{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T04:25:25Z","timestamp":1785299125692,"version":"3.55.0"},"reference-count":32,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2009,3,25]],"date-time":"2009-03-25T00:00:00Z","timestamp":1237939200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Cardiology"],"published-print":{"date-parts":[[2009,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>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\u2010associated aortic dissection is considered a rare occurrence.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The Statewide Planning and Research Cooperative System database of New York State was used to retrieve cases of aortic dissection in persons \u2264 21 years old over a 10\u2010year period. A retrospective analysis for risk or associated conditions was undertaken.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Forty\u2010five of a total of 12 142 cases of aortic dissection (0.37%) occurred in persons \u2264 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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>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\u2010associated aortic dissection may need to be evaluated for possible risk of aortic dissection. Copyright \u00a9 2009 Wiley Periodicals, Inc.<\/jats:p><\/jats:sec>","DOI":"10.1002\/clc.20383","type":"journal-article","created":{"date-parts":[[2009,3,25]],"date-time":"2009-03-25T19:16:00Z","timestamp":1238008560000},"source":"Crossref","is-referenced-by-count":47,"title":["Aortic Dissection in Childhood and Adolescence: An Analysis of Occurrences Over a 10\u2010Year Interval in New York State"],"prefix":"10.1002","volume":"32","author":[{"given":"Charles R.","family":"Fikar","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ronald","family":"Fikar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2009,3,25]]},"reference":[{"key":"e_1_2_1_2_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-20-3-486"},{"key":"e_1_2_1_3_2","first-page":"1","article-title":"Dissecting aneurysms of the aorta in persons under forty years of age","volume":"55","author":"Gore I","year":"1953","journal-title":"AMA Arch Pathol."},{"key":"e_1_2_1_4_2","doi-asserted-by":"publisher","DOI":"10.1136\/jcp.8.4.313"},{"key":"e_1_2_1_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005792-195809000-00003"},{"key":"e_1_2_1_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(70)80408-5"},{"key":"e_1_2_1_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(76)80454-4"},{"key":"e_1_2_1_8_2","doi-asserted-by":"publisher","DOI":"10.1148\/132.3.615"},{"key":"e_1_2_1_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/000992288102000904"},{"key":"e_1_2_1_10_2","first-page":"137","article-title":"Aortic dissection in adolescence","volume":"34","author":"Cooper DR","year":"1986","journal-title":"Am Fam Physician."},{"key":"e_1_2_1_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0272-6386(99)70315-X"},{"key":"e_1_2_1_12_2","doi-asserted-by":"publisher","DOI":"10.1177\/000992280003900201"},{"key":"e_1_2_1_13_2","doi-asserted-by":"crossref","first-page":"341","DOI":"10.1017\/S1047951103000696","article-title":"Aortic dissection in children and young adults: diagnosis, patients at risk, and outcomes","volume":"13","author":"Zalzstein E","year":"2003","journal-title":"Cardiol Young."},{"key":"e_1_2_1_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2003.08.054"},{"key":"e_1_2_1_15_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-2005-872593"},{"key":"e_1_2_1_16_2","doi-asserted-by":"publisher","DOI":"10.1002\/clc.4960290903"},{"key":"e_1_2_1_17_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMcpc049004"},{"key":"e_1_2_1_18_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.283.7.897"},{"key":"e_1_2_1_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2006.08.003"},{"key":"e_1_2_1_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2003.07.020"},{"key":"e_1_2_1_21_2","unstructured":"Statewide Planning and Research Cooperative System (SPARCS). 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