Harky Amer, Bashir Mohamad, Antoniou Athanasios, Francis Niroshan, Alhamdan Loay, Uppal Rakesh
Department of Cardiac Surgery, Barts Heart Centre, St Bartholomew's Hospital, West Smithfield, London, EC1A 7BE UK.
Cardiothoracic Surgery, Northwest Deanery, Merseyside, Liverpool, UK.
Indian J Thorac Cardiovasc Surg. 2019 Jun;35(Suppl 2):72-78. doi: 10.1007/s12055-018-0687-2. Epub 2018 Jul 9.
Thoracic aortic aneurysm is a complex disease. The consequences of such silent and indolent disease include acute aortic syndrome if not recognized early and treated appropriately. Aortic aneurysm size was a reliable clinical marker to aid clinical intervention; however, aneurysm growth is variable and is influenced by many factors such as age, presence of connective tissue disorders, genetic disorders, hypertension, inflammatory conditions of the aorta, autoimmune diseases, smoking, and history of previous cardiac surgery. Therefore, aortic size became a non-specific disease surrogate and prediction tool on outcome and intervention. In this review article, we examined the current literature for evidence about aneurysm size and its relation to type A aortic dissection.
胸主动脉瘤是一种复杂的疾病。这种隐匿性和惰性疾病如果不及早识别并进行适当治疗，其后果包括急性主动脉综合征。主动脉瘤大小是有助于临床干预的可靠临床指标；然而，动脉瘤的生长是可变的，并且受许多因素影响，如年龄、结缔组织疾病的存在、遗传疾病、高血压、主动脉的炎症状态、自身免疫性疾病、吸烟以及既往心脏手术史。因此，主动脉大小成为了一种非特异性的疾病替代指标以及关于预后和干预的预测工具。在这篇综述文章中，我们查阅了当前的文献，以寻找有关动脉瘤大小及其与A型主动脉夹层关系的证据。
