Effects of Early Anticoagulation on the Degree of Thrombosis After Repair of Acute DeBakey Type I Aortic Dissection Suk-Won Song, MD, PhD, Kyung-Jong.

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Effects of Early Anticoagulation on the Degree of Thrombosis After Repair of Acute DeBakey Type I Aortic Dissection Suk-Won Song, MD, PhD, Kyung-Jong Yoo, MD, PhD, Do-Kyun Kim, MD, Bum-Koo Cho, MD, PhD, Gijong Yi, MD, PhD, Byung-Chul Chang, MD, PhD The Annals of Thoracic Surgery Volume 92, Issue 4, Pages 1367-1375 (October 2011) DOI: 10.1016/j.athoracsur.2011.04.111 Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 The anticoagulation group had a higher proportion of complete patent false lumen and lower partial thrombosis than the non-anticoagulation group. The Annals of Thoracic Surgery 2011 92, 1367-1375DOI: (10.1016/j.athoracsur.2011.04.111) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Three examples of the aortic remodeling process, with or without anticoagulation therapy. Two patients with anticoagulation showed (A) a complete thrombosis of the residual false lumen or (B) did not show an aneurysmal dilatation. (C) Another patient without anticoagulation showed an aortic dilatation with an aortic growth rate of 10 mm/year. The Annals of Thoracic Surgery 2011 92, 1367-1375DOI: (10.1016/j.athoracsur.2011.04.111) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 (A) Overall survival is shown after surgical repair of acute DeBakey I aortic dissection (AIAD). (B) Cumulative survival rate is shown after surgical repair of AIAD according to the presence (AC, solid line) or absence (NAC, dashed line) of anticoagulation. The Annals of Thoracic Surgery 2011 92, 1367-1375DOI: (10.1016/j.athoracsur.2011.04.111) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 (A) Aorta-related repeat procedure-free survival rate after surgical repair of acute DeBakey type I aortic dissection. (B) Cumulative aorta-related repeat procedure rate after surgical repair of acute DeBakey type I aortic dissection according to the presence (solid line) or absence (dashed line) of anticoagulation therapy. (AC = anticoagulation; MAAE = major adverse aortic events; NAC = nonanticoagulation.) The Annals of Thoracic Surgery 2011 92, 1367-1375DOI: (10.1016/j.athoracsur.2011.04.111) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions