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Open Access 01-12-2018 | Research article

Stanford type B aortic dissection is more frequently associated with coronary artery atherosclerosis than type A

Authors: Naoki Hashiyama, Motohiko Goda, Keiji Uchida, Yukihisa Isomatsu, Shinichi Suzuki, Makoto Mo, Takahiro Nishida, Munetaka Masuda

Published in: Journal of Cardiothoracic Surgery | Issue 1/2018

Abstract

Background

The relationship between aortic dissection and coronary artery disease is not clear. The purpose of this study was to clarify the difference in the rate of coronary artery atherosclerosis between Stanford type A and type B aortic dissection by reviewing our institutional database.

Methods

One hundred and forty-five patients (78 males, 67 females; mean age: 60 ± 12 years) admitted to our hospital with acute aortic dissection who underwent coronary angiography during hospitalization from 2000 through 2002 were enrolled in this study. The background characteristics, coronary risk factors, and coronary angiography findings (number of significant stenoses, stenoses according to Bogaty standards, extent index) of patients were compared between type A (Group A; n = 71) and type B dissection (Group B; N = 74).

Results

Significantly more patients had prior histories of complications from ischemic heart disease in Group B than in Group A (P = 0.04), with no significant differences in comparison to other risk factors observed except for hypertension. Significantly (p = 0.005) more stenoses were observed in Group B (1.54 ± 0.04) than in Group A (0.38 ± 0.1). A significantly higher (P < 0.05) index score indicating the severity of coronary atherosclerosis was observed in Group B (1.49 ± 0.09) than in Group A (0.72 ± 0.07).

Conclusions

Stanford type B acute aortic dissection was significantly more frequently associated with coronary artery atherosclerosis than type A.

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Title: Stanford type B aortic dissection is more frequently associated with coronary artery atherosclerosis than type A
Authors: Naoki Hashiyama
Motohiko Goda
Keiji Uchida
Yukihisa Isomatsu
Shinichi Suzuki
Makoto Mo
Takahiro Nishida
Munetaka Masuda
Publication date: 01-12-2018
Publisher: BioMed Central
Published in: Journal of Cardiothoracic Surgery / Issue 1/2018
Electronic ISSN: 1749-8090
DOI: https://doi.org/10.1186/s13019-018-0765-y

At a glance: The STEP trials

Springer Medicine

Stanford type B aortic dissection is more frequently associated with coronary artery atherosclerosis than type A

Abstract

Background

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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