Long-term survival of patients with treated aortic dissection.

Abstract:

:Retrospective data on the treatment of aortic dissection at the Massachusetts General Hospital from 1963 to 1978 are reported. During this period, 160 patients with spontaneous aortic dissection were treated by definitive medical or definitive surgical therapy. Patients were classified according to type (proximal versus distal) and duration (acute versus chronic) of dissection. Long-term follow-up (mean 48 months, range 1 to 147) was available in 156 cases. Hospital and late survival in each of the categories of dissection were evaluated in relation to those features of the dissection itself and of the subsequent therapy that correlated with ultimate survival. Results show that: 1) chronic presentation was the most significant determinant of both hospital and late survival; 2) in acute dissection, prognosis was determined largely by the presence or absence of major complications, regardless of ultimate therapy; the only complication without adverse effect on survival was aortic insufficiency; 3) late survival after discharge from the hospital was similar for patients with all types of dissection and modes of therapy; and 4) the incidence of late complications from aortic dissection was lower than previously reported. Thus, the success of early definitive medical and surgical treatment was sustained on long-term follow-up.

journal_name

J Am Coll Cardiol

authors

Doroghazi RM,Slater EE,DeSanctis RW,Buckley MJ,Austen WG,Rosenthal S

doi

10.1016/s0735-1097(84)80363-0

subject

Has Abstract

pub_date

1984-04-01 00:00:00

pages

1026-34

issue

4

eissn

0735-1097

issn

1558-3597

pii

S0735-1097(84)80363-0

journal_volume

3

pub_type

杂志文章
  • Comprehensive analysis of mortality among patients undergoing TAVR: results of the PARTNER trial.

    abstract:BACKGROUND:Patients with severe aortic stenosis (AS) who were deemed too high risk or inoperable for conventional aortic valve replacement (AVR) in the PARTNER (Placement of Aortic Transcatheter Valves) trial were randomized to transcatheter aortic valve replacement (TAVR) versus AVR (PARTNER-A arm) or standard therapy...

    journal_title:Journal of the American College of Cardiology

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1016/j.jacc.2013.08.1666

    authors: Svensson LG,Blackstone EH,Rajeswaran J,Brozzi N,Leon MB,Smith CR,Mack M,Miller DC,Moses JW,Tuzcu EM,Webb JG,Kapadia S,Fontana GP,Makkar RR,Brown DL,Block PC,Guyton RA,Thourani VH,Pichard AD,Bavaria JE,Herrmann HC

    更新日期:2014-07-15 00:00:00

  • Should all patients undergo transesophageal echocardiography before electrical cardioversion of atrial fibrillation?

    abstract::The management of anticoagulant therapy in patients with atrial fibrillation undergoing electrical cardioversion remains controversial, largely because of inadequate studies demonstrating risk or benefit, a relatively inconvenient anticoagulation management strategy and the increasing use of transesophageal echocardio...

    journal_title:Journal of the American College of Cardiology

    pub_type: 杂志文章,评审

    doi:10.1016/0735-1097(94)90443-x

    authors: Grimm RA,Stewart WJ,Black IW,Thomas JD,Klein AL

    更新日期:1994-02-01 00:00:00

  • Multislice computed tomography for detection of patients with aortic valve stenosis and quantification of severity.

    abstract:OBJECTIVES:The purpose of this study was to evaluate whether multislice computed tomography (MSCT) provides a reliable, noninvasive imaging modality for identification of patients with degenerative aortic valve stenosis (AS) by quantifying the aortic valve area (AVA) in comparison to the accepted diagnostic standard tr...

    journal_title:Journal of the American College of Cardiology

    pub_type: 杂志文章

    doi:10.1016/j.jacc.2005.11.056

    authors: Feuchtner GM,Dichtl W,Friedrich GJ,Frick M,Alber H,Schachner T,Bonatti J,Mallouhi A,Frede T,Pachinger O,zur Nedden D,Müller S

    更新日期:2006-04-04 00:00:00

  • Association of left atrial fibrosis detected by delayed-enhancement magnetic resonance imaging and the risk of stroke in patients with atrial fibrillation.

