{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T04:27:00Z","timestamp":1784089620723,"version":"3.55.0"},"reference-count":21,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2022,2,10]],"date-time":"2022-02-10T00:00:00Z","timestamp":1644451200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,5,27]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p\/>\n               <jats:sec>\n                  <jats:title>OBJECTIVES<\/jats:title>\n                  <jats:p>After performing descending thoracic or thoraco-abdominal aorta replacement for chronic aortic dissection, the fate of the remaining dissected aorta, without significant enlargement, is not well known. This study aimed to investigate the changes in the remaining aorta and the risk factors for late composite aortic events.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS<\/jats:title>\n                  <jats:p>In 98 patients with chronic type A or B aortic dissection who underwent descending thoracic or thoraco-abdominal aorta replacement, the immediate postoperative and last follow-up computed tomography scans were reviewed. Aortic area-derived diameter was measured using the centreline reconstruction method at the levels of the 10 zones of the aorta and iliac arteries. The incidence of and risk factors for late composite aortic events (aortic death, rupture, reoperation, last follow-up aortic area-derived diameter &amp;gt;60\u2009mm) were analysed.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>The median follow-up and computed tomography follow-up durations were 88.5 and 63.7\u2009months, respectively. Nine late deaths occurred. The median growth rate of the remaining aorta was the greatest in the dissected infrarenal abdominal aorta at 0.8\u2009mm\/year. Of 16 late composite aortic events, the majority (2 ruptures and 8 reoperations) occurred in the distal contiguous segment. The 5- and 10-year cumulative incidence of events in the distal contiguous segment were 4.9% and 16.1%, respectively. Young age and Marfan syndrome were significant risk factors.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS<\/jats:title>\n                  <jats:p>Late composite aortic events were not negligible, especially in the distal contiguous segment. In young or Marfan syndrome patients, a greater distal extent of replacement may have to be considered at experienced aortic centres.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ejcts\/ezac052","type":"journal-article","created":{"date-parts":[[2022,2,2]],"date-time":"2022-02-02T20:11:13Z","timestamp":1643832673000},"page":"1328-1335","source":"Crossref","is-referenced-by-count":4,"title":["Fate of remaining dissected aorta after descending thoracic or thoracoabdominal aorta replacement for chronic dissection"],"prefix":"10.1093","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4555-5782","authenticated-orcid":false,"given":"Joon Chul","family":"Jung","sequence":"first","affiliation":[{"name":"Department of Thoracic and Cardiovascular Surgery, Seoul National University College of Medicine, Seoul National University Bundang Hospital , Gyeonggi-do, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5516-0333","authenticated-orcid":false,"given":"Hyoung Woo","family":"Chang","sequence":"additional","affiliation":[{"name":"Department of Thoracic and Cardiovascular Surgery, Seoul National University College of Medicine, Seoul National University Bundang Hospital , Gyeonggi-do, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4769-5340","authenticated-orcid":false,"given":"Jae Hang","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Thoracic and Cardiovascular Surgery, Seoul National University College of Medicine, Seoul National University Bundang Hospital , Gyeonggi-do, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1111-9627","authenticated-orcid":false,"given":"Kay-Hyun","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Thoracic and Cardiovascular Surgery, Seoul National University College of Medicine, Seoul National University Bundang