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CC BY 4.0 · Aorta (Stamford) 2013; 01(03): 182-189
DOI: 10.12945/j.aorta.2013.13-043
State-of-the-Art Review
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

A Perspective on Natural History and Survival in Nonoperated Thoracic Aortic Aneurysm Patients

Mohamad Bashir
1   The Institute of Cardiovascular Medicine and Science, Liverpool Heart and Chest Hospital, Liverpool, United Kingdom
,
Matthew Fok
1   The Institute of Cardiovascular Medicine and Science, Liverpool Heart and Chest Hospital, Liverpool, United Kingdom
,
Ibrahim Hammoud
1   The Institute of Cardiovascular Medicine and Science, Liverpool Heart and Chest Hospital, Liverpool, United Kingdom
,
Lara Rimmer
1   The Institute of Cardiovascular Medicine and Science, Liverpool Heart and Chest Hospital, Liverpool, United Kingdom
,
Matthew Shaw
2   Clinical Research and Development Unit, Liverpool Heart and Chest Hospital, Liverpool, United Kingdom
,
Mark Field
1   The Institute of Cardiovascular Medicine and Science, Liverpool Heart and Chest Hospital, Liverpool, United Kingdom
,
Debbie Harrington
1   The Institute of Cardiovascular Medicine and Science, Liverpool Heart and Chest Hospital, Liverpool, United Kingdom
,
Manoj Kuduvalli
1   The Institute of Cardiovascular Medicine and Science, Liverpool Heart and Chest Hospital, Liverpool, United Kingdom
,
Aung Oo
1   The Institute of Cardiovascular Medicine and Science, Liverpool Heart and Chest Hospital, Liverpool, United Kingdom
› Institutsangaben
Weitere Informationen

Publikationsverlauf

20. August 2013

22. August 2013

Publikationsdatum:
28. September 2018 (online)

   Lizenzen und Reprints

Abstract

There are many questions that remain unanswered in the understanding of the natural history of thoracic aortic aneurysm (TAA). This review will critically appraise the current published evidence on the natural history of TAA in nonoperated patients and their present rates of survival.

