Ascending Aortic Diameter after Dissection Does Not Reflect Size before Dissection

• Main Authors: Qais W. Saleh, Axel C.P. Diederichsen, Jes S. Lindholt
• Format: Article
• Language: English
• Published: Elsevier 2020-01-01
• Series: EJVES Vascular Forum
• Subjects: Acute disease; Aortic aneurysm; Computed tomography; Dissecting; Organ Size; Thoracic aneurysm
• Online Access: http://www.sciencedirect.com/science/article/pii/S2666688X2030068X

Introduction: Current guidelines for prophylactic resection of ascending aortic aneurysms are based on post-dissection aortic diameter. However, this may not reflect the diameter prior to dissection. Report: Pre- and post-dissection aortic diameters were compared in 34 patients with available computerised tomography scans. The median time interval between these scans was 536 days (interquartile range 354 – 1237). Discussion: There was a statistically significant difference in diameters from the sinotubular junction to the proximal abdominal aorta, the largest was in the ascending aorta with a mean of 7.6 mm (standard deviation 4.5). This suggests that the ascending aortic diameter is a poor predictor of dissection in most patients.