Hospital , Gyeonggi-do, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2022,2,10]]},"reference":[{"key":"2022053118490334500_ezac052-B1","first-page":"58","article-title":"Outcome of extensive descending aorta repair adopting present concepts of spinal cord preservation","volume":"57","author":"Park","year":"2016","journal-title":"J Cardiovasc Surg (Torino)"},{"key":"2022053118490334500_ezac052-B2","doi-asserted-by":"crossref","first-page":"1027","DOI":"10.1093\/ejcts\/ezx480","article-title":"Patency of branch vessels reimplanted during thoraco-abdominal aortic replacement: implications for the surgical technique","volume":"53","author":"Kim","year":"2018","journal-title":"Eur J Cardiothorac Surg"},{"key":"2022053118490334500_ezac052-B3","doi-asserted-by":"crossref","first-page":"855","DOI":"10.1093\/ejcts\/ezaa127","article-title":"A parallel side graft-frontage graft-technique for intercostal artery reimplantation during thoraco-abdominal aorta replacement","volume":"58","author":"Lee","year":"2020","journal-title":"Eur J Cardiothorac Surg"},{"key":"2022053118490334500_ezac052-B4","doi-asserted-by":"crossref","first-page":"1022","DOI":"10.1016\/j.jvs.2010.07.008","article-title":"Reporting standards for thoracic endovascular aortic repair (TEVAR)","volume":"52","author":"Fillinger","year":"2010","journal-title":"J Vasc Surg"},{"key":"2022053118490334500_ezac052-B5","doi-asserted-by":"crossref","first-page":"1926","DOI":"10.1016\/j.jtcvs.2017.10.158","article-title":"Clinical outcomes and rates of aortic growth and reoperation after 1-stage repair of extensive chronic thoracic aortic dissection","volume":"155","author":"Kouchoukos","year":"2018","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2022053118490334500_ezac052-B6","doi-asserted-by":"crossref","first-page":"498","DOI":"10.1016\/j.jtcvs.2017.09.048","article-title":"One-stage replacement of the aorta from arch to thoracoabdominal region","volume":"155","author":"Matsueda","year":"2018","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2022053118490334500_ezac052-B7","doi-asserted-by":"crossref","first-page":"2873","DOI":"10.1093\/eurheartj\/ehu281","article-title":"2014 ESC Guidelines on the diagnosis and treatment of aortic diseases: document covering acute and chronic aortic diseases of the thoracic and abdominal aorta of the adult. The Task Force for the Diagnosis and Treatment of Aortic Diseases of the European Society of Cardiology (ESC)","volume":"35","author":"Erbel","year":"2014","journal-title":"Eur Heart J"},{"key":"2022053118490334500_ezac052-B8","first-page":"340","article-title":"Open surgical repair for chronic type B aortic dissection: a systematic review","volume":"3","author":"Tian","year":"2014","journal-title":"Ann Cardiothorac Surg"},{"key":"2022053118490334500_ezac052-B9","doi-asserted-by":"crossref","first-page":"S125","DOI":"10.1016\/j.jtcvs.2014.07.064","article-title":"Open thoracoabdominal aortic repair for chronic type B dissection","volume":"149","author":"Kouchoukos","year":"2015","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2022053118490334500_ezac052-B10","doi-asserted-by":"crossref","first-page":"786","DOI":"10.1016\/j.athoracsur.2014.08.077","article-title":"Outcomes of open repair for chronic descending thoracic aortic dissection","volume":"99","author":"Estrera","year":"2015","journal-title":"Ann Thorac Surg"},{"key":"2022053118490334500_ezac052-B11","doi-asserted-by":"crossref","first-page":"2986","DOI":"10.1016\/j.jtcvs.2014.07.048","article-title":"Outcomes of open distal aortic aneurysm repair in patients with chronic DeBakey type I dissection","volume":"148","author":"Coselli","year":"2014","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2022053118490334500_ezac052-B12","doi-asserted-by":"crossref","first-page":"1217","DOI":"10.1016\/j.jvs.2013.11.002","article-title":"Outcomes of open surgical repair for chronic type B aortic dissections","volume":"59","author":"Conway","year":"2014","journal-title":"J Vasc