Differences of patients’ characteristics in acute type A aortic dissection – surgical data from Belgian and Japanese centers-
Abstract Background It is well known that there are major differences between the Japanese and Western population regarding the incidence of ischemic heart disease and stroke. The purpose of this study was to evaluate differences of patients’ characteristics between Belgian and Japanese cohort with...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2018-09-01
|
| Series: | Journal of Cardiothoracic Surgery |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13019-018-0782-x |
| _version_ | 1828756433005445120 |
|---|---|
| author | Motohiko Goda Tomoyuki Minami Kiyotaka Imoto Keiji Uchida Munetaka Masuda Bart Meuris |
| author_facet | Motohiko Goda Tomoyuki Minami Kiyotaka Imoto Keiji Uchida Munetaka Masuda Bart Meuris |
| author_sort | Motohiko Goda |
| collection | DOAJ |
| description | Abstract Background It is well known that there are major differences between the Japanese and Western population regarding the incidence of ischemic heart disease and stroke. The purpose of this study was to evaluate differences of patients’ characteristics between Belgian and Japanese cohort with acute type A aortic dissection. Methods In 487 patients (297 male patients, mean age 61.9 ± 12.2 yrs) who underwent surgery for acute type A aortic dissection, baseline preoperative and intraoperative data were collected. Belgian patients (n = 237) were compared to Japanese patients (n = 250). Clinical data included patient demographics, history, status at presentation, imaging study results and intraoperative findings. Results The Japanese cohort had significantly more women (48.8% vs. 28.7%, p < 0.0001), lower BMI (24.2 vs. 26.4, p < 0.0001) and lower prevalence of hypertension (49.2% vs. 65.8%, p = 0.0002). More DeBakey type I dissections and less type III dissections with retrograde extension were reported in Belgium than in Japan (77.2% vs. 48.4%, p < 0.0001, 3.4% vs. 38.7%, p < 0.0001, respectively). More entries were found in the ascending aorta (78.5% vs. 58.5%, p < 0.0001) and aortic arch (24.9% vs. 13.7%, p = 0.0018) in Belgian patients than in Japanese patients, who had more entries in the descending aorta or undetected entries. Conclusions In acute type A aortic dissection, Belgian patients reveal striking differences from Japanese patients regarding gender distribution, entry tear location and type of dissection. Japanese women are more likely to develop acute type A aortic dissection than Belgian women. (234 words). |
| first_indexed | 2024-12-10T23:15:58Z |
| format | Article |
| id | doaj.art-fe5e50c4fd634e5990d22c8e7f0f9e97 |
| institution | Directory Open Access Journal |
| issn | 1749-8090 |
| language | English |
| last_indexed | 2024-12-10T23:15:58Z |
| publishDate | 2018-09-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Cardiothoracic Surgery |
| spelling | doaj.art-fe5e50c4fd634e5990d22c8e7f0f9e972022-12-22T01:29:50ZengBMCJournal of Cardiothoracic Surgery1749-80902018-09-011311510.1186/s13019-018-0782-xDifferences of patients’ characteristics in acute type A aortic dissection – surgical data from Belgian and Japanese centers-Motohiko Goda0Tomoyuki Minami1Kiyotaka Imoto2Keiji Uchida3Munetaka Masuda4Bart Meuris5Department of Cardiac Surgery, University Hospitals LeuvenCardiovascular Center, Yokohama City University Medical CenterCardiovascular Center, Yokohama City University Medical CenterCardiovascular Center, Yokohama City University Medical CenterDepartment of Cardiovascular Surgery, Yokohama City University HospitalDepartment of Cardiac Surgery, University Hospitals LeuvenAbstract Background It is well known that there are major differences between the Japanese and Western population regarding the incidence of ischemic heart disease and stroke. The purpose of this study was to evaluate differences of patients’ characteristics between Belgian and Japanese cohort with acute type A aortic dissection. Methods In 487 patients (297 male patients, mean age 61.9 ± 12.2 yrs) who underwent surgery for acute type A aortic dissection, baseline preoperative and intraoperative data were collected. Belgian patients (n = 237) were compared to Japanese patients (n = 250). Clinical data included patient demographics, history, status at presentation, imaging study results and intraoperative findings. Results The Japanese cohort had significantly more women (48.8% vs. 28.7%, p < 0.0001), lower BMI (24.2 vs. 26.4, p < 0.0001) and lower prevalence of hypertension (49.2% vs. 65.8%, p = 0.0002). More DeBakey type I dissections and less type III dissections with retrograde extension were reported in Belgium than in Japan (77.2% vs. 48.4%, p < 0.0001, 3.4% vs. 38.7%, p < 0.0001, respectively). More entries were found in the ascending aorta (78.5% vs. 58.5%, p < 0.0001) and aortic arch (24.9% vs. 13.7%, p = 0.0018) in Belgian patients than in Japanese patients, who had more entries in the descending aorta or undetected entries. Conclusions In acute type A aortic dissection, Belgian patients reveal striking differences from Japanese patients regarding gender distribution, entry tear location and type of dissection. Japanese women are more likely to develop acute type A aortic dissection than Belgian women. (234 words).http://link.springer.com/article/10.1186/s13019-018-0782-xAcute aortic dissectionEpidemiologyGender differences |
| spellingShingle | Motohiko Goda Tomoyuki Minami Kiyotaka Imoto Keiji Uchida Munetaka Masuda Bart Meuris Differences of patients’ characteristics in acute type A aortic dissection – surgical data from Belgian and Japanese centers- Journal of Cardiothoracic Surgery Acute aortic dissection Epidemiology Gender differences |
| title | Differences of patients’ characteristics in acute type A aortic dissection – surgical data from Belgian and Japanese centers- |
| title_full | Differences of patients’ characteristics in acute type A aortic dissection – surgical data from Belgian and Japanese centers- |
| title_fullStr | Differences of patients’ characteristics in acute type A aortic dissection – surgical data from Belgian and Japanese centers- |
| title_full_unstemmed | Differences of patients’ characteristics in acute type A aortic dissection – surgical data from Belgian and Japanese centers- |
| title_short | Differences of patients’ characteristics in acute type A aortic dissection – surgical data from Belgian and Japanese centers- |
| title_sort | differences of patients characteristics in acute type a aortic dissection surgical data from belgian and japanese centers |
| topic | Acute aortic dissection Epidemiology Gender differences |
| url | http://link.springer.com/article/10.1186/s13019-018-0782-x |
| work_keys_str_mv | AT motohikogoda differencesofpatientscharacteristicsinacutetypeaaorticdissectionsurgicaldatafrombelgianandjapanesecenters AT tomoyukiminami differencesofpatientscharacteristicsinacutetypeaaorticdissectionsurgicaldatafrombelgianandjapanesecenters AT kiyotakaimoto differencesofpatientscharacteristicsinacutetypeaaorticdissectionsurgicaldatafrombelgianandjapanesecenters AT keijiuchida differencesofpatientscharacteristicsinacutetypeaaorticdissectionsurgicaldatafrombelgianandjapanesecenters AT munetakamasuda differencesofpatientscharacteristicsinacutetypeaaorticdissectionsurgicaldatafrombelgianandjapanesecenters AT bartmeuris differencesofpatientscharacteristicsinacutetypeaaorticdissectionsurgicaldatafrombelgianandjapanesecenters |