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degois.publication.firstPage633pt_PT
degois.publication.issue6pt_PT
degois.publication.lastPage640pt_PT
degois.publication.titleInternational Journal of Cardiovascular Imagingpt_PT
dc.relation.publisherversionhttps://link.springer.com/journal/10554pt_PT
dc.contributor.authorAlmeida, Ana G.-
dc.contributor.authorNobre, Ângelo L.-
dc.contributor.authorPereira, Ricardo A.-
dc.contributor.authorPereira, Altamiro Costa-
dc.contributor.authorTavares, Clara-
dc.contributor.authorCravino, João-
dc.contributor.authorLopes, Mário G.-
dc.date.accessioned2018-09-13T10:45:33Z-
dc.date.available2018-09-13T10:45:33Z-
dc.date.issued2008-
dc.identifier.citationInt J Cardiovasc Imaging (2008) 24:633–640pt_PT
dc.identifier.issn1569-5794-
dc.identifier.urihttp://hdl.handle.net/10451/34796-
dc.description© Springer Science+Business Media B.V. 2008pt_PT
dc.description.abstractBackground: Patients operated on for type A aortic dissection remain at risk of long-term aneurysm development, the main cause for late death. The aim of this study was to identify early predictors for aneurysm formation at three-years after surgery. Methods A study group of 70 consecutive patients (52 ± 10 years-old, 41 male), operated on for aortic dissection with replacement of the ascending segment, was evaluated prospectively for three-years. In order to detect aneurysm formation, the dimension of residual distal aortic segments was obtained soon after surgery and then annually for three years using cardiovascular magnetic resonance. Results: During follow-up (38 ± 2.6 months), aneurysm was found in 25 patients (35%) involving residual segments. Larger initial dimension of segments, higher pulse pressure, lower distensibility of residual segments and the presence of a residual flap were univariately associated with aneurysm. Multivariate analysis identified the initial dimension (mm) of the descending thoracic aorta (OR 1.47, 95%CI: [1.19–1.82]) and pulse pressure (OR 1.43,95%CI: [1.10–1.86]) as independent variables for aneurysm formation. A risk score using pulse pressure and descending thoracic dimension was constructed. Patients with ≤24 points had no late aneurysm formation, while those with a score ≥45 yielded 100% of aneurysm frequency. Conclusions: Type A aortic dissection treated by graft interposition is associated with a high risk of aneurysm formation. Early post-operative pulse pressure and the descending thoracic aortic dimension were independent variables and seem to be the main predictors for the outcome.pt_PT
dc.description.sponsorshipThis study was supported by the Centro de Cardiologia da Universidade de Lisboa (CCUL), Foundation for Science and Technology (FCT), Ministry of Science. Technology and University, Portugalpt_PT
dc.language.isoengpt_PT
dc.publisherSpringer Publishing Companypt_PT
dc.rightsrestrictedAccesspt_PT
dc.subjectAortic dissectionpt_PT
dc.subjectCardiovascular Magnetic Resonancept_PT
dc.subjectCardiovascular surgerypt_PT
dc.subjectPrognosispt_PT
dc.titleImpact of aortic dimensions and pulse pressure on late aneurysm formation in operated type A aortic dissection : a magnetic resonance imaging studypt_PT
dc.typearticlept_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.peerreviewedyespt_PT
degois.publication.volume24pt_PT
dc.identifier.doi10.1007/s10554-008-9296-2pt_PT
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