{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T04:45:29Z","timestamp":1785127529530,"version":"3.55.0"},"reference-count":20,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2024,11,25]],"date-time":"2024-11-25T00:00:00Z","timestamp":1732492800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,11,25]],"date-time":"2024-11-25T00:00:00Z","timestamp":1732492800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100005633","name":"Syd\u00e4ntutkimuss\u00e4\u00e4ti\u00f6","doi-asserted-by":"publisher","award":["220039"],"award-info":[{"award-number":["220039"]}],"id":[{"id":"10.13039\/501100005633","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100005432","name":"Pohjois-Savon Rahasto","doi-asserted-by":"publisher","award":["65221656"],"award-info":[{"award-number":["65221656"]}],"id":[{"id":"10.13039\/501100005432","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Scand J Surg"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background and Aims:<\/jats:title>\n                    <jats:p>To investigate whether, alongside aortic dilatation, ascending aortic (AA) elongation is associated with the increased risk for aortic dissection.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This retrospective study included patients treated for Stanford type A aortic dissection (n\u2009=\u2009102) in Kuopio University Hospital between 2009 and 2022, patients with AA dilatation (maximal diameter\u2009&gt;\u200940\u2009mm) (n\u2009=\u2009134), and healthy controls (n\u2009=\u2009191). AA length and dimensions were measured from aortic computed tomography angiography (CTA) images. AA length was defined as the distance between the aortic annulus and the origin of the brachiocephalic trunk.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>After adjusting the AA length to the patients\u2019 age, height, body surface area (BSA), sex, and maximal diameter, the dissected aortas were 14\u2009mm longer than in the healthy controls and 5\u2009mm longer than in the dilated non-dissected aortas (p\u2009&lt;\u20090.001). The dilated non-dissected aortas were 8\u2009mm longer than in the healthy controls (p\u2009&lt;\u20090.001). In the dissection cohort, 25\/102 (25%) patients had maximal AA diameter\u2009&lt;\u200955\u2009mm and 16\/102 (16%) patients had maximal AA diameter\u2009\u2a7e\u200955\u2009mm together with AA length\u2009&gt;\u2009110\u2009mm. By combining 110\u2009mm AA length and\u2009&lt;\u200955\u2009mm diameter, 58% of the dissection patients would have been identified instead of using solely AA diameter\u2009\u2a7e\u200955\u2009mm as a cut-off criterion, based on which only 33% patients met the indication for elective surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>AA length seemed to have an association with acute type A dissection, and therefore, it could be an additional tool in identifying patients who may benefit from preventive aortic surgery.<\/jats:p>\n                    <jats:p>\n                      <jats:inline-graphic xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"10.1177_14574969241294261-img2.png\"\/>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/14574969241294261","type":"journal-article","created":{"date-parts":[[2024,11,25]],"date-time":"2024-11-25T06:11:34Z","timestamp":1732515094000},"page":"56-64","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Association of the ascending aortic length with acute type A aortic dissection: A retrospective cohort study"],"prefix":"10.1177","volume":"114","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6984-2711","authenticated-orcid":false,"given":"Tarmo","family":"Korpela","sequence":"first","affiliation":[{"name":"Institute of Clinical Medicine Faculty of Health Sciences University of Eastern Finland Kuopio Finland"},{"name":"Department of Heart and Thoracic Surgery Kuopio University Hospital, Heart Center 70029 Kuopio Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elina","family":"Salomaa","sequence":"additional","affiliation":[{"name":"Institute of Clinical Medicine, Faculty of Health Sciences, University of Eastern Finland, Kuopio, Finland"},{"name":"Department of Heart and Thoracic Surgery, Kuopio University Hospital, Heart Center, Kuopio, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Petteri","family":"Kauhanen","sequence":"additional","affiliation":[{"name":"Department of Clinical Radiology, Kuopio University Hospital, Clinical Imaging Center, Kuopio, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tuomas","family":"Selander","sequence":"additional","affiliation":[{"name":"Science Service Center, Kuopio University Hospital, Kuopio, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marja","family":"Hedman","sequence":"additional","affiliation":[{"name":"Institute of Clinical Medicine, Faculty of Health Sciences, University of Eastern Finland, Kuopio, Finland"},{"name":"Department of Heart and Thoracic Surgery, Kuopio University Hospital, Heart Center, Kuopio, Finland"},{"name":"Department of Clinical Radiology, Kuopio University Hospital, Clinical Imaging Center, Kuopio, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annastiina","family":"Husso","sequence":"additional","affiliation":[{"name":"Department of Heart and Thoracic Surgery, Kuopio University Hospital, Heart Center, Kuopio, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,11,25]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.114.001513"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.106.630400"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.112.000483"},{"issue":"41","key":"e_1_3_3_5_2","first-page":"2873","article-title":"ESC guidelines on the diagnosis and treatment of aortic diseases","volume":"35","author":"Erbel R","year":"2014","unstructured":"Erbel R, Aboyans V, Boileau C, et al: 2014 ESC guidelines on the diagnosis and treatment of aortic diseases. Eur Heart J 2014;35(41):2873\u20132926.","journal-title":"Eur Heart J 2014"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.107.702720"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2014.05.050"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1136\/heartjnl-2017-312867"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/02841851211034053"},{"issue":"14","key":"e_1_3_3_10_2","article-title":"ACCF\/AHA\/AATS\/ACR\/ASA\/SCA\/SCAI\/SIR\/STS\/SVM guidelines for the diagnosis and management of patients with thoracic aortic disease","volume":"55","author":"Hiratzka LF","year":"2010","unstructured":"Hiratzka LF, Bakris GL, Beckman JA, et al: 2010 ACCF\/AHA\/AATS\/ACR\/ASA\/SCA\/SCAI\/SIR\/STS\/SVM guidelines for the diagnosis and management of patients with thoracic aortic disease. J Am Coll Cardiol 2010;55(14):e27\u2013e129.","journal-title":"J Am Coll Cardiol 2010"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcm.2016.02.012"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.120.020140"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1136\/heartjnl-2017-312866"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2014.06.021"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1098\/rsif.2012.1004"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcmg.2008.06.010"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1038\/jhh.2012.69"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(03)00922-7"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2019.07.078"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2013.12.028"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2020.03.084"}],"container-title":["Scandinavian Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/14574969241294261","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/14574969241294261","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/14574969241294261","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T04:59:48Z","timestamp":1777697988000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/14574969241294261"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11,25]]},"references-count":20,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,3]]}},"alternative-id":["10.1177\/14574969241294261"],"URL":"https:\/\/doi.org\/10.1177\/14574969241294261","relation":{},"ISSN":["1457-4969","1799-7267"],"issn-type":[{"value":"1457-4969","type":"print"},{"value":"1799-7267","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,11,25]]}}}