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Ayman Saeyeldin, MD, Mohammad A

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1 Decision-making algorithm for ascending aortic aneurysm: Effectiveness in clinical application? 
Ayman Saeyeldin, MD, Mohammad A. Zafar, MBBS, Yupeng Li, PhD, Maryam Tanweer, MD, Mohamed Abdelbaky, MD, Anton Gryaznov, MD, PhD, Adam J. Brownstein, MD, Camilo A. Velasquez, MD, Joelle Buntin, MSN, RN, RN-BC, Kabir Thombre, BA, Wei- Guo Ma, MD, PhD, Young Erben, MD, John A. Rizzo, PhD, Bulat A. Ziganshin, MD, PhD, John A. Elefteriades, MD, PhD (hon)  The Journal of Thoracic and Cardiovascular Surgery  Volume 157, Issue 5, Pages (May 2019) DOI: /j.jtcvs Copyright © 2018 The American Association for Thoracic Surgery Terms and Conditions

2 Figure 1 Flowchart for study patient triage and outcomes. TAA, Thoracic aortic aneurysm. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © 2018 The American Association for Thoracic Surgery Terms and Conditions

3 Figure 2 Distribution of maximal aortic diameters.
The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © 2018 The American Association for Thoracic Surgery Terms and Conditions

4 Figure 3 Kaplan–Meier curve for adverse events in surgical and medical groups. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © 2018 The American Association for Thoracic Surgery Terms and Conditions

5 Figure 4 Cumulative risk of adverse events: definite (A), possible (B) “stratified by maximum aortic diameter,” and all events (C). Confidence intervals are depicted by the shaded areas. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © 2018 The American Association for Thoracic Surgery Terms and Conditions

6 Figure 5 Estimated probability of rupture or dissection of the ascending aorta by aneurysm size, based on previous data from our group. Reprinted with permission from Zafar et al.8 The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © 2018 The American Association for Thoracic Surgery Terms and Conditions

7 Figure 6 A simplified depiction of the key triage and outcomes in this study. Dx, Diagnosis; Hx, history. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © 2018 The American Association for Thoracic Surgery Terms and Conditions

8 Schematic of the decision-making algorithm and main outcomes for each group of patients.
The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © 2018 The American Association for Thoracic Surgery Terms and Conditions

9 Video 1 Summary of the key points of the study and important clinical implications. Video available at: The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © 2018 The American Association for Thoracic Surgery Terms and Conditions

10 The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © 2018 The American Association for Thoracic Surgery Terms and Conditions


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