AustralieFrV1, Main, Exploration, bibRecord, 008E91

Acute angulation of the aortic arch predisposes a patient to ascending aortic dilatation and aortic regurgitation late after the arterial switch operation for transposition of the great arteries

Identifieur interne : 008E91 ( Main/Exploration ); précédent : 008E90; suivant : 008E92

Acute angulation of the aortic arch predisposes a patient to ascending aortic dilatation and aortic regurgitation late after the arterial switch operation for transposition of the great arteries

Auteurs : Gabriella Agnoletti [France] ; Phalla Ou [France] ; David S. Celermajer [Australie] ; Younes Boudjemline [France] ; Davide Marini [France] ; Damien Bonnet [France] ; Yacine Aggoun [Suisse]

Source :

Journal of thoracic and cardiovascular surgery [ 0022-5223 ] ; 2008.

RBID : Pascal:08-0305574

Descripteurs français

Pascal (Inist)
- Insuffisance aortique, Transposition des gros vaisseaux, Aigu, Arc aortique, Homme, Malade, Dilatation, Tardif, Chirurgie, Intervention, Anesthésie, Appareil circulatoire, Cardiologie, Valvule aortique, Traitement.
Wicri :
- topic : Homme, Chirurgie.

English descriptors

KwdEn :
- Acute, Anesthesia, Aortic arch, Aortic regurgitation, Aortic valve, Cardiology, Circulatory system, Dilatation, Human, Late, Operation, Patient, Surgery, Transposition of the great vessels, Treatment.

Abstract

Objective: We assessed the contribution of acute aortic arch angulation and enhanced systolic pulse wave reflection to dilatation of the ascending aorta and aortic regurgitation late after the arterial switch operation for transposition of the great arteries. Methods: We performed aortography, radial artery applanation tonometry, and transthoracic echocardiography in 47 children (aged 5-6 years) who underwent the arterial switch operation and in 20 matched healthy controls. The aortic arch angle, ratio of ascending/descending aortic diameter, degree of aortic regurgitation, central pulse pressure, aortic augmentation pressure, and augmentation index were measured. Results: The aortic arch angle was more acute (55 ± 6.5 degrees vs 68 ± 5 degrees, respectively, P <.001) and the ratio of the ascending/descending aorta diameter was significantly greater (1.98 ± 0.4 vs 1.55 ± 0.06, respectively, P <.001) in the patients who underwent the arterial switch operation compared with controls. Augmentation pressure and augmentation index were higher in the patients who underwent the arterial switch operation than in controls (7.5 ± 4.6 vs 3.4 ± 5.8, respectively P =.04; 21 ± 10 vs 8 ± 13, respectively, P =.005). A more acute aortic angle was associated with a higher aortic augmentation index (r = 0.41, P <.01), a greater ratio of the ascending to descending aorta (r = -0.6, P<.001), and the degree of aortic regurgitation (r = 0.39, P <.01). Conclusion: Sharper angulation of the aortic arch is associated with early pulse wave reflection, dilatation of the ascending aorta, and aortic regurgitation late after the arterial switch operation for transposition of the great arteries.

Affiliations:

