{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,4,6]],"date-time":"2022-04-06T01:33:37Z","timestamp":1649208817975},"reference-count":0,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Thorac Cardiovasc Surg"],"published-print":{"date-parts":[[2020,6]]},"abstract":"<jats:p>\n            Background\u2003Aortic enlargement after hemiarch replacement (HAR) for acute type A aortic dissection (AAAD) is a serious problem. We reviewed our experience and analyzed the risk factors for aortic enlargement.<\/jats:p><jats:p>\n            Methods\u2003During April 2005 to December 2017, 364 patients underwent HAR for AAAD. Seventy-three patients fulfilled the inclusion criteria. We analyzed the change in aortic diameter, aortic growth rate, and major adverse aortic events (MAAEs) and their association with luminal communication of the aortic arch.<\/jats:p><jats:p>\n            Results\u2003Anastomotic communication, supra-aortic communication (SAC), and distal aortic communication were found in 34 (46.6%), 28 (38.4%), and 20 (27.4%) patients, respectively. The aortic growth rate was high because of the presence of SAC, distal aortic communication, and the number of coexisting aortic communication. Univariate analysis showed that the presence of SAC and an initial aortic diameter\u2009&gt;\u200935\u2009mm at 20\u2009mm distal to the left subclavian artery and at the pulmonary artery bifurcation (PAB) were risk factors for MAAEs. Multivariate analysis showed that SAC and an initial aortic diameter\u2009&gt;\u200935\u2009mm at the PAB were independent risk factors for MAAEs.<\/jats:p><jats:p>\n            Conclusion\u2003SAC, distal aortic communication, and the number of coexisting aortic communication are significant risk factors for aortic enlargement after HAR for AAAD. SAC and an initial aortic diameter\u2009&gt;\u200935\u2009mm at the PAB are independent risk factors for MAAEs after this procedure.<\/jats:p>","DOI":"10.1055\/s-0039-1677886","type":"journal-article","created":{"date-parts":[[2019,2,23]],"date-time":"2019-02-23T00:16:22Z","timestamp":1550880982000},"page":"294-300","source":"Crossref","is-referenced-by-count":0,"title":["Influence of Luminal Communication on Aortic Enlargement after Hemiarch Replacement for Acute Type A Aortic Dissection"],"prefix":"10.1055","volume":"68","author":[{"given":"Gaku","family":"Uchino","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Matsubara Tokushukai Hospital, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takeshi","family":"Yoshida","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Matsubara Tokushukai Hospital, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bunpachi","family":"Kakii","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Matsubara Tokushukai Hospital, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masato","family":"Furui","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Matsubara Tokushukai Hospital, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2019,2,22]]},"container-title":["The Thoracic and Cardiovascular Surgeon"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0039-1677886.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,6,8]],"date-time":"2020-06-08T22:48:08Z","timestamp":1591656488000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0039-1677886"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,2,22]]},"references-count":0,"journal-issue":{"issue":"04","published-online":{"date-parts":[[2020,6,8]]},"published-print":{"date-parts":[[2020,6]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0039-1677886","relation":{},"ISSN":["0171-6425","1439-1902"],"issn-type":[{"value":"0171-6425","type":"print"},{"value":"1439-1902","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,2,22]]}}}