Descending Aorta Diameters as Predictor of Late Adverse Outcomes in Patients with Uncomplicated Type B Aortic Dissection: A Systematic Review and Meta-Analysis

Nugraha, Raka Aldy; Amshar, Mohamed; Batubara, Edwin Adhi Darmawan; Siddiq, Taofan; Indriani, Suci; Adiarto, Suko

doi:10.1016/j.avsg.2021.10.033

Cited by 3 publications

(5 citation statements)

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“…He was referred to the hospital and the cardiovascular thoracic surgeon requested for thoracoabdominal CTA to confirm the diagnosis. A thoracoabdominal CTA on a 128-slice scanner revealed AD of the entire aorta, starting from the descending aorta and extending into the left common iliac artery, confirming the diagnosis of Stanford type B AD and type III AD according to De Bakey Classification [ 5 , 6 ]. There is a rupture of the false lumen on the superior site of the descending aorta which causes left hematothorax with adjacent compressive atelectasis ( Fig.…”

Section: Casementioning

confidence: 81%

“…A thoracoabdominal CTA shows AD starting from the aortic root, left brachiocephalic artery until left subclavian artery until the left iliac externa, confirming the diagnosis of Stanford type A AD and type I AD according to De Bakey Classification ( Fig. 2 ) [ 5 , 6 ]. The patient died 3 days after open-heart surgery.…”

Section: Casementioning

confidence: 87%

“…Stanford AD type A involves the ascending aorta and type B dissection occurs distal to the subclavian artery. In the De Bakey classification, type I dissection begins in the ascending aorta and extends to the descending aorta, type II dissection involves only the ascending aorta, and type III dissection begins in the descending aorta distal to the left subclavian artery [ 5 , 6 ]. Concerning the time from the onset of the symptoms, AD are divided into acute (presentation within <2 weeks), subacute (from 1 week to 1 month), and chronic (more than 1 month) [ 10 , 13 ].…”

Section: Discussionmentioning

confidence: 99%

“…Thoracoabdominal CTA shows AD starting from arcus aorta, descending aorta until abdominal aorta confirming the diagnosis of Stanford type B AD and type III AD according to De Bakey Classification ( Fig. 3 ) [ 5 , 6 ].

Fig.…”

Section: Casementioning

confidence: 98%

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Aortic dissection in Indonesia male: 3 case report

Anggraini

Widyoningroem

2022

Annals of Medicine &Amp; Surgery

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Section: Casementioning

confidence: 81%

Section: Casementioning

confidence: 87%

Section: Discussionmentioning

confidence: 99%

Fig.…”

Section: Casementioning

confidence: 98%

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Aortic dissection in Indonesia male: 3 case report

Anggraini

Widyoningroem

2022

Annals of Medicine &Amp; Surgery

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“…Aortic coarctation is a serious condition that can result in mortality in the absence of timely treatment[ 1 ]. Although surgery is the primary treatment method for aortic coarctation, patients often experience anxiety and depression to varying degrees after surgery, which can interfere with postoperative recovery and increase postoperative complications, thereby worsening the prognosis[ 2 , 3 ]. Therefore, the timely and effective relief of patients’ negative emotions is extremely important for improving their prognosis.…”

Section: Introductionmentioning

confidence: 99%

Comparing pharmacotherapy and transcranial magnetic stimulation for the treatment of anxiety and depression after aortic dissection surgery

Su,

Liang

2024

World J Clin Cases

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BACKGROUND Aortic coarctation is a potentially fatal condition that is primarily treated surgically. Despite successful procedures, patients frequently experience postoperative anxiety and depression, which can hinder recovery and worsen outcomes. Pharmacological interventions, such as 5-hydroxytryptamine (5-HT) and norepinephrine reuptake inhibitors, are commonly prescribed; however, their efficacy alone or in combination with non-invasive brain stimulation techniques, such as repetitive transcranial magnetic stimulation (TMS), remains unclear. AIM To assess the effect of medications and TMS on post-aortic surgery anxiety and depression. METHODS We analyzed the outcomes of 151 patients with anxiety and depression who were hospitalized for aortic dissection between January 2020 and September 2022. Using the random number table method, 75 and 76 patients were allocated to the normal control and study groups, respectively. All the patients were treated using routine procedures. The control group was administered anti-anxiety and anti-depression drugs, whereas the study group was treated with TMS in addition to these medications. The patients in both groups showed improvement after two courses of treatment. The Hamilton Anxiety Scale (HAMA) and the Hamilton Depression Scale (HAMD) were used to assess anxiety and depression, respectively. The serum levels of brain-derived neurotrophic factor (BDNF) and 5-HT were determined using enzyme-linked immunosorbent assay. The Pittsburgh Sleep Quality Index (PSQI) was used to estimate sleep quality, and the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) was used to assess cognitive function. RESULTS The HAMD and HAMA scores reduced in 2 groups, with the study group achieving a lower level than control (P < 0.05). In the control group, 43 patients recovered, 17 showed improvement, and 15 were deemed invalid. In the study group, 52 recovered, 20 improved, and four were invalid. The efficacy rate in study group was 94.74% compared to 80.00% in control (P < 0.05). The BDNF and 5-HT levels increased in both groups, with higher levels observed in the experimental group (P < 0.05). Moreover, the PSQI scores decreased in 2 groups, but were lower in the intervention group than control (P < 0.05). The scores of the RBANS items increased, with the study group scoring higher than control (P < 0.05). CONCLUSION Combining anti-anxiety and anti-depressive drugs with repetitive TMS after aortic surgery may enhance mood and treatment outcomes, offering a promising clinical approach.

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Research Progress on the Influencing Factors of Pseudoluminal Thrombosis in Stanford Type B Aortic Dissection

海依娜尔¹

2023

ACM

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Descending Aorta Diameters as Predictor of Late Adverse Outcomes in Patients with Uncomplicated Type B Aortic Dissection: A Systematic Review and Meta-Analysis

Cited by 3 publications

References 33 publications

Aortic dissection in Indonesia male: 3 case report

Aortic dissection in Indonesia male: 3 case report

Comparing pharmacotherapy and transcranial magnetic stimulation for the treatment of anxiety and depression after aortic dissection surgery

Research Progress on the Influencing Factors of Pseudoluminal Thrombosis in Stanford Type B Aortic Dissection

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