Wall stress correlates with intimal entry tear localization in Type A aortic dissection.

Abstract:

OBJECTIVES:The risk of aortic dissection should be assessed based not only on the aortic diameter, but also on other biomechanical parameters that have an impact on the stress in the aortic wall. This study evaluates very rare clinical scenarios of patients with both pre- and post-dissection computed tomography (CT) images and evaluates whether an increased wall stress correlates with the localization of an intimal entry tear in Type A aortic dissection. METHODS:CT-angiography images of 4 patients performed shortly prior to and after developing Type A aortic dissection were evaluated. The stress distribution in the pre-dissection aortas was evaluated using the finite elements method. Then, the areas of high stress in the pre-dissection aortas were compared to the localization of the intimal entry tears in the dissected vessels. RESULTS:In all the patients, the pre-dissection areas of high wall stress correlated with the location of the intimal tears. The highest stress was not observed in the most dilated segments of the aorta but was predominantly found in the areas of an abrupt change in the geometry of the aorta. CONCLUSIONS:Wall stress can indicate the areas susceptible to the formation of an intimal tear and subsequent aortic dissection. Stress analysis may be a valuable tool to predict the risk of aortic dissection in patients with aortic dilatation.

authors

Plonek T,Zak M,Rylski B,Berezowski M,Czerny M,Beyersdorf F,Jasinski M,Filipiak J

doi

10.1093/icvts/ivy158

subject

Has Abstract

pub_date

2018-12-01 00:00:00

pages

797-801

issue

6

eissn

1569-9293

issn

1569-9285

pii

5033021

journal_volume

27

pub_type

杂志文章,多中心研究
  • Chest wall giant lipoma with a thirty-year history.

    abstract::Benign chest wall tumours are very uncommon and chest wall lipomas are rarely reported in literature. We report herein a case of a 68-year old man who developed a giant, symptomless mass of the chest wall. A chest computed tomography scan evidenced a solid neoplasm measuring 27 cm in its major axis. A radical excision...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivs159

    authors: Leuzzi G,Cesario A,Parisi AM,Granone P

    更新日期:2012-08-01 00:00:00

  • Extended latissimus dorsi chimeric thoracoplasty with a vascular supercharge for Aspergillus empyema.

    abstract::The latissimus dorsi and serratus anterior muscles are available for reconstruction coverage of thoracic defects. We performed extended latissimus dorsi-serratus anterior chimeric thoraco-myoplasty with a vascular supercharge to maintain sufficient blood supply to the flaps because of a deficiency in the distal blood ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivz280

    authors: Shimomura M,Sowa Y,Yamochi R,Inoue M

    更新日期:2020-03-01 00:00:00

  • Superior vena caval aneurysm.

    abstract::Venous aneurysms arising from the mediastinal systemic veins are rare. There are only 27 reported cases of such aneurysms. Majority arise from the superior vena cava. We are reporting a saccular aneurysm of superior vena cava in a 58-year-old male. The chest radiogram suggested superior mediastinal mass and the comput...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1016/S1569-9293(03)00076-8

    authors: Varma PK,Dharan BS,Ramachandran P,Neelakandhan KS

    更新日期:2003-09-01 00:00:00

  • Congenital absence of anterior papillary muscle of the tricuspid valve and surgical repair with artificial chordae.

    abstract::We report the case of a 26-year old woman who underwent successful tricuspid valve repair for the absence of the anterior papillary of the tricuspid valve. Preoperative echocardiography revealed grade IV tricuspid valve regurgitation, caused by congenital absence of the anterior papillary muscle and prolapse of the an...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivw327

    authors: Tian C,Pan S

    更新日期:2017-02-01 00:00:00

  • Aortic valve replacement with Edwards INTUITY sutureless bioprosthesis through right anterior minithoracotomy.

    abstract::Minimally invasive aortic valve replacement through right anterior minithoracotomy has been shown as a reliable and interesting approach. However, the placement of a sutured valve may be challenging and time-consuming in some cases. Sutureless bioprosthesis is an elegant alternative in order to facilitate its placemen...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivv319

    authors: Hysi I,Carjaliu I,Gautier L,Fabre O

    更新日期:2016-02-01 00:00:00

  • Effect of negative pressure wound therapy followed by tissue flaps for deep sternal wound infection after cardiovascular surgery: propensity score matching analysis.

