Abstract:
BACKGROUND:Rarely occurring in the pediatric and adolescent population, aortic dissection is a condition with many predisposing factors. Previous studies have suggested that congenital cardiovascular disorders are the most common predisposing conditions. Trauma-associated aortic dissection is considered a rare occurrence. METHODS:The Statewide Planning and Research Cooperative System database of New York State was used to retrieve cases of aortic dissection in persons < or = 21 years old over a 10-year period. A retrospective analysis for risk or associated conditions was undertaken. RESULTS:Forty-five of a total of 12,142 cases of aortic dissection (0.37%) occurred in persons < or = 21 years old. No patient was younger than 15 years of age. Six of the 45 died (13%). Most patients were male (37 of 45, or 82%). Contrary to previous reports, the most common associated condition was trauma (19 of 45, or 42%), with Marfan syndrome the second most common (11 of 45, or 24%). Ten of 45 adolescent and young adult patients (22%) had no apparent risk factors. CONCLUSIONS:Traumatic aortic disruptions must be considered in children and adolescents who survive serious chest trauma. Family members of pediatric and young adult patients with trauma-associated aortic dissection may need to be evaluated for possible risk of aortic dissection.
journal_name
Clin Cardioljournal_title
Clinical cardiologyauthors
Fikar CR,Fikar Rdoi
10.1002/clc.20383subject
Has Abstractpub_date
2009-06-01 00:00:00pages
E23-6issue
6eissn
0160-9289issn
1932-8737journal_volume
32pub_type
杂志文章abstract::The coronary artery thrombus that causes acute myocardial infarction can be lysed, and reperfusion can be achieved, in the first few hours after infarction. However, the infarct vessel will reocclude in 15-30% of patients, and this event is frequently associated with pain, reinfarction, arrhythmias, or death. The risk...
journal_title:Clinical cardiology
pub_type: 杂志文章
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更新日期:1985-09-01 00:00:00
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更新日期:1992-03-01 00:00:00
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更新日期:1982-04-01 00:00:00
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journal_title:Clinical cardiology
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pub_type: 临床试验,杂志文章
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更新日期:2005-03-01 00:00:00
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journal_title:Clinical cardiology
pub_type: 杂志文章
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journal_title:Clinical cardiology
pub_type: 杂志文章
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更新日期:2011-08-01 00:00:00
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journal_title:Clinical cardiology
pub_type: 临床试验,杂志文章
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更新日期:1997-01-01 00:00:00
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journal_title:Clinical cardiology
pub_type: 杂志文章
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journal_title:Clinical cardiology
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pub_type: 杂志文章
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更新日期:2008-09-01 00:00:00
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pub_type: 临床试验,杂志文章,多中心研究
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更新日期:2017-04-01 00:00:00
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journal_title:Clinical cardiology
pub_type: 杂志文章
doi:10.1002/clc.4960221206
更新日期:1999-12-01 00:00:00
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journal_title:Clinical cardiology
pub_type: 杂志文章,评审
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更新日期:1998-12-01 00:00:00
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journal_title:Clinical cardiology
pub_type: 杂志文章,评审
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pub_type: 杂志文章
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journal_title:Clinical cardiology
pub_type: 杂志文章,评审
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更新日期:1990-06-01 00:00:00
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journal_title:Clinical cardiology
pub_type: 杂志文章,评审
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更新日期:1996-08-01 00:00:00