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Michael A. Coady, MD, John A. Rizzo, PhD, Graeme L

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Presentation on theme: "Michael A. Coady, MD, John A. Rizzo, PhD, Graeme L"— Presentation transcript:

1 What is the appropriate size criterion for resection of thoracic aortic aneurysms? 
Michael A. Coady, MD, John A. Rizzo, PhD, Graeme L. Hammond, MD, Divakar Mandapati, MD, Umer Darr, MD, Gary S. Kopf, MD, John A. Elefteriades, MD  The Journal of Thoracic and Cardiovascular Surgery  Volume 113, Issue 3, Pages (March 1997) DOI: /S (97)70360-X Copyright © 1997 Mosby, Inc. Terms and Conditions

2 Fig. 1 Distribution of patients with thoracic aortic aneurysms by initial aneurysm size. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /S (97)70360-X) Copyright © 1997 Mosby, Inc. Terms and Conditions

3 Fig. 2 Absolute change in growth as a function of initial size of aneurysm. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /S (97)70360-X) Copyright © 1997 Mosby, Inc. Terms and Conditions

4 Fig. 3 Incidence of acute dissection or rupture as a function of initial aneurysm size. The entire column indicates the total number of patients with thoracic aortic aneurysms in each size range. The black area indicates the number of patients who incurred an acute dissection or rupture of the aneurysm. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /S (97)70360-X) Copyright © 1997 Mosby, Inc. Terms and Conditions

5 Fig. 4 Incidence of acute dissection as a function of initial aneurysm size. The entire column indicates the total number of patients with thoracic aortic aneurysms in each size range. The black area indicates the number of patients who incurred an acute dissection of the aneurysm. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /S (97)70360-X) Copyright © 1997 Mosby, Inc. Terms and Conditions

6 Fig. 5 Incidence of rupture as a function of initial aneurysm size. The entire column indicates the total number of patients with thoracic aortic aneurysms in each size range. The black area indicates the number of patients who incurred a rupture of the aneurysm. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /S (97)70360-X) Copyright © 1997 Mosby, Inc. Terms and Conditions

7 Fig. 6 Estimated effect of ascending aortic aneurysm size on risk of complication. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /S (97)70360-X) Copyright © 1997 Mosby, Inc. Terms and Conditions

8 Fig. 7 Estimated effect of descending aortic aneurysm size on the risk of complication. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /S (97)70360-X) Copyright © 1997 Mosby, Inc. Terms and Conditions

9 Fig. 8 Kaplan-Meier cumulative survival. Five-year survival estimates are illustrated for patients with thoracic aortic aneurysms (TAA) versus the general age- and sex-matched population. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /S (97)70360-X) Copyright © 1997 Mosby, Inc. Terms and Conditions

10 Fig. 9 Kaplan-Meier cumulative survival. Five-year survival estimates are illustrated for patients with dissected and nondissected thoracic aortic aneurysms compared with all patients with thoracic aortic aneurysms. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /S (97)70360-X) Copyright © 1997 Mosby, Inc. Terms and Conditions

11 Fig. 10 Kaplan-Meier cumulative survival. Five-year survival estimates are illustrated for patients with ascending aneurysms and descending aneurysms compared with all patients with thoracic aortic aneurysms. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /S (97)70360-X) Copyright © 1997 Mosby, Inc. Terms and Conditions

12 Fig. 11 Kaplan-Meier cumulative survival. Five-year survival estimates are illustrated for patients with thoracic aortic aneurysms managed medically and for those managed surgically. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /S (97)70360-X) Copyright © 1997 Mosby, Inc. Terms and Conditions

13 Fig. 12 Kaplan-Meier cumulative survival. Five-year survival estimates are illustrated for initial aneurysm sizes ranging from less than 4 cm to more than 6 cm. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /S (97)70360-X) Copyright © 1997 Mosby, Inc. Terms and Conditions

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