    abstract:OBJECTIVES:Deep sternal wound infection (DSWI) after cardiovascular surgery via median sternotomy remains a severe complication associated with a drastic decrease in the quality of life. We assessed the risk factors for in-hospital death caused by DSWI and the available treatments for DSWI. METHODS:Between January 199...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivw141

    authors: Morisaki A,Hosono M,Murakami T,Sakaguchi M,Suehiro Y,Nishimura S,Sakon Y,Yasumizu D,Kawase T,Shibata T

    更新日期:2016-09-01 00:00:00

  • Preoperative atrial fibrillation is an independent risk factor for mid-term mortality after concomitant aortic valve replacement and coronary artery bypass graft surgery.

    abstract:OBJECTIVES:Preoperative atrial fibrillation (PAF) has been associated with poorer early and mid-term outcomes after isolated valvular or coronary artery bypass graft surgery. Few studies, however, have evaluated the impact of PAF on early and mid-term outcomes after concomitant aortic valve replacement and coronary aor...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1093/icvts/ivs538

    authors: Saxena A,Dinh D,Dimitriou J,Reid C,Smith J,Shardey G,Newcomb A

    更新日期:2013-04-01 00:00:00

  • Giant left coronary ostial aneurysm after modified Bentall procedure in a Marfan patient.

    abstract::We performed surgical repair of a giant left coronary ostial aneurysm after aortic root replacement using composite valve graft (modified Bentall procedure) in a patient with Marfan syndrome. Aneurysmal formation in the left main stem itself is very rare. In order to avoid mobilizing the coronary ostium from severe ad...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2008.183103

    authors: Okamoto K,Casselman FP,De Geest R,Vanermen H

    更新日期:2008-12-01 00:00:00

  • Inexpensive anatomical trainer for bronchoscopy.

    abstract::Flexible fiberoptic bronchoscopy is an indispensable tool for optimal management of intensive care unit patients. However, the acquisition of sufficient training in bronchoscopy is not straightforward during residency, because of technical and ethical problems. Moreover, the use of commercial simulators is limited by ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2007.153601

    authors: Di Domenico S,Simonassi C,Chessa L

    更新日期:2007-08-01 00:00:00

  • Aortic bullet embolization revealed by peripheral ischemia after a thoracic gunshot wound.

    abstract::We present the case of a 21-year-old male who came to the emergency ward for a thorax bullet wound. At our first check-up, the computed tomography (CT)-scan showed a pulmonary contusion, a hemothorax and a suspicious image of a thoracic aortic wound. The patient was stable, but soon after admission a distal ischemic s...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2010.250100

    authors: Pavy C,Lebreton G,Sanchez B,Roques F

    更新日期:2011-03-01 00:00:00

  • Pure bronchoplastic resections of the bronchus without pulmonary resection for endobronchial carcinoid tumours.

    abstract:OBJECTIVES:Bronchopulmonary carcinoid tumours are relatively uncommon primary lung neoplasms. A small proportion of these lesions are predominantly endobronchial and do not extend beyond the bronchial wall. Endoscopic resection can be performed, but carries around a one in three risk of local recurrence and, therefore,...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivt154

    authors: Nowak K,Karenovics W,Nicholson AG,Jordan S,Dusmet M

    更新日期:2013-08-01 00:00:00

  • Recurrent dedifferentiated liposarcoma of mediastinum involving lung and pleura.

    abstract::We report a case of primary recurrent mediastinal dedifferentiated liposarcoma with unusual long-term survival. A woman who complained of dyspnea showed on imaging features a bulky posterior mediastinal mass which was completely excised and initially misdiagnosed as an angiomyolipoma. She recurred 15 months later and ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2009.209494

    authors: Coulibaly B,Bouvier C,Payan MJ,Thomas P

    更新日期:2009-10-01 00:00:00

  • A personalized approach to interventional treatment of tricuspid regurgitation: experiences from an acute animal study.

    abstract:OBJECTIVES:Interventional treatment of tricuspid valve disease has so far received little attention due to the anatomical challenges in a thrombogenic surrounding. In the present study, we present an imaging-based, personalized interventional approach to the therapy of tricuspid regurgitation. METHODS:In our porcine m...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivu143

    authors: Amerini A,Hatam N,Malasa M,Pott D,Tewarie L,Isfort P,Goetzenich A,Hildinger M,Autschbach R,Spillner J

    更新日期:2014-09-01 00:00:00

  • Surgical outcomes of newly categorized peripheral T3 non-small cell lung cancers: comparisons between chest wall invasion and large tumors (>7 cm).

