Left ventricular geometric patterns in patients with type A aortic dissection

Abstract Background Aortic dilatation is a major risk factor for aortic dissection. The aim of the present study was to assess the relationship between left ventricular (LV) geometry and maximal ascending aorta (MAA). Methods We reviewed data from patients who were diagnosed with acute type A aortic...

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Main Authors: Soo-Jin Kim, Tae-Ho Park, Young-Rak Cho, Kyungil Park, Jong-Sung Park, Moo Hyun Kim, Young-Dae Kim
Format: Article
Language:English
Published: BMC 2019-02-01
Series:Cardiovascular Ultrasound
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12947-019-0152-4
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author Soo-Jin Kim
Tae-Ho Park
Young-Rak Cho
Kyungil Park
Jong-Sung Park
Moo Hyun Kim
Young-Dae Kim
author_facet Soo-Jin Kim
Tae-Ho Park
Young-Rak Cho
Kyungil Park
Jong-Sung Park
Moo Hyun Kim
Young-Dae Kim
author_sort Soo-Jin Kim
collection DOAJ
description Abstract Background Aortic dilatation is a major risk factor for aortic dissection. The aim of the present study was to assess the relationship between left ventricular (LV) geometry and maximal ascending aorta (MAA). Methods We reviewed data from patients who were diagnosed with acute type A aortic dissection and who underwent surgical management from December 2002 to March 2016 at Dong-A University Hospital. Among 151 patients with non-Marfan aortic dissection in the study, 50 who had echocardiography preoperatively were investigated and MAA diameter was analyzed by LV geometric patterns. Results Patients’ mean age was 59.6 ± 13.5 years and 38.0% were male. The mean MAA diameter was 52.9 ± 8.5 mm. MAA diameter was significantly correlated with LV mass index (r = 0.62, P < 0.001). On analysis by LV geometry, MAA diameter showed a significant difference between the 4 groups (P = 0.02), and the eccentric and concentric hypertrophy groups showed significantly larger MAA diameter than the other two groups. Conclusion MAA diameter was associated with LV mass index and was significantly different between LV geometry types. In this study, not only concentric hypertrophy but also eccentric LV hypertrophy was related to larger MAA in type A aortic dissection patients.
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spelling doaj.art-1534d462a68c4e7893eaaddf7e72702a2022-12-22T02:05:08ZengBMCCardiovascular Ultrasound1476-71202019-02-011711510.1186/s12947-019-0152-4Left ventricular geometric patterns in patients with type A aortic dissectionSoo-Jin Kim0Tae-Ho Park1Young-Rak Cho2Kyungil Park3Jong-Sung Park4Moo Hyun Kim5Young-Dae Kim6Department of Cardiology, Dong-A University HospitalDepartment of Cardiology, Dong-A University HospitalDepartment of Cardiology, Dong-A University HospitalDepartment of Cardiology, Dong-A University HospitalDepartment of Cardiology, Dong-A University HospitalDepartment of Cardiology, Dong-A University HospitalDepartment of Cardiology, Dong-A University HospitalAbstract Background Aortic dilatation is a major risk factor for aortic dissection. The aim of the present study was to assess the relationship between left ventricular (LV) geometry and maximal ascending aorta (MAA). Methods We reviewed data from patients who were diagnosed with acute type A aortic dissection and who underwent surgical management from December 2002 to March 2016 at Dong-A University Hospital. Among 151 patients with non-Marfan aortic dissection in the study, 50 who had echocardiography preoperatively were investigated and MAA diameter was analyzed by LV geometric patterns. Results Patients’ mean age was 59.6 ± 13.5 years and 38.0% were male. The mean MAA diameter was 52.9 ± 8.5 mm. MAA diameter was significantly correlated with LV mass index (r = 0.62, P < 0.001). On analysis by LV geometry, MAA diameter showed a significant difference between the 4 groups (P = 0.02), and the eccentric and concentric hypertrophy groups showed significantly larger MAA diameter than the other two groups. Conclusion MAA diameter was associated with LV mass index and was significantly different between LV geometry types. In this study, not only concentric hypertrophy but also eccentric LV hypertrophy was related to larger MAA in type A aortic dissection patients.http://link.springer.com/article/10.1186/s12947-019-0152-4AortaDilatationLeft ventricular hypertrophy
spellingShingle Soo-Jin Kim
Tae-Ho Park
Young-Rak Cho
Kyungil Park
Jong-Sung Park
Moo Hyun Kim
Young-Dae Kim
Left ventricular geometric patterns in patients with type A aortic dissection
Cardiovascular Ultrasound
Aorta
Dilatation
Left ventricular hypertrophy
title Left ventricular geometric patterns in patients with type A aortic dissection
title_full Left ventricular geometric patterns in patients with type A aortic dissection
title_fullStr Left ventricular geometric patterns in patients with type A aortic dissection
title_full_unstemmed Left ventricular geometric patterns in patients with type A aortic dissection
title_short Left ventricular geometric patterns in patients with type A aortic dissection
title_sort left ventricular geometric patterns in patients with type a aortic dissection
topic Aorta
Dilatation
Left ventricular hypertrophy
url http://link.springer.com/article/10.1186/s12947-019-0152-4
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