    abstract:OBJECTIVES:This study tried to determine the association between left atrial (LA) fibrosis, detected using delayed-enhanced magnetic resonance imaging (DE-MRI), and the CHADS(2) score (point system based on individual clinical risk factors including congestive heart failure, hypertension, age, diabetes, and prior strok...

    journal_title:Journal of the American College of Cardiology

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.jacc.2010.09.049

    authors: Daccarett M,Badger TJ,Akoum N,Burgon NS,Mahnkopf C,Vergara G,Kholmovski E,McGann CJ,Parker D,Brachmann J,Macleod RS,Marrouche NF

    更新日期:2011-02-15 00:00:00

  • Long-term survival following coronary artery bypass grafting: off-pump versus on-pump strategies.

    abstract:OBJECTIVES:This study sought to compare long-term survival after off- and on-pump coronary artery bypass grafting (CABG). BACKGROUND:Although several large-scale clinical trials have compared the surgical outcomes between off- and on-pump CABG, the long-term survival has not been compared between the 2 surgical strate...

    journal_title:Journal of the American College of Cardiology

    pub_type: 杂志文章

    doi:10.1016/j.jacc.2014.02.584

    authors: Kim JB,Yun SC,Lim JW,Hwang SK,Jung SH,Song H,Chung CH,Lee JW,Choo SJ

    更新日期:2014-06-03 00:00:00

  • Lack of association of C-reactive protein and coronary calcium by electron beam computed tomography in postmenopausal women: implications for coronary artery disease screening.

    abstract:OBJECTIVES:We sought to test the hypothesis that C-reactive protein, a marker of inflammation, would correlate positively with coronary calcium, a marker of atherosclerosis, in postmenopausal women. BACKGROUND:High sensitivity testing for C-reactive protein (hsCRP) has recently been shown in large population studies t...

    journal_title:Journal of the American College of Cardiology

    pub_type: 杂志文章

    doi:10.1016/s0735-1097(00)00680-x

    authors: Redberg RF,Rifai N,Gee L,Ridker PM

    更新日期:2000-07-01 00:00:00

  • Association between advanced age and vascular disease in different arterial territories: a population database of over 3.6 million subjects.

    abstract:OBJECTIVES:This study sought to determine the relationship between vascular disease in different arterial territories and advanced age. BACKGROUND:Vascular disease in the peripheral circulation is associated with significant morbidity and mortality. There is little data to assess the prevalence of different phenotypes...

    journal_title:Journal of the American College of Cardiology

    pub_type: 杂志文章

    doi:10.1016/j.jacc.2013.01.054

    authors: Savji N,Rockman CB,Skolnick AH,Guo Y,Adelman MA,Riles T,Berger JS

    更新日期:2013-04-23 00:00:00

  • Scintigraphic assessment of sympathetic innervation after transmural versus nontransmural myocardial infarction.

    abstract::To evaluate the feasibility of detecting denervated myocardium in the infarcted canine heart, the distribution of sympathetic nerve endings using I-123 metaiodobenzylguanidine (MIBG) was compared with the distribution of perfusion using thallium-201, with the aid of color-coded computer functional map in 16 dogs. Twel...

    journal_title:Journal of the American College of Cardiology

    pub_type: 杂志文章

    doi:10.1016/s0735-1097(10)80156-1

    authors: Dae MW,Herre JM,O'Connell JW,Botvinick EH,Newman D,Munoz L

    更新日期:1991-05-01 00:00:00

  • Hypertension Across a Woman's Life Cycle.

    abstract::Hypertension accounts for 1 in 5 deaths among American women, posing a greater burden for women than men, and is among their most important risk factors for death and development of cardiovascular and other diseases. Hypertension affects women in all phases of life, with specific characteristics relating to risk facto...