    abstract::The prognosis for non-small cell lung cancer (NSCLC) with chest wall invasion can vary due to the heterogeneous nature of the cell population. Because NSCLC with large tumors (>7 cm) have been reclassified as T3, the applicability of the new designation must be evaluated. We reviewed 140 patients with chest wall T3 an...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2010.242743

    authors: Suzuki M,Yoshida S,Moriya Y,Hoshino H,Mizobuchi T,Okamoto T,Yoshino I

    更新日期:2010-10-01 00:00:00

  • Central cannulation for type A acute aortic dissection.

    abstract::We present a simple new method for establishing cardiopulmonary bypass to treat type A acute aortic dissection. Antegrade blood flow in the true lumen is theoretically best to prevent malperfusion and retrograde embolization. Central cannulation can be performed in the true lumen of the dissected ascending aorta using...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1016/S1569-9293(03)00007-0

    authors: Yamada T,Yamazato A

    更新日期:2003-06-01 00:00:00

  • Solitary pulmonary metastasis of mucoepidermoid carcinoma of the palate 43 years after the initial treatment.

    abstract::This report describes the case of a 71-year-old female presenting with a metastatic mucoepidermoid carcinoma (MEC) in the lung 43 years after the initial treatment for the primary tumor. This case represents a very long period between initial diagnosis and distant metastasis with a pathological examination of both the...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2009.211755

    authors: Okami J,Tomita Y,Higashiyama M,Kodama K

    更新日期:2009-10-01 00:00:00

  • Early outcomes of lung transplantation for bronchiolitis obliterans syndrome after allogeneic haematopoietic stem cell transplantation: a single-centre experience.

    abstract:OBJECTIVES:Bronchiolitis obliterans syndrome (BOS) is a serious late complication following allogeneic haematopoietic stem cell transplantation (allo-HSCT) and is associated with chronic graft-versus-host disease. However, the outcome of medical treatment for BOS, mainly immunosuppressive therapy, is disappointing. Thi...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivw231

    authors: Jung HS,Lee JG,Yu WS,Lee CY,Haam SJ,Paik HC

    更新日期:2016-12-01 00:00:00

  • Huge thymoma: role of preoperative WHO histological classification.

    abstract::A 57-year-old woman was admitted to our hospital with complaints of recent onset of dyspnea on exertion. A chest computed tomography revealed a large mediastinal mass which extrinsically compressed the heart and mediastinal structures, occupying one half of the hemithorax. A needle biopsy was performed to find a thymo...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2008.177162

    authors: Takeda S,Koma M,Maeda H

    更新日期:2008-12-01 00:00:00

  • Successful surgical treatment for life threatening metastatic thoracic and cervical pheochromocytoma.

    abstract::A 53 year-old woman had been followed up since 1996 after receiving bilateral adrenalectomy for the treatment of bilateral adrenal pheochromocytoma in von Hippel-Lindau (VHL) disease. In March 2003, she suffered from cough, dizziness and faint, and was referred to our hospital. The radiographic findings exhibited the ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2004.096784

    authors: Yashiro T,Yasufuku K,Hiroshima K,Fujisawa T

    更新日期:2005-02-01 00:00:00

  • Emergency endovascular graft repair of computed tomography-detected disruption of bilateral aorto-bi-iliac graft legs.

    abstract::We report a case of endovascular repair of disruption of an aorto-bi-iliac graft detected by 4D computed tomography. An 83-year old man with previous aorto-bi-iliac graft replacement was admitted to our institution with severe epigastric pain. A 4D computed tomography detected disruption within the fabric of both graf...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivv152

    authors: Kitahara H,Yoshitake A,Hachiya T,Shimizu H

    更新日期:2015-09-01 00:00:00

  • Venous obstruction and cerebral perfusion during experimental cardiopulmonary bypass.

    abstract::To investigate the effects on cerebral perfusion by experimental venous congestion of the superior vena cava (SVC) during bicaval cardiopulmonary bypass (CPB) at 34 °C, pigs were subjected to SVC obstruction at levels of 75%, 50%, 25% and 0% of baseline SVC flow at two arterial flow levels (low, LQ, high, HQ). The cer...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2010.238535

    authors: Tovedal T,Jonsson O,Zemgulis V,Myrdal G,Thelin S,Lennmyr F

    更新日期:2010-11-01 00:00:00

  • Is aortic valve repair or replacement with a bioprosthetic valve the best option for a patient with severe aortic regurgitation?

    abstract::A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was whether it is best to repair or replace the aortic valve with a bioprosthesis in young patients with severe aortic regurgitation as the patients do not like to take warfarin for the rest of life. Altoget...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章,评审

    doi:10.1093/icvts/ivt453

    authors: Tourmousoglou C,Lalos S,Dougenis D

    更新日期:2014-02-01 00:00:00

  • Right atrium positioning for exposure of right pulmonary veins during off-pump atrial fibrillation ablation.

