The Journal of Thoracic and Cardiovascular Surgery
Volume 117, Issue 4 , Pages 776-786 , April 1999

Risk factors for rupture of chronic type B dissections

Read at the Seventy-eighth Annual Meeting of The American Association for Thoracic Surgery, Boston, Mass, May 3-6, 1998.

Received 8 May 1998 ,Revised 22 December 1998 ,Accepted 23 December 1998.

References 

  1. Elefteriades JA, Hartleroad J, Gusberg RJ, et al.  Long term experience with descending aortic dissection: the complication-specific approach. Ann Thorac Surg. 1992;53:11–21
  2. Juvonen T, Ergin MA, Galla JD, et al.  Prospective study of the natural history of thoracic aortic aneurysms. Ann Thorac Surg. 1997;63:1533–1545
  3. Bickerstaff LK, Pairolero PC, Hollier LM, et al.  Thoracic aortic aneurysms: a population based study. Surgery. 1982;92:1103–1107
  4. Schor JS, Yerlioglu ME, Galla JD, Lansman SL, Ergin MA, Griepp RB. Selective management of acute type B aortic dissection: long term follow-up. Ann Thorac Surg. 1996;61:1339–1341
  5. Dapunt OE, de Asia RA, Griepp EB, et al.  Computer generated 3D representation of the aorta: a new tool in the management of aortic aneurysm patients. Thorac Cardiovasc Surg. 1994;42:24–28
  6. Perko MJ, Norgaard M, Herzog TM, Olsen PS, Schroder TV, Pettersson G. Unoperated aortic aneurysms: a survey of 170 patients. Ann Thorac Surg. 1995;59:1204–1209
  7. Carrel T, Nguyen T, Gysi J, et al.  Akute Aortendissektion Typ B: Prognose nach initial konservativer Behandlung und prädiktive Faktoren für einen komplizierten Verlauf. Schweiz Med Wochenschr. 1997;127:1467–1473
  8. Cambria RA, Gloviczki P, Stanson AW, et al.  Outcome and expansion rate of 57 thoracoabdominal aortic aneurysms managed nonoperatively. Am J Surg. 1995;170:213–217
  9. Cronenwett JL, Sargent SK, Wall MH, et al.  Variables that affect the expansion rate and outcome of small abdominal aortic aneurysms. J Vasc Surg. 1990;11:260–269
  10. Dapunt OE, Galla JD, Sadeghi AM, et al.  The natural history of thoracic aortic aneurysms. J Thorac Cardiovasc Surg. 1994;107:1323–1332
  11. Griepp RB, Ergin MA, Galla JD, Lansman S, Khan N, Quintana C, et al.  Looking for the artery of Adamkiewicz: a quest to minimize paraplegia after operations for aneurysms of the descending thoracic and thoracoabdominal aorta. J Thorac Cardiovasc Surg. 1996;112:1202–1215
  12. Masuda Y, Yamada Z, Morooka N, Watanabe S, Inagaki Y. Prognosis of patients with medically treated aortic dissections. Circulation. 1991;84(suppl):III7–III17
  13. Dinsmore RE, Willerson JT, Buckley MJ. Dissecting aneurysm of the aorta: aortographic features affecting prognosis. Radiology. 1972;105:567–572
  14. Strachan DP. Predictors of death from aortic aneurysms among middle-aged men: the Whitehall study. Br J Surg. 1991;78:401–404
  15. Masuda Y, Takanashi K, Takasu J, et al.  Expansion of thoracic aortic aneurysms and influencing factors. Chest. 1992;102:461–466
  16. MacSweeney STR, Ellis M, Worrell PC, et al.  Smoking and growth of small abdominal aortic aneurysms. Lancet. 1994;344:651–652

 Dr Juvonen was the recipient of the Ingegerd and Viking Olov Björk Scholarship for Cardiothoracic Research 1997.

☆☆ Address for reprints: Randall B. Griepp, MD, Department of Cardiothoracic Surgery, Mount Sinai Medical Center, One Gustave L. Levy Place, New York, NY 10029.

 *Current address: Department of Surgery, Oulu University Hospital, 90220 Oulu, Finland.

★★ 12/6/96718

PII: S0022-5223(99)70299-0

The Journal of Thoracic and Cardiovascular Surgery
Volume 117, Issue 4 , Pages 776-786 , April 1999