    journal_title:Journal of the American College of Cardiology

    pub_type: 杂志文章,评审

    doi:10.1016/j.jacc.2018.02.033

    authors: Wenger NK,Arnold A,Bairey Merz CN,Cooper-DeHoff RM,Ferdinand KC,Fleg JL,Gulati M,Isiadinso I,Itchhaporia D,Light-McGroary K,Lindley KJ,Mieres JH,Rosser ML,Saade GR,Walsh MN,Pepine CJ

    更新日期:2018-04-24 00:00:00

  • Growth differentiation factor 15: a novel risk marker adjunct to the EuroSCORE for risk stratification in cardiac surgery patients.

    abstract:OBJECTIVES:This study sought to determine the usefulness of plasma growth differentiation factor 15 (GDF-15) for risk stratification in patients undergoing cardiac surgery in comparison with the additive European System of Cardiac Operative Risk Evaluation (EuroSCORE), N-terminal pro-B-type natriuretic peptide (NTproBN...

    journal_title:Journal of the American College of Cardiology

    pub_type: 临床试验,杂志文章

    doi:10.1016/j.jacc.2012.09.059

    authors: Heringlake M,Charitos EI,Gatz N,Käbler JH,Beilharz A,Holz D,Schön J,Paarmann H,Petersen M,Hanke T

    更新日期:2013-02-12 00:00:00

  • Tetralogy of Fallot, truncus arteriosus, abnormal myocardial architecture and anomalies of the aortic arch system induced by bis-diamine in rat fetuses.

    abstract:OBJECTIVES:The aim of this study was to analyze the relation between anomalies of the heart and aortic arch arteries in near-term rat fetuses exposed to the chemical bis-diamine. BACKGROUND:Bis-diamine is known to induce cardiovascular anomalies. METHODS:Bis-diamine was given orally to normal pregnant rats, and the 6...

    journal_title:Journal of the American College of Cardiology

    pub_type: 杂志文章

    doi:10.1016/0735-1097(93)90111-d

    authors: Kuribayashi T,Roberts WC

    更新日期:1993-03-01 00:00:00

  • DDD pacing mode survival in patients with a dual-chamber pacemaker.

    abstract::Dual-chamber (DDD) pacing mode survival was assessed by reviewing 486 consecutive initial transvenous DDD pacemaker implantations between December 1981 and December 1988 inclusive, with a mean follow-up time of 33 months. The patients' mean age was 71.4 years and 55% were male; 38% had dominant sinoatrial and 62% had ...

    journal_title:Journal of the American College of Cardiology

    pub_type: 杂志文章

    doi:10.1016/0735-1097(92)90615-t

    authors: Gross JN,Moser S,Benedek ZM,Andrews C,Furman S

    更新日期:1992-06-01 00:00:00

  • Long-Term Outcomes After Off-Pump Versus On-Pump Coronary Artery Bypass Grafting by Experienced Surgeons.

    abstract:BACKGROUND:Long-term benefits of off-pump versus on-pump coronary artery bypass grafting (CABG) are controversial. OBJECTIVES:The authors sought to compare long-term survival and morbidity after on-pump versus off-pump CABG. METHODS:Mandatory clinical and administrative registries from New Jersey Department of Health...

    journal_title:Journal of the American College of Cardiology

    pub_type: 杂志文章

    doi:10.1016/j.jacc.2018.07.029

    authors: Chikwe J,Lee T,Itagaki S,Adams DH,Egorova NN

    更新日期:2018-09-25 00:00:00

  • Permanent Percutaneous Carotid Artery Filter to Prevent Stroke in Atrial Fibrillation Patients: The CAPTURE Trial.

    abstract:BACKGROUND:Patients with high stroke risk and atrial fibrillation who are unsuitable to oral anticoagulants (OACs) require other stroke prevention strategies. A novel permanent coil filter directly placed into both common carotid arteries (CCAs) was designed to capture emboli >1.4 mm in diameter. OBJECTIVES:The multic...

    journal_title:Journal of the American College of Cardiology

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1016/j.jacc.2019.04.035

    authors: Reddy VY,Neuzil P,de Potter T,van der Heyden J,Tromp SC,Rensing B,Jiresova E,Dujka L,Lekesova V

