibly prevented at AVR.",
keywords = "Aneurysm, Aorta, Risk factors, Surgery, Valves",
author = "{von Kodolitsch}, Y. and R. Loose and J. Ostermeyer and A. Aydin and Koschyk, {D. H.} and A. Haverich and Nienaber, {C. A.}",
year = "2000",
doi = "10.1055/s-2000-8346",
language = "English",
volume = "48",
pages = "342--346",
journal = "THORAC CARDIOV SURG",
issn = "0171-6425",
publisher = "Georg Thieme Verlag KG",
number = "6",

}

RIS

TY - JOUR

T1 - Proximal aortic dissection late after aortic valve surgery: 119 cases of a distinct clinical entity

AU - von Kodolitsch, Y.

AU - Loose, R.

AU - Ostermeyer, J.

AU - Aydin, A.

AU - Koschyk, D. H.

AU - Haverich, A.

AU - Nienaber, C. A.

PY - 2000

Y1 - 2000

N2 - Background: Besides systemic hypertension and Marfan syndrome, only previous aortic valve replacement (AVR) is independently associated with proximal (type A) aortic dissection. Little, however, is known to date about the characteristic features of this clinical entity. Methods: Clinical, prognostic and predisposing profiles in 119 cases of dissection and/or aneurysm occuring 1 month to 16 years after routine AVR were analyzed comprising 62 cases from our database and 57 reported cases. Results: Dissection after AVR has been observed in 0.6% of all routine AVR procedures in the past four decades. With clinical signs, symptoms and anatomical features different from classic aortic dissection post-AVR dissection is a distinct clinical entity with a high intraoperative mortality of 44% and a 30-day and 5-year survival of 62% and 43%, respectively. Aortic regurgitation and a thin and/or fragile aortic wall at AVR, however, predict late dissection. Using a prediction model, the risk of late dissection can be stratified based on information obtained during AVR surgery. Conclusions: Aortic dissection following AVR is likely to represent a distinct clinical entity which can be predicted and possibly prevented at AVR.

AB - Background: Besides systemic hypertension and Marfan syndrome, only previous aortic valve replacement (AVR) is independently associated with proximal (type A) aortic dissection. Little, however, is known to date about the characteristic features of this clinical entity. Methods: Clinical, prognostic and predisposing profiles in 119 cases of dissection and/or aneurysm occuring 1 month to 16 years after routine AVR were analyzed comprising 62 cases from our database and 57 reported cases. Results: Dissection after AVR has been observed in 0.6% of all routine AVR procedures in the past four decades. With clinical signs, symptoms and anatomical features different from classic aortic dissection post-AVR dissection is a distinct clinical entity with a high intraoperative mortality of 44% and a 30-day and 5-year survival of 62% and 43%, respectively. Aortic regurgitation and a thin and/or fragile aortic wall at AVR, however, predict late dissection. Using a prediction model, the risk of late dissection can be stratified based on information obtained during AVR surgery. Conclusions: Aortic dissection following AVR is likely to represent a distinct clinical entity which can be predicted and possibly prevented at AVR.

KW - Aneurysm

KW - Aorta

KW - Risk factors

KW - Surgery

KW - Valves

UR - http://www.scopus.com/inward/record.url?scp=0034537677&partnerID=8YFLogxK

U2 - 10.1055/s-2000-8346

DO - 10.1055/s-2000-8346

M3 - SCORING: Journal article

C2 - 11145401

AN - SCOPUS:0034537677

VL - 48

SP - 342

EP - 346

JO - THORAC CARDIOV SURG

JF - THORAC CARDIOV SURG

SN - 0171-6425

IS - 6

ER -