{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T21:24:41Z","timestamp":1790717081432,"version":"4.1.0"},"reference-count":29,"publisher":"MDPI AG","issue":"10","license":[{"start":{"date-parts":[[2022,10,12]],"date-time":"2022-10-12T00:00:00Z","timestamp":1665532800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCDD"],"abstract":"<jats:p>Background: The aim of this study was to evaluate the aortic diameter and volume during the first year after a type A repair to predict the long-term prognosis of a residual aortic dissection (RAD). Methods: All patients treated in our center for an acute type A dissection with a RAD and follow-up &gt; 3 years were included. We defined two groups: group 1 with dissection-related events (defined as an aneurysmal evolution, distal reintervention, or aortic-related death) and group 2 without dissection-related events. The aortic diameters and volume analysis were evaluated on three postoperative CT scans: pre-discharge (T1), 3\u20136 months (T2) and 1 year (T3). Results: Between 2009 and 2016, 54 patients were included. Following a mean follow-up of 75.4 months (SD 31.5), the rate of dissection-related events was 62.9% (34\/54). The total aortic diameters of the descending thoracic aorta were greater in group 1 at T1, T2 and T3, with greater diameters in the FL (p &lt; 0.01). The aortic diameter evolution at 3 months was not predictive of long-term dissection-related events. The total thoracic aortic volume was significantly greater in group 1 at T1 (p &lt; 0.01), T2 (p &lt; 0.01), and T3 (p &lt; 0.01). At 3 months, the increase in the FL volume was significantly greater in group 1 (p &lt; 0.01) and was predictive for long-term dissection-related events. Conclusion: This study shows that an initial CT scan volume analysis coupled with another at 3 months is predictive for the long-term evolution in a RAD. Based on this finding, more aggressive treatment could be given at an earlier stage.<\/jats:p>","DOI":"10.3390\/jcdd9100349","type":"journal-article","created":{"date-parts":[[2022,10,12]],"date-time":"2022-10-12T05:31:18Z","timestamp":1665552678000},"page":"349","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Volume Analysis to Predict the Long-Term Evolution of Residual Aortic Dissection after Type A Repair"],"prefix":"10.3390","volume":"9","author":[{"given":"Marine","family":"Gaudry","sequence":"first","affiliation":[{"name":"Timone Aortic Center, Department of Vascular Surgery, APHM, Timone Hospital, 13005 Marseille, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carine","family":"Guivier-Curien","sequence":"additional","affiliation":[{"name":"CNRS, Centrale Marseille, IRPHE, Aix Marseille University, 13013 Marseille, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arnaud","family":"Blanchard","sequence":"additional","affiliation":[{"name":"Timone Aortic Center, Department of Vascular Surgery, APHM, Timone Hospital, 13005 Marseille, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aliz\u00e9e","family":"Porto","sequence":"additional","affiliation":[{"name":"Timone Aortic Center, Department of Vascular Surgery, APHM, Timone Hospital, 13005 Marseille, France"},{"name":"Department of Cardiac Surgery, APHM, Timone Hospital, 13005 Marseille, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laurence","family":"Bal","sequence":"additional","affiliation":[{"name":"Timone Aortic Center, Department of Vascular Surgery, APHM, Timone Hospital, 13005 Marseille, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Virgile","family":"Omnes","sequence":"additional","affiliation":[{"name":"Timone Aortic Center, Department of Vascular Surgery, APHM, Timone Hospital, 13005 Marseille, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariangela","family":"De Masi","sequence":"additional","affiliation":[{"name":"Timone Aortic Center, Department of Vascular Surgery, APHM, Timone Hospital, 13005 Marseille, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charlotte","family":"Lu","sequence":"additional","affiliation":[{"name":"Department of Radiology, APHM, Timone Hospital, 13005 Marseille, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexis","family":"Jacquier","sequence":"additional","affiliation":[{"name":"Department of Radiology, APHM, Timone Hospital, 13005 Marseille, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philippe","family":"Piquet","sequence":"additional","affiliation":[{"name":"Timone Aortic Center, Department of Vascular Surgery, APHM, Timone Hospital, 13005 Marseille, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valerie","family":"Deplano","sequence":"additional","affiliation":[{"name":"CNRS, Centrale Marseille, IRPHE, Aix Marseille University, 13013 Marseille, France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,10,12]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"897","DOI":"10.1001\/jama.283.7.897","article-title":"The International Registry of Acute Aortic Dissection (IRAD): New insights into an old disease","volume":"283","author":"Hagan","year":"2000","journal-title":"JAMA"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"407","DOI":"10.1161\/CIRCINTERVENTIONS.113.000463","article-title":"Endovascular repair of type B aortic dissection: Long-term results of the randomized investigation of stent grafts in aortic dissection trial","volume":"6","author":"Nienaber","year":"2013","journal-title":"Circ. 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Comput."}],"container-title":["Journal of Cardiovascular Development and Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2308-3425\/9\/10\/349\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T00:50:25Z","timestamp":1760143825000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2308-3425\/9\/10\/349"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,10,12]]},"references-count":29,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2022,10]]}},"alternative-id":["jcdd9100349"],"URL":"https:\/\/doi.org\/10.3390\/jcdd9100349","relation":{},"ISSN":["2308-3425"],"issn-type":[{"value":"2308-3425","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,10,12]]}}}