    更新日期:2019-08-20 00:00:00

  • A comparison of three-year survival after coronary artery bypass graft surgery and percutaneous transluminal coronary angioplasty.

    abstract:OBJECTIVES:The purpose of this study was to compare 3-year risk-adjusted survival in patients undergoing coronary artery bypass graft (CABG) surgery and percutaneous transluminal coronary angioplasty. BACKGROUND:Coronary artery bypass graft surgery and angioplasty are two common treatments for coronary artery disease....

    journal_title:Journal of the American College of Cardiology

    pub_type: 杂志文章

    doi:10.1016/s0735-1097(98)00540-3

    authors: Hannan EL,Racz MJ,McCallister BD,Ryan TJ,Arani DT,Isom OW,Jones RH

    更新日期:1999-01-01 00:00:00

  • Outpatient adherence to beta-blocker therapy after acute myocardial infarction.

    abstract:OBJECTIVES:This study was designed to determine adherence to outpatient beta-blocker therapy following acute myocardial infarction (AMI). BACKGROUND:The importance of beta-blocker therapy after AMI is widely recognized. Outpatient adherence with this recommendation, however, is not well described. METHODS:Data on 846...

    journal_title:Journal of the American College of Cardiology

    pub_type: 杂志文章

    doi:10.1016/s0735-1097(02)02379-3

    authors: Butler J,Arbogast PG,BeLue R,Daugherty J,Jain MK,Ray WA,Griffin MR

    更新日期:2002-11-06 00:00:00

  • Association of paraoxonase-1 activity and concentration with angiographic severity and extent of coronary artery disease.

    abstract:OBJECTIVES:The goal of this study was to examine the association between paraoxonase-1 (PON1) activity and concentration and the severity and extent of coronary artery disease (CAD). BACKGROUND:Paraoxonase-1, a high-density lipoprotein-associated enzyme, is proposed to have an antiatherogenic effect by protecting low-...

    journal_title:Journal of the American College of Cardiology

    pub_type: 杂志文章

    doi:10.1016/j.jacc.2006.01.074

    authors: Granér M,James RW,Kahri J,Nieminen MS,Syvänne M,Taskinen MR

    更新日期:2006-06-20 00:00:00

  • Ventricular arrhythmias in the absence of structural heart disease.

    abstract::Ventricular arrhythmia (VA) in structurally normal hearts can be broadly considered under non-life-threatening monomorphic and life-threatening polymorphic rhythms. Monomorphic VA is classified on the basis of site of origin in the heart, and the most common areas are the ventricular outflow tracts and left ventricula...

    journal_title:Journal of the American College of Cardiology

    pub_type: 杂志文章,评审

    doi:10.1016/j.jacc.2012.01.036

    authors: Prystowsky EN,Padanilam BJ,Joshi S,Fogel RI

    更新日期:2012-05-15 00:00:00

  • Incidence of asymptomatic intracranial embolic events after pulmonary vein isolation: comparison of different atrial fibrillation ablation technologies in a multicenter study.

    abstract:OBJECTIVES:We compared the safety of different devices by screening for subclinical intracranial embolic events after pulmonary vein isolation with either conventional irrigated radiofrequency (RF) or cryoballoon or multielectrode phased RF pulmonary vein ablation catheter (PVAC). BACKGROUND:New devices specifically d...

    journal_title:Journal of the American College of Cardiology

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.jacc.2011.04.010

    authors: Herrera Siklódy C,Deneke T,Hocini M,Lehrmann H,Shin DI,Miyazaki S,Henschke S,Fluegel P,Schiebeling-Römer J,Bansmann PM,Bourdias T,Dousset V,Haïssaguerre M,Arentz T

    更新日期:2011-08-09 00:00:00

  • Incidence, Characteristics, Predictors, and Outcomes of Surgical Explantation After Transcatheter Aortic Valve Replacement.

