{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T13:06:01Z","timestamp":1785243961314,"version":"3.55.0"},"reference-count":26,"publisher":"Elsevier BV","issue":"4","license":[{"start":{"date-parts":[[2019,10,1]],"date-time":"2019-10-01T00:00:00Z","timestamp":1569888000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2019,10,1]],"date-time":"2019-10-01T00:00:00Z","timestamp":1569888000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2021,10,1]],"date-time":"2021-10-01T00:00:00Z","timestamp":1633046400000},"content-version":"vor","delay-in-days":731,"URL":"http:\/\/www.elsevier.com\/open-access\/userlicense\/1.0\/"}],"funder":[{"DOI":"10.13039\/501100005006","name":"Asan Institute for Life Sciences, Asan Medical Center","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100005006","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jtcvsonline.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Thoracic and Cardiovascular Surgery"],"published-print":{"date-parts":[[2019,10]]},"DOI":"10.1016\/j.jtcvs.2018.11.021","type":"journal-article","created":{"date-parts":[[2018,11,16]],"date-time":"2018-11-16T21:25:55Z","timestamp":1542403555000},"page":"996-1004.e3","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":25,"title":["The fate of unrepaired chronic type A aortic dissection"],"prefix":"10.1016","volume":"158","author":[{"given":"Wan Kee","family":"Kim","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sung Jun","family":"Park","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ho Jin","family":"Kim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hee Jung","family":"Kim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suk Jung","family":"Choo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joon Bum","family":"Kim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jtcvs.2018.11.021_bib1","doi-asserted-by":"crossref","first-page":"2873","DOI":"10.1093\/eurheartj\/ehu281","volume":"35","author":"Erbel","year":"2014","journal-title":"Eur Heart J"},{"key":"10.1016\/j.jtcvs.2018.11.021_bib2","doi-asserted-by":"crossref","first-page":"e266","DOI":"10.1161\/CIR.0b013e3181d47d48","volume":"121","author":"Hiratzka","year":"2010","journal-title":"Circulation"},{"key":"10.1016\/j.jtcvs.2018.11.021_bib3","doi-asserted-by":"crossref","first-page":"476","DOI":"10.1016\/S0022-5223(97)70360-X","article-title":"What is the appropriate size criterion for resection of thoracic aortic aneurysms?","volume":"113","author":"Coady","year":"1997","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1016\/j.jtcvs.2018.11.021_bib4","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1016\/S0003-4975(01)03236-2","article-title":"Yearly rupture or dissection rates for thoracic aortic aneurysms: simple prediction based on size","volume":"73","author":"Davies","year":"2002","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.jtcvs.2018.11.021_bib5","doi-asserted-by":"crossref","first-page":"S1877","DOI":"10.1016\/S0003-4975(02)04147-4","article-title":"Natural history of thoracic aortic aneurysms: indications for surgery, and surgical versus nonsurgical risks","volume":"74","author":"Elefteriades","year":"2002","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.jtcvs.2018.11.021_bib6","doi-asserted-by":"crossref","first-page":"776","DOI":"10.1016\/S0022-5223(99)70299-0","article-title":"Risk factors for rupture of chronic type B dissections","volume":"117","author":"Juvonen","year":"1999","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1016\/j.jtcvs.2018.11.021_bib7","doi-asserted-by":"crossref","first-page":"1533","DOI":"10.1016\/S0003-4975(97)00414-1","article-title":"Prospective study of the natural history of thoracic aortic aneurysms","volume":"63","author":"Juvonen","year":"1997","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.jtcvs.2018.11.021_bib8","doi-asserted-by":"crossref","first-page":"16","DOI":"10.12945\/j.aorta.2015.15.016","article-title":"Chronic type A aortic dissection: two cases and a review of current management strategies","volume":"4","author":"Hynes","year":"2016","journal-title":"Aorta (Stamford)"},{"key":"10.1016\/j.jtcvs.2018.11.021_bib9","doi-asserted-by":"crossref","first-page":"671","DOI":"10.1016\/j.ejcts.2008.05.054","article-title":"Chronic type A dissection of the ascending aorta","volume":"34","author":"Quaden","year":"2008","journal-title":"Eur J Cardiothorac Surg"},{"key":"10.1016\/j.jtcvs.2018.11.021_bib10","doi-asserted-by":"crossref","first-page":"3802","DOI":"10.1161\/CIRCULATIONAHA.105.534198","article-title":"Acute aortic syndromes","volume":"112","author":"Tsai","year":"2005","journal-title":"Circulation"},{"key":"10.1016\/j.jtcvs.2018.11.021_bib11","doi-asserted-by":"crossref","first-page":"1331","DOI":"10.1161\/01.CIR.99.10.1331","article-title":"Intimal tear without hematoma: an important variant of aortic dissection that can elude current imaging techniques","volume":"99","author":"Svensson","year":"1999","journal-title":"Circulation"},{"key":"10.1016\/j.jtcvs.2018.11.021_bib12","doi-asserted-by":"crossref","first-page":"3133","DOI":"10.1161\/CIRCULATIONAHA.111.090266","article-title":"Long-term outcome of aortic dissection with patent false lumen: predictive role of entry tear