{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T13:49:21Z","timestamp":1777902561063,"version":"3.51.4"},"reference-count":24,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2022,5,13]],"date-time":"2022-05-13T00:00:00Z","timestamp":1652400000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Grant-in-Aid for Scientific Research C","award":["21K08828"],"award-info":[{"award-number":["21K08828"]}]},{"DOI":"10.13039\/501100001700","name":"Ministry of Education, Culture, Sports, Science and Technology","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001700","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,8,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p\/>\n               <jats:sec>\n                  <jats:title>OBJECTIVES<\/jats:title>\n                  <jats:p>We aimed to determine whether non-A non-B aortic dissection (AD) differs in morphologic and haemodynamic properties from type B AD.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS<\/jats:title>\n                  <jats:p>We simulated and compared haemodynamics of patients with acute type B or acute non-A non-B AD by means of computational fluid dynamics. Wall pressure and wall shear stress (WSS) in both the true lumen (TL) and false lumen (FL) at early, mid- and late systole were evaluated. Morphology, WSS and the FL\/TL wall pressure ratio were compared between groups.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>Nineteen patients (type B, n\u2009=\u20097; non-A non-B, n\u2009=\u200912) were included. The median age (51 [46, 67] vs 53 [50, 63] years; P\u2009=\u20090.71) and a complicated course (14% vs 33%; P\u2009=\u20090.6) did not differ between the type B group and the non-A non-B group. However, the median entry tear width was increased in the non-A non-B group (9.7 [7.3, 12.7] vs 16.3 [11.9, 24.9] mm; P\u2009=\u20090.010). Streamlines showed, in patients with non-A non-B AD, blood from the TL flowed into the FL via the entry tear. Prevalence of a FL\/TL wall pressure ratio &amp;gt;1.0 (type B versus non-A non-B) at early, mid- and late systole was 57% vs 83% (P\u2009=\u20090.31), 43% vs 83% (P\u2009=\u20090.13) and 57% vs 75% (P\u2009=\u20090.62), respectively. WSS did not differ between the groups.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS<\/jats:title>\n                  <jats:p>The increased FL\/TL wall pressure ratio observed during systole in non-A non-B AD may beget a complicated presentation.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/icvts\/ivac138","type":"journal-article","created":{"date-parts":[[2022,5,10]],"date-time":"2022-05-10T11:17:10Z","timestamp":1652181430000},"source":"Crossref","is-referenced-by-count":7,"title":["False lumen\/true lumen wall pressure ratio is increased in acute non-A non-B aortic dissection"],"prefix":"10.1093","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2618-6934","authenticated-orcid":false,"given":"Naoyuki","family":"Kimura","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery, Saitama Medical Center, Jichi Medical University , Saitama, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masanori","family":"Nakamura","sequence":"additional","affiliation":[{"name":"Department of Electrical and Mechanical Engineering, Nagoya Institute of Technology , Nagoya, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Reiya","family":"Takagi","sequence":"additional","affiliation":[{"name":"Department of Electrical and Mechanical Engineering, Nagoya Institute of Technology , Nagoya, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Makiko Naka","family":"Mieno","sequence":"additional","affiliation":[{"name":"Department of Medical Informatics, Center for Information, Jichi Medical University , Shimotsuke, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3776-2394","authenticated-orcid":false,"given":"Atsushi","family":"Yamaguchi","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Saitama Medical Center, Jichi Medical University , Saitama, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"Czerny","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, University Heart Centre Freiburg, University of Freiburg , Freiburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Friedhelm","family":"Beyersdorf","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, University Heart Centre Freiburg, University of Freiburg , Freiburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fabian Alexander","family":"Kari","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, University Heart Centre Freiburg, University of Freiburg , Freiburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bartosz","family":"Rylski","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, University Heart Centre Freiburg, University of Freiburg , Freiburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2022,5,13]]},"reference":[{"key":"2022082714273358200_ivac138-B1","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1093\/ejcts\/ezy313","article-title":"Editor's choice\u2014current options and recommendations for the treatment of thoracic aortic pathologies involving the aortic arch: an expert consensus document of the European Association for Cardio-Thoracic Surgery (EACTS) & the European Society for Vascular Surgery (ESVS)","volume":"55","author":"Czerny","year":"2019","journal-title":"Eur J Cardiothorac Surg"},{"key":"2022082714273358200_ivac138-B2","doi-asserted-by":"crossref","first-page":"653","DOI":"10.1093\/ejcts\/ezy337","article-title":"Non-A non-B aortic dissection: a systematic review and 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