Jove
Visualize
Contact Us

Related Concept Videos

Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
Aneurysm II: Clinical Manifestations and Diagnostic Studies01:21

Aneurysm II: Clinical Manifestations and Diagnostic Studies

Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
Aneurysm I: Introduction01:30

Aneurysm I: Introduction

An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies
  1. Home
  3. Impact Of New Development Of Ulcer-like Projection On Clinical Outcomes In Patients With Type B Aortic Dissection With Closed And Thrombosed False Lumen.
  1. Home
  3. Impact Of New Development Of Ulcer-like Projection On Clinical Outcomes In Patients With Type B Aortic Dissection With Closed And Thrombosed False Lumen.

Related Experiment Video

Novel and Innovative Hybrid Technique for Type A Aortic Dissection
06:26

Novel and Innovative Hybrid Technique for Type A Aortic Dissection

Published on: March 28, 2025

Impact of new development of ulcer-like projection on clinical outcomes in patients with type B aortic dissection

Takeshi Kitai1, Shuichiro Kaji, Atsushi Yamamuro

  • 1Department of Cardiovascular Medicine, Kobe City Medical Center General Hospital, Chuo-ku, Kobe, Japan.

Circulation
|September 15, 2010

View abstract on PubMed

Summary
This summary is machine-generated.

Related Experiment Videos

Novel and Innovative Hybrid Technique for Type A Aortic Dissection
06:26

Novel and Innovative Hybrid Technique for Type A Aortic Dissection

Published on: March 28, 2025

Newly developing ulcer-like projections (ULP) in patients with type B aortic dissection and closed, thrombosed false lumen are linked to poorer survival and increased adverse events. Careful monitoring is recommended for these patients.

Area of Science:

  • Cardiovascular Medicine
  • Radiology
  • Vascular Surgery

Background:

  • Aortic dissection with closed and thrombosed false lumen (AD with CTFL) is also known as aortic intramural hematoma.
  • Ulcer-like projections (ULP) are a newly identified feature in AD with CTFL.

Purpose of the Study:

  • To investigate the clinical significance of newly developed ulcer-like projections (ULP) in patients diagnosed with type B aortic dissection with closed and thrombosed false lumen (AD with CTFL).

Main Methods:

  • Retrospective analysis of 170 patients with acute type B AD with CTFL treated medically between 1986 and 2008.
  • Assessment of ULP development within 30 days of onset.
  • Correlation of ULP presence and location with survival rates and aorta-related adverse events.

Main Results:

  • 36% of patients developed new ULPs within 30 days.
  • ULP development was significantly associated with poorer survival rates (P=0.037) and increased adverse aorta-related events (P<0.001).
  • ULP in the proximal descending aorta (PD) showed higher event rates (P<0.001); initial aortic diameter and ULP in PD were strong predictors of adverse events.

Conclusions:

  • Initial aortic diameter and ULP development in the proximal descending aorta are significant predictors of adverse outcomes in type B AD with CTFL.
  • Patients with newly developed ULPs require closer surveillance imaging due to increased risk.