{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,4,4]],"date-time":"2022-04-04T12:38:11Z","timestamp":1649075891458},"reference-count":0,"publisher":"Georg Thieme Verlag KG","issue":"03","license":[{"start":{"date-parts":[[2018,9,24]],"date-time":"2018-09-24T00:00:00Z","timestamp":1537747200000},"content-version":"vor","delay-in-days":480,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Aorta"],"published-print":{"date-parts":[[2017,6]]},"abstract":"<jats:p>\n            \n              Background:\n             Preoperative coronary angiography is often not performed in acute Type A dissection. We examined differences in the incidence of pre-existing coronary disease and subsequent coronary events between patients undergoing acute Type A dissection repair and patients undergoing elective proximal aortic aneurysm repair.<\/jats:p><jats:p>\n            \n              Methods:\n             From 2000 to 2015, there were 154 acute Type A dissection repairs and 457 elective proximal aortic aneurysm repairs. We performed a retrospective review to evaluate preoperative coronary disease and postoperative coronary interventions such as percutaneous coronary intervention (PCI) and coronary bypass grafting (CABG).<\/jats:p><jats:p>\n            \n              Results:\n             A total of 31 (20%) dissection patients and 123 (27%) elective surgery patients had preoperative evidence of coronary artery disease (p = 0.094). All elective surgery patients but only six (4%) dissection patients had preoperative coronary catheterization. More CABGs were performed in the elective surgery group (19%) than in the dissection group (3%, p &lt; 0.001). There were no differences in the incidence of prior PCI, CABG, or myocardial infarction between groups. Following dissection repair, four patients required coronary interventions. Of these, two (1.3%) experienced chest pain and underwent PCI at 4.7 and 4.3 months postoperatively, respectively, and another two experienced symptoms and required PCI at 5 and 7 years, respectively. The 30-day and 14-year mortality rates after dissection repair were 13% and 24%, respectively. Although the dissection group had poorer survival than the elective surgery group (p &lt; 0.001), there was no difference in conditional survival after aortic-related deaths over the first year were censored (p = 0.104).<\/jats:p><jats:p>\n            \n              Conclusions:\n             Given the low incidence of missed significant coronary disease (1.3%), it is reasonable to perform Type A dissection repair without coronary angiography.<\/jats:p>","DOI":"10.12945\/j.aorta.2017.16.058","type":"journal-article","created":{"date-parts":[[2019,2,14]],"date-time":"2019-02-14T12:41:09Z","timestamp":1550148069000},"page":"71-79","source":"Crossref","is-referenced-by-count":0,"title":["Coronary Events in Patients Presenting for Repair of Acute Type A Aortic Dissection"],"prefix":"10.1055","volume":"05","author":[{"given":"Paul","family":"Tang","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Cardiothoracic Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shahab","family":"Akhter","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Cardiothoracic Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Satoru","family":"Osaki","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Cardiothoracic Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lucian","family":"Lozonschi","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Cardiothoracic Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takushi","family":"Kohmoto","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Cardiothoracic Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nilto","family":"De Oliveira","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Cardiothoracic Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2018,9,24]]},"container-title":["AORTA"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.12945\/j.aorta.2017.16.058.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,5,6]],"date-time":"2019-05-06T20:56:26Z","timestamp":1557176186000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.12945\/j.aorta.2017.16.058"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,6]]},"references-count":0,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2018,9,24]]},"published-print":{"date-parts":[[2017,6]]}},"URL":"https:\/\/doi.org\/10.12945\/j.aorta.2017.16.058","relation":{},"ISSN":["2325-4637"],"issn-type":[{"value":"2325-4637","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,6]]}}}