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Surgery Today
Published in: Surgery Today 9/2017

01-09-2017 | Original Article

Acute type a aortic dissection associated with a sporting activity

Authors: Ryo Itagaki, Naoyuki Kimura, Satoshi Itoh, Atsushi Yamaguchi, Hideo Adachi

Published in: Surgery Today | Issue 9/2017

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Abstract

Purpose

To investigate the clinical characteristics of acute type A aortic dissection (ATAAD) occurring during a sporting activity.

Methods

The subjects of this study were 615 patients who underwent surgery for ATAAD between 1990 and 2015. The patients were divided into two groups according to whether the ATAAD was associated with a sporting activity (sports group: n = 25, mean age 62.3 years; non-sports group: n = 590, mean age 63.7 years). Specific activity was assessed in the sports group, and the characteristics and outcomes were compared between the groups.

Results

The sports group accounted for 5% of the patients with daytime onset ATAAD (25/479). The most common sport was golf (n = 8), followed by swimming (n = 4), cycling (n = 4), and weight lifting (n = 3). The average diameter of the ascending aorta on preoperative computed tomography was 4.8 cm. The dissection characteristics of the sports group included DeBakey type I (n = 23, 92%) and malperfusion (n = 9, 36%), which were similar to those of the non-sports group. The 30-day mortality rates were 16% (4/25) for the sports group and 8% (49/590) for the non-sports group (P = 0.33).

Conclusions

The most common sport associated with ATAAD was golf, followed by swimming cycling, and weight lifting. The findings of this study reinforce that sports-related aortic dissection is not a unique clinical condition of young syndromic patients, but can occur in all age groups.
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Metadata
Title
Acute type a aortic dissection associated with a sporting activity
Authors
Ryo Itagaki
Naoyuki Kimura
Satoshi Itoh
Atsushi Yamaguchi
Hideo Adachi
Publication date
01-09-2017
Publisher
Springer Japan
Published in
Surgery Today / Issue 9/2017
Print ISSN: 0941-1291
Electronic ISSN: 1436-2813
DOI
https://doi.org/10.1007/s00595-017-1492-z

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