A case report of Takayasu arteritis with aortic dissection as initial presentation

Guo, JiGuang; Guo-wu, Zhang; Tang, Dan

doi:10.1097/md.0000000000008610

Cited by 8 publications

(7 citation statements)

References 12 publications

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“…Acute type B was defined as that involving the descending aorta (without any tear in or involvement of the ascending aorta) appearing within 14 days of the onset of symptoms. [ 7 8 9 ] Patients were divided into two groups according to sex.…”

Section: Ethodsmentioning

confidence: 99%

Correlation between Sex and Prognosis of Acute Aortic Dissection in the Chinese Population

Liu

Wang

et al. 2018

Chinese Medical Journal

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Background:The prevalence, presentation, management, and prognosis of coronary heart disease differ according to sex. Greater understanding on the differences between men and women with acute aortic dissection (AAD) is needed. We aimed to investigate whether sex disparities are found in patients with AAD, and to study sex differences in complications, mortality in-hospital, and long-term.Methods:We included 884 patients enrolled in our institute between June 2002 and May 2016. Considering psychosocial factors, treatments, and the outcomes in men versus those in women with AAD, we explored the association of sex with psychosocial characteristics and mortality risk. For categorical variables, significant differences between groups were assessed with the Chi-square test or Fisher's exact test, and continuous parameters were assessed with Student's t-test. Univariate and stratified survival statistics were computed using Kaplan-Meier analysis.Results:A total of 884 patients (76.1% male, mean age 51.4 ± 11.8 years) were included in this study. There were fewer current smokers in female compared with male (17.5% vs. 67.2%, χ2 = 160.06, P < 0.05). The percentage of men who reported regular alcohol consumption was significantly higher than that in women (40.6% vs. 3.8%, χ2 = 100.18, P < 0.05). About 6.2% (55 of 884) of patients with AAD died before vascular or endovascular surgery was performed, 34.4% (304 of 884) of patients underwent surgical procedures, and 52.7% (466 of 884) and 12.8% (113 of 884) of patients received endovascular treatment and medication. Postoperative mortality similar (6.0% vs. 5.6%, respectively, χ2 = 0.03, P = 0.91) between men and women. Follow-up was completed in 653 of 829 patients (78.8%). Adjustment for age, history of coronary disease, hypertension, smoking and drinking, Type A and use of beta-blocker, angiotensin II receptor blockers, angiotensin converting enzyme (ACE) inhibitor, calcium-channel blockers and statins by multivariate logistic regression analysis suggested that age (odds ratios [ORs], 1.04; 95% confidence interval [CI], 1.01–1.07; P < 0.05), using of calcium-channel blockers (OR, 0.37; 95% CI, 0.18–0.74; P < 0.05), at discharge were independent predictors of late mortality, ACE inhibitors (OR, 1.91; 95% CI, 1.03–3.54; P = 0.04) was independent risk factor of late mortality.Conclusions:In Chinese with AAD, sex is not independently associated with long-term clinical outcomes. Age, the intake of calcium-channel blockers at discharge might help to improve long-term outcomes.

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Section: Ethodsmentioning

confidence: 99%

Correlation between Sex and Prognosis of Acute Aortic Dissection in the Chinese Population

Liu

Wang

et al. 2018

Chinese Medical Journal

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“…The clinical manifestations of the disease are divided into early and late phases. The early or pre-pulse less phase is often characterized by non-specific signs and general symptoms of systemic inflammation (fever, weight loss, night sweats, weakness, myalgia, arthralgia), whereas the late or pulse less phase (consequences of vascular inflammation or fibrosis) may be associated with symptoms of ischemia of limb, renovascular hypertension, pulmonary hypertension, pulmonary embolism, myocardial ischemia and neurological symptoms [3][4][5][6].…”

Section: Discussionmentioning

confidence: 99%

“…Obstructive lesions need to be managed by revascularization techniques such as angioplasty and surgery [3,6,9,10].…”

Section: Discussionmentioning

confidence: 99%

Untitled

2020

OHNS

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“…The main risk factor for AD is high blood pressure, which causes high-pressure blood flow in the aortic lumen to be injected into the media to form a hematoma and extend the hematoma in the arterial wall . In recent years, the incidence of AD has increased from one in 100,000 per year to 10 in 100,000 per year (Guo et al, 2017a). Aortic dissection (AD) is very dangerous, if it is not diagnosed and treated on time.…”

Section: Introductionmentioning

confidence: 99%

Comparison of CT and MRI in imaging diagnosis of aortic dissection

et al. 2022

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Aortic dissection(AD) is a life-threatening disease due to a tear in the intimal layer of the aorta within the aortic wall. To compare diagnostic value and imaging of AD between computed tomography(CT) and magnetic resonance imaging (MRI). 120 AD patients diagnosed were examined with 64-slice CT and 1.5 MRI, the imaging data of true and false lumen, intimal flap, intimal tear, mural thrombus and aortic calcification were compared. The intimal flap rate of CT and MRI was 81.7% and 100%, respectively; The intimal tear rate of CT and MRI was 68.3% and 83.3%, respectively; The rate of mural thrombus in CT and MRI was 26.7% and 54.2%, respectively; The rate of aortic calcification in CT and MRI was 62.5% and 18.3%, respectively; The number of patients with intimal tear lower than 1mm in CT and MRI was 5 and 0, respectively. Both CT and MRI can show the true and false lumen well, but the detection rate of intimal flap, intimal tear and mural thrombosis in MRI is significantly higher than that in CT, and the detection rate of aortic calcification and intimal tear<1mm in CT is higher than that in MRI.

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A case report of Takayasu arteritis with aortic dissection as initial presentation

Cited by 8 publications

References 12 publications

Correlation between Sex and Prognosis of Acute Aortic Dissection in the Chinese Population

Correlation between Sex and Prognosis of Acute Aortic Dissection in the Chinese Population

Untitled

Comparison of CT and MRI in imaging diagnosis of aortic dissection

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