    abstract:OBJECTIVES:Concomitant surgical ablation of atrial fibrillation (AF) is recommended for patients undergoing off-pump coronary revascularization in the presence of this arrhythmia. Achievement of optimal visualization of pulmonary veins while maintaining stable haemodynamic conditions is crucial for proper completion of...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivx026

    authors: Suwalski G,Emery R,Mróz J,Kaczejko K,Gryszko L,Cwetsch A,Skrobowski A

    更新日期:2017-06-01 00:00:00

  • Acute onset of paraplegia after repair of abdominal aortic aneurysm in a patient with acute type B aortic dissection.

    abstract::We report a rare complication of acute onset paraplegia after repair of an abdominal aortic aneurysm in a patient with acute type B aortic dissection. A 53-year-old man, suffering from abdominal aortic aneurysm (AAA), was admitted to our hospital with type IIIB acute aortic dissection. Ten days after admission, emerge...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2008.191023

    authors: Takahashi Y,Tsutsumi Y,Monta O,Kohshi K,Sakamoto T,Ohashi H

    更新日期:2009-02-01 00:00:00

  • Late inflow or outflow obstruction requiring surgical intervention after HeartMate 3 left ventricular assist device insertion.

    abstract::Inflow or outflow obstruction is a rare, but critical complication after HeartMate 3 left ventricular assist device implantation. We retrospectively reviewed 166 patients who underwent primary HeartMate 3 implantation at our centre between November 2014 and July 2019. Three cases of inflow obstruction and 3 cases of o...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivaa158

    authors: Kaku Y,Naka Y,Witer L,Topkara V,Colombo P,Sayer G,Uriel N,Takeda K

    更新日期:2020-11-01 00:00:00

  • Outcome reporting for surgical treatment of degenerative mitral valve disease: a systematic review and critical appraisal.

    abstract:OBJECTIVES:Standardized outcome reporting is of critical importance for performance monitoring, improvement of existing techniques and introduction of novel technologies. Whether outcome reporting for surgical treatment of degenerative mitral valve disease complies with the guidelines has not been assessed to date. ME...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivx370

    authors: Tomšic A,Arabkhani B,Schoones JW,van Brakel TJ,Takkenberg JJM,Palmen M,Klautz RJM

    更新日期:2018-04-01 00:00:00

  • Three-dimensional printing in adult cardiovascular medicine for surgical and transcatheter procedural planning, teaching and technological innovation.

    abstract::Three-dimensional (3D)-printing technologies in cardiovascular surgery have provided a new way to tailor surgical and percutaneous treatments. Digital information from standard cardiac imaging is integrated into physical 3D models for an accurate spatial visualization of anatomical details. We reviewed the available l...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章,评审

    doi:10.1093/icvts/ivz250

    authors: Ferrari E,Gallo M,Wang C,Zhang L,Taramasso M,Maisano F,Pirelli L,Berdajs D,von Segesser LK

    更新日期:2020-02-01 00:00:00

  • Temporary left ventricular assist and levosimendan for coronary artery spasm.

    abstract::Coronary vasospasm is a life threatening complication in the early postoperative period after coronary artery bypass grafting. We report a 45-year-old patient with normal preoperative ventricular function who could not be stabilized using established treatments such as: systemic application of glyceryl trinitrate, dil...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2004.103788

    authors: Döpfmer UR,Braun JP,Grosse J,Konertz W

    更新日期:2005-08-01 00:00:00

  • The importance of mass diameter in decision-making for preoperative coronary angiography in myxoma patients.

    abstract:OBJECTIVES:Although coronary angiography (CAG) is generally performed to rule out coexisting coronary artery disease in patients with cardiac myxoma, its necessity to evaluate vascular supply of the myxoma is debatable. The aim of this article is to evaluate clinical experience and CAG findings in our patient group. M...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivy217

    authors: Balci AY,Sargin M,Akansel S,Ünal Dayi S,Kuplay H,Mete ME,Orhan G,Aykut Aka S

    更新日期:2019-01-01 00:00:00

  • Efficacy of segmental resection in patients with prenatally diagnosed congenital lung malformations.

    abstract:Objectives:Lung segmental resection is a better treatment option than lobectomy for patients with prenatally diagnosed congenital lung malformations (CLMs). However, data are lacking on the effects of this procedure in prenatally diagnosed CLM patients. In this study, we explored whether parenchyma-saving resection was...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivw408

    authors: Lee S,Kim DH,Lee SK

    更新日期:2017-03-01 00:00:00