    abstract:BACKGROUND:Currently, there is a paucity of information on surgical explantation after transcatheter aortic valve replacement (TAVR). OBJECTIVES:The purpose of this study was to examine the incidence, patient characteristics, predictors, and outcomes of surgical explantation after TAVR using a population-based, nation...

    journal_title:Journal of the American College of Cardiology

    pub_type: 杂志文章

    doi:10.1016/j.jacc.2020.08.048

    authors: Hirji SA,Percy ED,McGurk S,Malarczyk A,Harloff MT,Yazdchi F,Sabe AA,Bapat VN,Tang GHL,Bhatt DL,Thourani VH,Leon MB,O'Gara P,Shah PB,Kaneko T

    更新日期:2020-10-20 00:00:00

  • Arterial remodeling patterns before intervention predict diffuse in-stent restenosis: an intravascular ultrasound study.

    abstract:OBJECTIVES:The aim of this retrospective study was to determine the predictors of diffuse in-stent restenosis (ISR) among the lesions causing the first ISR by intravascular ultrasound (IVUS) studies. BACKGROUND:Although some predictors of diffuse ISR have been reported, parameters on IVUS relating to diffuse ISR are n...

    journal_title:Journal of the American College of Cardiology

    pub_type: 杂志文章

    doi:10.1016/j.jacc.2003.05.009

    authors: Sahara M,Kirigaya H,Oikawa Y,Yajima J,Ogasawara K,Satoh H,Nagashima K,Hara H,Nakatsu Y,Aizawa T

    更新日期:2003-11-19 00:00:00

  • Diagnostic accuracy of computed tomography coronary angiography according to pre-test probability of coronary artery disease and severity of coronary arterial calcification. The CORE-64 (Coronary Artery Evaluation Using 64-Row Multidetector Computed Tomog

    abstract:OBJECTIVES:The purpose of this study was to assess the impact of patient population characteristics on accuracy by computed tomography angiography (CTA) to detect obstructive coronary artery disease (CAD). BACKGROUND:The ability of CTA to exclude obstructive CAD in patients of different pre-test probabilities and in p...

    journal_title:Journal of the American College of Cardiology

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.jacc.2011.06.079

    authors: Arbab-Zadeh A,Miller JM,Rochitte CE,Dewey M,Niinuma H,Gottlieb I,Paul N,Clouse ME,Shapiro EP,Hoe J,Lardo AC,Bush DE,de Roos A,Cox C,Brinker J,Lima JA

    更新日期:2012-01-24 00:00:00

  • Benefit of combined resynchronization and defibrillator therapy in heart failure patients with and without ventricular arrhythmias.

    abstract:OBJECTIVES:We attempted to assess the efficacy of combined cardiac resynchronization therapy-implantable cardioverter-defibrillator (CRT-ICD) in heart failure patients with and without ventricular arrhythmias. BACKGROUND:Because CRT and ICDs both lower all-cause mortality in patients with advanced heart failure, combi...

    journal_title:Journal of the American College of Cardiology

    pub_type: 杂志文章

    doi:10.1016/j.jacc.2006.04.072

    authors: Ypenburg C,van Erven L,Bleeker GB,Bax JJ,Bootsma M,Wijffels MC,van der Wall EE,Schalij MJ

    更新日期:2006-08-01 00:00:00

  • Obesity: Pathophysiology and Management.

    abstract::Obesity continues to be among the top health concerns across the globe. Despite our failure to contain the high prevalence of obesity, we now have a better understanding of its pathophysiology, and how excess adiposity leads to type 2 diabetes, hypertension, and cardiovascular disease. Lifestyle modification is recomm...

    journal_title:Journal of the American College of Cardiology

    pub_type: 杂志文章,评审

    doi:10.1016/j.jacc.2017.11.011

    authors: Gadde KM,Martin CK,Berthoud HR,Heymsfield SB

    更新日期:2018-01-02 00:00:00

  • Iodine-123 phenylpentadecanoic acid and single photon emission computed tomography in identifying left ventricular regional metabolic abnormalities in patients with coronary heart disease: comparison with thallium-201 myocardial tomography.