Key Words

Natural history - Aorta - Aortic aneurysm
 

  • REFERENCES

  • 1 Kuzmik GA, Sang AX, Elefteriades JA. Natural history of thoracic aortic aneurysms. J Vasc Surg 2012; 56: 565-571 . 10.1016/j.jvs.2012.04.053
    CrossrefPubMedGoogle Scholar
  • 2 Elefteriades JA, Farkas EA. Thoracic aortic aneurysm clinically pertinent controversies and uncertainties. J Am Coll Cardiol 2010; 55: 841-857 . 10.1016/j.jacc.2009.08.084
    CrossrefPubMedGoogle Scholar
  • 3 Crawford ES, DeNatale RW. Thoracoabdominal aortic aneurysm: observations regarding the natural course of the disease. J Vasc Surg 1986; 3: 578-582 . 10.1016/0741-5214(86)90281-8
    CrossrefPubMedGoogle Scholar
  • 4 Perko MJ, Nørgaard M, Herzog TM, Olsen PS, Schroeder TV, Pettersson G. Unoperated aortic aneurysm: a survey of 170 patients. Ann Thorac Surg 1995; 59: 1204-1209 . 10.1016/0003-4975(95)00132-5
    CrossrefPubMedGoogle Scholar
  • 5 Joyce JW, Fairbairn 2nd JF, Kincaid OW, Juergen JL. Aneurysms of the thoracic aorta: a clinical study with special reference to prognosis. Circulation 1964; 29: 176-181 . 10.1161/01.CIR.29.2.176
    CrossrefPubMedGoogle Scholar
  • 6 Coady MA, Rizzo JA, Hammond GL, Mandapati D, Darr U, Kopf GS. , et al. What is the appropriate size criterion for resection of thoracic aortic aneurysms?. J Thorac Cardiovasc Surg 1997; 113: 476-491 . 10.1016/S0022-5223(97)70360-X
    CrossrefPubMedGoogle Scholar
  • 7 Davies RR, Goldstein LJ, Coady MA, Tittle SL, Rizzo JA, Kopf GS. , et al. Yearly rupture or dissection rates for thoracic aortic aneurysms: simple prediction based on size. Ann Thorac Surg 2002; 73: 17-28 . 10.1016/S0003-4975(01)03236-2
    CrossrefPubMedGoogle Scholar
  • 8 Hiratzka LF, Bakris GL, Beckman JA, Bersin RM, Carr VF, Casey DE. , et al. ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/SVM Guidelines for the diagnosis and management of patients with thoracic aortic disease. A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol 2010; 55: e27-e129 . 10.1161/CIR.0b013e3181d47d48
    CrossrefPubMedGoogle Scholar
  • 9 Kunz R. Aneurysms in 35,380 autopsies. Schweiz Med Wochenschr 1980; 110: 142-148
    PubMedGoogle Scholar
  • 10 Bonser RS, Pagano D, Lewis ME, Rooney SJ, Guest P, Davies P. , et al. Clinical and patho-anatomical factors affecting expansion of thoracic aortic aneurysms. Heart 2000; 84: 277-283 . 10.1136/heart.84.3.277
    CrossrefPubMedGoogle Scholar
  • 11 Agarwal PP, Chughtai A, Matzinger FR, Kazerooni EA. Multidetector CT of thoracic aortic aneurysms. Radiographics 2009; 29: 537-552 . 10.1148/rg.292075080
    CrossrefPubMedGoogle Scholar
  • 12 Gott VL, Greene PS, Alejo DE, Cameron DE, Naftel DC, Miller DC. , et al. Replacement of the aortic root in patients with Marfan's syndrome. N Engl J Med 1999; 340: 1307-1313 . 10.1056/NEJM199904293401702
    CrossrefPubMedGoogle Scholar
  • 13 Coady MA, Davies RR, Roberts M, Goldstein LJ, Rogalski MJ, Rizzo JA. , et al. Familial patterns of thoracic aortic aneurysms. Arch Surg 1999; 134: 361-367 . 10.1001/archsurg.134.4.361
    PubMedGoogle Scholar
  • 14 Davies RR, Gallo A, Coady MA, Tellides G, Botta DM, Burke B. , et al. Novel measurement of relative aortic size predicts rupture of thoracic aortic aneurysms. Ann Thorac Surg 2006; 81: 169-177 . 10.1016/j.athoracsur.2005.06.026
    CrossrefPubMedGoogle Scholar
  • 15 Elefteriades JA. Natural history of thoracic aortic aneurysms: indications for surgery, and surgical versus nonsurgical risks. Ann Thorac Surg 2002; 74: S1877-S1880 . 10.1016/S0003-4975(02)04147-4
    CrossrefPubMedGoogle Scholar
  • 16 Haskett D, Johnson G, Zhou A, Utzinger U, Vande Geest J. Microstructural and biomechanical alterations of the human aorta as a function of age and location. Biomech Model Mechanobiol 2010; 9: 725-736 . 10.1007/s10237-010-0209-7
    CrossrefPubMedGoogle Scholar
  • 17 Koullias G, Modak R, Tranquilli M, Korkolis DP, Barash P, Elefteriades JA. Mechanical deterioration underlies malignant behavior of aneurysmal human ascending aorta. J Thorac Cardiovasc Surg 2005; 130: 677-683 . 10.1016/j.jtcvs.2005.02.052
    CrossrefPubMedGoogle Scholar
  • 18 Clouse WD, Hallett JW, Schaff HV, Gayari MM, Ilstrup DM, Melton 3rd LJ. Improved prognosis of thoracic aortic aneurysms. JAMA 1998; 280: 1926-1929 . 10.1001/jama.280.22.1926