size and location","volume":"125","author":"Evangelista","year":"2012","journal-title":"Circulation"},{"key":"10.1016\/j.jtcvs.2018.11.021_bib13","doi-asserted-by":"crossref","first-page":"II256","DOI":"10.1161\/01.CIR.0000138386.48852.b6","article-title":"Growth rate of aortic diameter in patients with type B aortic dissection during the chronic phase","volume":"110","author":"Sueyoshi","year":"2004","journal-title":"Circulation"},{"key":"10.1016\/j.jtcvs.2018.11.021_bib14","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1093\/biostatistics\/2.1.85","article-title":"Regression modeling of competing crude failure probabilities","volume":"2","author":"Fine","year":"2001","journal-title":"Biostatistics"},{"key":"10.1016\/j.jtcvs.2018.11.021_bib15","doi-asserted-by":"crossref","first-page":"837","DOI":"10.2307\/2531595","article-title":"Comparing the areas under two or more correlated receiver operating characteristic curves: a nonparametric approach","volume":"44","author":"DeLong","year":"1988","journal-title":"Biometrics"},{"key":"10.1016\/j.jtcvs.2018.11.021_bib16","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1016\/j.athoracsur.2005.06.026","article-title":"Novel measurement of relative aortic size predicts rupture of thoracic aortic aneurysms","volume":"81","author":"Davies","year":"2006","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.jtcvs.2018.11.021_bib17","doi-asserted-by":"crossref","first-page":"622","DOI":"10.1016\/j.jtcvs.2010.10.050","article-title":"Bicuspid aortic valve surgery with proactive ascending aorta repair","volume":"142","author":"Svensson","year":"2011","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1016\/j.jtcvs.2018.11.021_bib18","doi-asserted-by":"crossref","first-page":"1620","DOI":"10.1161\/CIRCULATIONAHA.114.015177","article-title":"Risk of rupture or dissection in descending thoracic aortic aneurysm","volume":"132","author":"Kim","year":"2015","journal-title":"Circulation"},{"key":"10.1016\/j.jtcvs.2018.11.021_bib19","doi-asserted-by":"crossref","first-page":"200","DOI":"10.1177\/003693305700200504","article-title":"Cerebral vascular accidents in patients over the age of 60. II. Prognosis","volume":"2","author":"Rankin","year":"1957","journal-title":"Scott Med J"},{"key":"10.1016\/j.jtcvs.2018.11.021_bib20","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1097\/00005792-195809000-00003","article-title":"Dissecting aneurysm of the aorta: a review of 505 cases","volume":"37","author":"Hirst","year":"1958","journal-title":"Medicine (Baltimore)"},{"key":"10.1016\/j.jtcvs.2018.11.021_bib21","first-page":"III7","article-title":"Prognosis of patients with medically treated aortic dissections","volume":"84","author":"Masuda","year":"1991","journal-title":"Circulation"},{"key":"10.1016\/j.jtcvs.2018.11.021_bib22","doi-asserted-by":"crossref","first-page":"402","DOI":"10.1001\/archsurg.134.4.402","article-title":"Interval or permanent nonoperative management of acute type A aortic dissection","volume":"134","author":"Scholl","year":"1999","journal-title":"Arch Surg"},{"key":"10.1016\/j.jtcvs.2018.11.021_bib23","doi-asserted-by":"crossref","first-page":"275","DOI":"10.4070\/kcj.2015.45.4.275","article-title":"Clinical characteristics and outcomes of acute ST-segment elevation myocardial infarction in younger Korean adults","volume":"45","author":"Lee","year":"2015","journal-title":"Korean Circ J"},{"key":"10.1016\/j.jtcvs.2018.11.021_bib24","doi-asserted-by":"crossref","first-page":"1209","DOI":"10.1016\/j.jacc.2016.06.025","article-title":"Risk of aortic dissection in the moderately dilated ascending aorta","volume":"68","author":"Kim","year":"2016","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.jtcvs.2018.11.021_bib25","first-page":"1103","article-title":"Thoracic aortic aneurysms: a population-based study","volume":"92","author":"Bickerstaff","year":"1982","journal-title":"Surgery"},{"key":"10.1016\/j.jtcvs.2018.11.021_bib26","series-title":"Sabiston and Spencer Surgery of the Chest","author":"Sellke","year":"2016"}],"container-title":["The Journal of Thoracic and Cardiovascular Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0022522318329684?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0022522318329684?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,9,20]],"date-time":"2025-09-20T17:00:16Z","timestamp":1758387616000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0022522318329684"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,10]]},"references-count":26,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2019,10]]}},"alternative-id":["S0022522318329684"],"URL":"https:\/\/doi.org\/10.1016\/j.jtcvs.2018.11.021","relation":{},"ISSN":["0022-5223"],"issn-type":[{"value":"0022-5223","type":"print"}],"subject":[],"published":{"date-parts":[[2019,10]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"The fate of unrepaired chronic type A aortic dissection","name":"articletitle","label":"Article Title"},{"value":"The Journal of Thoracic and Cardiovascular Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jtcvs.2018.11.021","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2018 by The American Association for Thoracic Surgery","name":"copyright","label":"Copyright"}]}}