    abstract::Iodine-123 phenylpentadecanoic acid (IPPA) is a synthetic long chain fatty acid with myocardial kinetics similar to palmitate. Two hypotheses were tested in this study. The first hypothesis was that IPPA imaging with single photon emission computed tomography (SPECT) is useful in the identification of patients with co...

    journal_title:Journal of the American College of Cardiology

    pub_type: 杂志文章

    doi:10.1016/0735-1097(88)90359-2

    authors: Hansen CL,Corbett JR,Pippin JJ,Jansen DE,Kulkarni PV,Ugolini V,Henderson E,Akers M,Buja LM,Parkey RW

    更新日期:1988-07-01 00:00:00

  • Reliability of retrograde atrial activation patterns during ventricular pacing for localizing accessory pathways.

    abstract::Definitive localization of accessory pathways is based on atrial activation patterns during orthodromic supraventricular tachycardia when retrograde conduction occurs exclusively through the accessory pathway. In some patients, supraventricular tachycardia cannot be induced or is deleterious. To determine whether acce...

    journal_title:Journal of the American College of Cardiology

    pub_type: 杂志文章

    doi:10.1016/s0735-1097(87)80467-9

    authors: Crossen KJ,Lindsay BD,Cain ME

    更新日期:1987-06-01 00:00:00

  • Short-term effects of early intravenous treatment with a beta-adrenergic blocking agent or a specific bradycardiac agent in patients with acute myocardial infarction receiving thrombolytic therapy.

    abstract:OBJECTIVES:This study was conducted to explore mechanisms that could explain the possible clinical benefit of early administration of a beta 1-selective adrenoreceptor blocking agent or a bradycardiac drug as adjunct to thrombolysis in acute myocardial infarction. BACKGROUND:The effects of beta-blockers given concomit...

    journal_title:Journal of the American College of Cardiology

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1016/0735-1097(93)90044-2

    authors: Van de Werf F,Janssens L,Brzostek T,Mortelmans L,Wackers FJ,Willems GM,Heidbüchel H,Lesaffre E,Scheys I,Collen D

    更新日期:1993-08-01 00:00:00

  • Transcatheter Mitral Valve Replacement: Insights From Early Clinical Experience and Future Challenges.

    abstract::Transcatheter mitral valve repair, particularly edge-to-edge leaflet repair, is a well-established alternative for patients with severe primary mitral regurgitation (MR) considered at high or prohibitive surgical risk. More recently, transcatheter mitral valve replacement (TMVR) has emerged as a potential therapeutic ...

    journal_title:Journal of the American College of Cardiology

    pub_type: 杂志文章,评审

    doi:10.1016/j.jacc.2017.02.045

    authors: Regueiro A,Granada JF,Dagenais F,Rodés-Cabau J

    更新日期:2017-05-02 00:00:00

  • Silent left ventricular dysfunction during routine activity after thrombolytic therapy for acute myocardial infarction.

    abstract::To investigate prospectively the occurrence and significance of postinfarction transient left ventricular dysfunction, 33 ambulatory patients who underwent thrombolytic therapy after myocardial infarction were monitored continuously for 187 +/- 56 min during normal activity with a radionuclide left ventricular functio...

    journal_title:Journal of the American College of Cardiology

    pub_type: 杂志文章

    doi:10.1016/0735-1097(90)92817-l

    authors: Kayden DS,Wackers FJ,Zaret BL

    更新日期:1990-06-01 00:00:00

  • Prospective two-dimensional echocardiographic evaluation of left ventricular thrombus and embolism after acute myocardial infarction.

    abstract::To determine whether two-dimensional echocardiography can identify patients with left ventricular thrombus after myocardial infarction who are prone to embolism, clinical and echocardiographic variables in 541 patients with a first infarction between 1979 and 1983 were studied prospectively. The first echocardiogram s...

    journal_title:Journal of the American College of Cardiology

    pub_type: 杂志文章

    doi:10.1016/0735-1097(89)90592-5

    authors: Jugdutt BI,Sivaram CA

    更新日期:1989-03-01 00:00:00