Stanford type B aortic dissection is more frequently associated with coronary artery atherosclerosis than type A
Abstract Background The relationship between aortic dissection and coronary artery disease is not clear. The purpose of this study was to clarify the difference in the rate of coronary artery atherosclerosis between Stanford type A and type B aortic dissection by reviewing our institutional database...
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| Format: | Article |
| Language: | English |
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BMC
2018-06-01
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| Series: | Journal of Cardiothoracic Surgery |
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| Online Access: | http://link.springer.com/article/10.1186/s13019-018-0765-y |
| _version_ | 1817977593539854336 |
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| author | Naoki Hashiyama Motohiko Goda Keiji Uchida Yukihisa Isomatsu Shinichi Suzuki Makoto Mo Takahiro Nishida Munetaka Masuda |
| author_facet | Naoki Hashiyama Motohiko Goda Keiji Uchida Yukihisa Isomatsu Shinichi Suzuki Makoto Mo Takahiro Nishida Munetaka Masuda |
| author_sort | Naoki Hashiyama |
| collection | DOAJ |
| description | Abstract Background The relationship between aortic dissection and coronary artery disease is not clear. The purpose of this study was to clarify the difference in the rate of coronary artery atherosclerosis between Stanford type A and type B aortic dissection by reviewing our institutional database. Methods One hundred and forty-five patients (78 males, 67 females; mean age: 60 ± 12 years) admitted to our hospital with acute aortic dissection who underwent coronary angiography during hospitalization from 2000 through 2002 were enrolled in this study. The background characteristics, coronary risk factors, and coronary angiography findings (number of significant stenoses, stenoses according to Bogaty standards, extent index) of patients were compared between type A (Group A; n = 71) and type B dissection (Group B; N = 74). Results Significantly more patients had prior histories of complications from ischemic heart disease in Group B than in Group A (P = 0.04), with no significant differences in comparison to other risk factors observed except for hypertension. Significantly (p = 0.005) more stenoses were observed in Group B (1.54 ± 0.04) than in Group A (0.38 ± 0.1). A significantly higher (P < 0.05) index score indicating the severity of coronary atherosclerosis was observed in Group B (1.49 ± 0.09) than in Group A (0.72 ± 0.07). Conclusions Stanford type B acute aortic dissection was significantly more frequently associated with coronary artery atherosclerosis than type A. |
| first_indexed | 2024-04-13T22:17:31Z |
| format | Article |
| id | doaj.art-8dc7b942618e4cccb8e5be506801f2eb |
| institution | Directory Open Access Journal |
| issn | 1749-8090 |
| language | English |
| last_indexed | 2024-04-13T22:17:31Z |
| publishDate | 2018-06-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Cardiothoracic Surgery |
| spelling | doaj.art-8dc7b942618e4cccb8e5be506801f2eb2022-12-22T02:27:24ZengBMCJournal of Cardiothoracic Surgery1749-80902018-06-011311510.1186/s13019-018-0765-yStanford type B aortic dissection is more frequently associated with coronary artery atherosclerosis than type ANaoki Hashiyama0Motohiko Goda1Keiji Uchida2Yukihisa Isomatsu3Shinichi Suzuki4Makoto Mo5Takahiro Nishida6Munetaka Masuda7Department of Cardiovascular Surgery, Yokohama Minami-kyosai HospitalDepartment of Cardiovascular Surgery, Yokohama City University HospitalCardiovascular Center, Yokohama City University Medical CenterDepartment of Cardiovascular Surgery, Yokohama City University HospitalDepartment of Cardiovascular Surgery, Yokohama City University HospitalDepartment of Cardiovascular Surgery, Yokohama Minami-kyosai HospitalDepartment of Cardiovascular Surgery, Yokohama Citizen’s Municipal HospitalDepartment of Cardiovascular Surgery, Yokohama City University HospitalAbstract Background The relationship between aortic dissection and coronary artery disease is not clear. The purpose of this study was to clarify the difference in the rate of coronary artery atherosclerosis between Stanford type A and type B aortic dissection by reviewing our institutional database. Methods One hundred and forty-five patients (78 males, 67 females; mean age: 60 ± 12 years) admitted to our hospital with acute aortic dissection who underwent coronary angiography during hospitalization from 2000 through 2002 were enrolled in this study. The background characteristics, coronary risk factors, and coronary angiography findings (number of significant stenoses, stenoses according to Bogaty standards, extent index) of patients were compared between type A (Group A; n = 71) and type B dissection (Group B; N = 74). Results Significantly more patients had prior histories of complications from ischemic heart disease in Group B than in Group A (P = 0.04), with no significant differences in comparison to other risk factors observed except for hypertension. Significantly (p = 0.005) more stenoses were observed in Group B (1.54 ± 0.04) than in Group A (0.38 ± 0.1). A significantly higher (P < 0.05) index score indicating the severity of coronary atherosclerosis was observed in Group B (1.49 ± 0.09) than in Group A (0.72 ± 0.07). Conclusions Stanford type B acute aortic dissection was significantly more frequently associated with coronary artery atherosclerosis than type A.http://link.springer.com/article/10.1186/s13019-018-0765-yAcute aortic dissectionStanford classificationCoronary arteryAthroscrelosisCoronary angiography |
| spellingShingle | Naoki Hashiyama Motohiko Goda Keiji Uchida Yukihisa Isomatsu Shinichi Suzuki Makoto Mo Takahiro Nishida Munetaka Masuda Stanford type B aortic dissection is more frequently associated with coronary artery atherosclerosis than type A Journal of Cardiothoracic Surgery Acute aortic dissection Stanford classification Coronary artery Athroscrelosis Coronary angiography |
| title | Stanford type B aortic dissection is more frequently associated with coronary artery atherosclerosis than type A |
| title_full | Stanford type B aortic dissection is more frequently associated with coronary artery atherosclerosis than type A |
| title_fullStr | Stanford type B aortic dissection is more frequently associated with coronary artery atherosclerosis than type A |
| title_full_unstemmed | Stanford type B aortic dissection is more frequently associated with coronary artery atherosclerosis than type A |
| title_short | Stanford type B aortic dissection is more frequently associated with coronary artery atherosclerosis than type A |
| title_sort | stanford type b aortic dissection is more frequently associated with coronary artery atherosclerosis than type a |
| topic | Acute aortic dissection Stanford classification Coronary artery Athroscrelosis Coronary angiography |
| url | http://link.springer.com/article/10.1186/s13019-018-0765-y |
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