    CrossrefPubMedGoogle Scholar
  • 19 Hagan PG. The International Registry of Acute Aortic Dissection (IRAD): new insights into an old disease. JAMA 2000; 283: 897-903 . 10.1001/jama.283.7.897
    CrossrefPubMedGoogle Scholar
  • 20 Tsai TT, Isselbacher EM, Trimarchi S, Bossone E, Pape L, Januzzi JL. , et al. Acute type B aortic dissection: does aortic arch involvement affect management and outcomes? Insights from the International Registry of Acute Aortic Dissection (IRAD). Circulation 2007; 116 (11 Suppl) I150-I156 . 10.1161/CIRCULATIONAHA.106.681510
    PubMedGoogle Scholar
  • 21 Trimarchi S, Nienaber CA, Rampoldi V, Myrmel T, Suzuki T, Bossone E. , et al. Role and results of surgery in acute type B aortic dissection: insights from the International Registry of Acute Aortic Dissection (IRAD). Circulation 2006; 114: I357-I364 . 10.1161/CIRCULATIONAHA.105.000620
    PubMedGoogle Scholar
  • 22 Chiappini B, Schepens M, Tan E, Dell' Amore A, Morshuis W, Dossche K. , et al. Early and late outcomes of acute type A aortic dissection: analysis of risk factors in 487 consecutive patients. Eur Heart J 2005; 26: 180-186 . 10.1093/eurheartj/ehi024
    CrossrefPubMedGoogle Scholar
  • 23 Januzzi JL, Isselbacher EM, Fattori R, Cooper JV, Smith DE, Fang J. , et al. Characterizing the young patient with aortic dissection: results from the International Registry of Aortic Dissection (IRAD). J Am Coll Cardiol 2004; 43: 665-669 . 10.1016/j.jacc.2003.08.054
    CrossrefPubMedGoogle Scholar
  • 24 Trimarchi S, Jonker FHW, Hutchison S, Isselbacher EM, Pape LA, Patel HJ. , et al. Descending aortic diameter of 5.5 cm or greater is not an accurate predictor of acute type B aortic dissection. J Thorac Cardiovasc Surg 2001; 142: e101-e107 . 10.1016/j.jtcvs.2010
    PubMedGoogle Scholar
  • 25 Elefteriades JA, Lovoulos CJ, Coady MA, Tellides G, Kopf GS, Rizzo JA. Management of descending aortic dissection. Ann Thorac Surg 1999; 67: 2002-2005 . 10.1016/S0003-4975(99)00428-2
    CrossrefPubMedGoogle Scholar
  • 26 Rizzo JA, Coady MA, Elefteriades JA. Procedures for estimating growth rates in thoracic aortic aneurysms. J Clin Epidemiol 1998; 51: 747-754 . 10.1016/S0895-4356(98)00050-X
    CrossrefPubMedGoogle Scholar
  • 27 Hirose Y, Hamada S, Takamiya M, Imakita S, Naito H, Nishimura T. Aortic aneurysms: growth rates measured with CT. Radiology 1992; 185: 249-252
    CrossrefPubMedGoogle Scholar
  • 28 Shimada I, Rooney SJ, Pagano D, Farneti PA, Davies P, Guest PJ. , et al. Prediction of thoracic aortic aneurysm expansion: validation of formulae describing growth. Ann Thorac Surg 1999; 67: 1968-1970 . 10.1016/S0003-4975(99)00435-X
    CrossrefPubMedGoogle Scholar
  • 29 Gallo A, Davies RR, Coe MP, Elefteriades JA, Coady MA. Indications, timing, and prognosis of operative repair of aortic dissections. Semin Thorac Cardiovasc Surg 2005; 17: 224-235 . 10.1053/j.semtcvs.2005.06.004
    CrossrefPubMedGoogle Scholar
  • 30 Shores J, Berger KR, Murphy EA, Pyeritz RE. Progression of aortic dilation and the benefit of long term beta-adrenergic blockade in Marfan's syndrome. N Engl J Med 1994; 330: 1335-1341 . 10.1056/NEJM199405123301902
    CrossrefPubMedGoogle Scholar
  • 31 Brooke BS, Habashi JP, Judge DP, Patel N, Loeys B, Dietz 3rd HC. Angiotensin II blockade and aortic-root dilation in Marfan's syndrome. N Engl J Med 2008; 358: 2787-2795 . 10.1056/NEJMoa0706585
    CrossrefPubMedGoogle Scholar
  • 32 Jovin IS, Duggal M, Ebisu K, Paek H, Oprea AD, Tranquilli M. , et al. Comparison of the effect on long-term outcomes in patients with thoracic aortic aneurysms of taking versus not taking a statin drug. Am J Cardiol 2012; 109: 1050-1054 . 10.1016/j.amjcard.2011.11.038
    CrossrefPubMedGoogle Scholar
  • 33 Gersony DR, McClaughlin MA, Jin Z, Gersony WM. The effect of beta-blocker therapy on clinical outcome in patients with Marfan's syndrome: a meta-analysis. Int J Cardiol 2007; 114: 303-308 . 10.1016/j.ijcard.2005.11.116
    CrossrefPubMedGoogle Scholar
  • 34 Genoni M, Paul M, Jenni R, Graves K, Seifert B, Turina M. Chronic beta-blocker therapy improves outcome and reduces treatment costs in chronic type B aortic dissection. Eur J Cardiothorac Surg 2001; 19: 606-610 . 10.1016/S1010-7940(01)00662-5
    CrossrefPubMedGoogle Scholar