Surg"},{"key":"2022053118490334500_ezac052-B13","doi-asserted-by":"crossref","first-page":"4002","DOI":"10.21037\/jtd-20-1275","article-title":"Diameter and growth rate of the thoracic aorta-analysis based on serial computed tomography scans","volume":"12","author":"Chang","year":"2020","journal-title":"J Thorac Dis"},{"key":"2022053118490334500_ezac052-B14","doi-asserted-by":"crossref","first-page":"114","DOI":"10.1016\/S0741-5214(00)70073-5","article-title":"Expansion rates and outcomes for iliac artery aneurysms","volume":"31","author":"Santilli","year":"2000","journal-title":"J Vasc Surg"},{"key":"2022053118490334500_ezac052-B15","doi-asserted-by":"crossref","first-page":"1203","DOI":"10.1016\/j.jvs.2008.01.050","article-title":"Common iliac artery aneurysm: expansion rate and results of open surgical and endovascular repair","volume":"47","author":"Huang","year":"2008","journal-title":"J Vasc Surg"},{"key":"2022053118490334500_ezac052-B16","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1016\/j.jvs.2016.06.109","article-title":"Few internal iliac artery aneurysms rupture under 4 cm","volume":"65","author":"Laine","year":"2017","journal-title":"J Vasc Surg"},{"key":"2022053118490334500_ezac052-B17","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1016\/j.ejvs.2018.09.020","article-title":"Editor's choice\u2014European Society for Vascular Surgery (ESVS) 2019 clinical practice guidelines on the management of abdominal aorto-iliac artery aneurysms","volume":"57","author":"Wanhainen","year":"2019","journal-title":"Eur J Vasc Endovasc Surg"},{"key":"2022053118490334500_ezac052-B18","doi-asserted-by":"crossref","first-page":"480","DOI":"10.1016\/j.jvs.2019.10.060","article-title":"Presentation, surgical intervention, and long-term survival in patients with Marfan syndrome","volume":"72","author":"Aranson","year":"2020","journal-title":"J Vasc Surg"},{"key":"2022053118490334500_ezac052-B19","doi-asserted-by":"crossref","first-page":"759","DOI":"10.1016\/j.athoracsur.2012.04.061","article-title":"Early and late results of graft replacement for dissecting aneurysm of thoracoabdominal aorta in patients with Marfan syndrome","volume":"94","author":"Omura","year":"2012","journal-title":"Ann Thorac Surg"},{"key":"2022053118490334500_ezac052-B20","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1093\/ejcts\/ezs107","article-title":"Thoracic endovascular aortic repair (TEVAR) for the treatment of aortic diseases: a position statement from the European Association for Cardio-Thoracic Surgery (EACTS) and the European Society of Cardiology (ESC), in collaboration with the European Association of Percutaneous Cardiovascular Interventions (EAPCI)","volume":"42","author":"Grabenw\u00f6ger","year":"2012","journal-title":"Eur J Cardiothorac Surg"},{"key":"2022053118490334500_ezac052-B21","doi-asserted-by":"crossref","first-page":"906","DOI":"10.1016\/j.athoracsur.2015.08.011","article-title":"Beyond the aortic root: staged open and endovascular repair of arch and descending aorta in patients with connective tissue disorders","volume":"101","author":"Roselli","year":"2016","journal-title":"Ann Thorac Surg"}],"container-title":["European Journal of Cardio-Thoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ejcts\/article-pdf\/61\/6\/1328\/43868511\/ezac052.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ejcts\/article-pdf\/61\/6\/1328\/43868511\/ezac052.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,5,31]],"date-time":"2022-05-31T20:06:41Z","timestamp":1654027601000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ejcts\/article\/61\/6\/1328\/6526430"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,2,10]]},"references-count":21,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2022,2,10]]},"published-print":{"date-parts":[[2022,5,27]]}},"URL":"https:\/\/doi.org\/10.1093\/ejcts\/ezac052","relation":{},"ISSN":["1010-7940","1873-734X"],"issn-type":[{"value":"1010-7940","type":"print"},{"value":"1873-734X","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2022,6,1]]},"published":{"date-parts":[[2022,2,10]]}}}