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Le document en format XML

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<author><name sortKey="Boudjemline, Younes" sort="Boudjemline, Younes" uniqKey="Boudjemline Y" first="Younes" last="Boudjemline">Younes Boudjemline</name>
<affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Pediatric Cardiology, UFR Necker-Enfants Malades, University Rene Descartes Paris V</s1>
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<placeName><region type="region">Île-de-France</region>
<region type="old region">Île-de-France</region>
<settlement type="city">Paris</settlement>
</placeName>
</affiliation>
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<author><name sortKey="Marini, Davide" sort="Marini, Davide" uniqKey="Marini D" first="Davide" last="Marini">Davide Marini</name>
<affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Pediatric Cardiology, UFR Necker-Enfants Malades, University Rene Descartes Paris V</s1>
<s2>Paris</s2>
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<settlement type="city">Paris</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Bonnet, Damien" sort="Bonnet, Damien" uniqKey="Bonnet D" first="Damien" last="Bonnet">Damien Bonnet</name>
<affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Pediatric Cardiology, UFR Necker-Enfants Malades, University Rene Descartes Paris V</s1>
<s2>Paris</s2>
<s3>FRA</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
<sZ>6 aut.</sZ>
</inist:fA14>
<country>France</country>
<placeName><region type="region">Île-de-France</region>
<region type="old region">Île-de-France</region>
<settlement type="city">Paris</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Aggoun, Yacine" sort="Aggoun, Yacine" uniqKey="Aggoun Y" first="Yacine" last="Aggoun">Yacine Aggoun</name>
<affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Hôpital des Enfants</s1>
<s2>Genève</s2>
<s3>CHE</s3>
<sZ>7 aut.</sZ>
</inist:fA14>
<country>Suisse</country>
<wicri:noRegion>Hôpital des Enfants</wicri:noRegion>
</affiliation>
</author>
</analytic>
<series><title level="j" type="main">Journal of thoracic and cardiovascular surgery</title>
<title level="j" type="abbreviated">J. thorac. cardiovasc. surg.</title>
<idno type="ISSN">0022-5223</idno>
<imprint><date when="2008">2008</date>
</imprint>
</series>
</biblStruct>
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<seriesStmt><title level="j" type="main">Journal of thoracic and cardiovascular surgery</title>
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<idno type="ISSN">0022-5223</idno>
</seriesStmt>
</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Acute</term>
<term>Anesthesia</term>
<term>Aortic arch</term>
<term>Aortic regurgitation</term>
<term>Aortic valve</term>
<term>Cardiology</term>
<term>Circulatory system</term>
<term>Dilatation</term>
<term>Human</term>
<term>Late</term>
<term>Operation</term>
<term>Patient</term>
<term>Surgery</term>
<term>Transposition of the great vessels</term>
<term>Treatment</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Insuffisance aortique</term>
<term>Transposition des gros vaisseaux</term>
<term>Aigu</term>
<term>Arc aortique</term>
<term>Homme</term>
<term>Malade</term>
<term>Dilatation</term>
<term>Tardif</term>
<term>Chirurgie</term>
<term>Intervention</term>
<term>Anesthésie</term>
<term>Appareil circulatoire</term>
<term>Cardiologie</term>
<term>Valvule aortique</term>
<term>Traitement</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term>
<term>Chirurgie</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en">Objective: We assessed the contribution of acute aortic arch angulation and enhanced systolic pulse wave reflection to dilatation of the ascending aorta and aortic regurgitation late after the arterial switch operation for transposition of the great arteries. Methods: We performed aortography, radial artery applanation tonometry, and transthoracic echocardiography in 47 children (aged 5-6 years) who underwent the arterial switch operation and in 20 matched healthy controls. The aortic arch angle, ratio of ascending/descending aortic diameter, degree of aortic regurgitation, central pulse pressure, aortic augmentation pressure, and augmentation index were measured. Results: The aortic arch angle was more acute (55 ± 6.5 degrees vs 68 ± 5 degrees, respectively, P <.001) and the ratio of the ascending/descending aorta diameter was significantly greater (1.98 ± 0.4 vs 1.55 ± 0.06, respectively, P <.001) in the patients who underwent the arterial switch operation compared with controls. Augmentation pressure and augmentation index were higher in the patients who underwent the arterial switch operation than in controls (7.5 ± 4.6 vs 3.4 ± 5.8, respectively P =.04; 21 ± 10 vs 8 ± 13, respectively, P =.005). A more acute aortic angle was associated with a higher aortic augmentation index (r = 0.41, P <.01), a greater ratio of the ascending to descending aorta (r = -0.6, P<.001), and the degree of aortic regurgitation (r = 0.39, P <.01). Conclusion: Sharper angulation of the aortic arch is associated with early pulse wave reflection, dilatation of the ascending aorta, and aortic regurgitation late after the arterial switch operation for transposition of the great arteries.</div>
</front>
</TEI>
<affiliations><list><country><li>Australie</li>
<li>France</li>
<li>Suisse</li>
</country>
<region><li>Nouvelle-Galles du Sud</li>
<li>Île-de-France</li>
</region>
<settlement><li>Paris</li>
<li>Sydney</li>
</settlement>
<orgName><li>Université de Sydney</li>
</orgName>
</list>
<tree><country name="France"><region name="Île-de-France"><name sortKey="Agnoletti, Gabriella" sort="Agnoletti, Gabriella" uniqKey="Agnoletti G" first="Gabriella" last="Agnoletti">Gabriella Agnoletti</name>
</region>
<name sortKey="Bonnet, Damien" sort="Bonnet, Damien" uniqKey="Bonnet D" first="Damien" last="Bonnet">Damien Bonnet</name>
<name sortKey="Boudjemline, Younes" sort="Boudjemline, Younes" uniqKey="Boudjemline Y" first="Younes" last="Boudjemline">Younes Boudjemline</name>
<name sortKey="Marini, Davide" sort="Marini, Davide" uniqKey="Marini D" first="Davide" last="Marini">Davide Marini</name>
<name sortKey="Ou, Phalla" sort="Ou, Phalla" uniqKey="Ou P" first="Phalla" last="Ou">Phalla Ou</name>
</country>
<country name="Australie"><region name="Nouvelle-Galles du Sud"><name sortKey="Celermajer, David S" sort="Celermajer, David S" uniqKey="Celermajer D" first="David S." last="Celermajer">David S. Celermajer</name>
</region>
</country>
<country name="Suisse"><noRegion><name sortKey="Aggoun, Yacine" sort="Aggoun, Yacine" uniqKey="Aggoun Y" first="Yacine" last="Aggoun">Yacine Aggoun</name>
</noRegion>
</country>
</tree>
</affiliations>
</record>

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Acute angulation of the aortic arch predisposes a patient to ascending aortic dilatation and aortic regurgitation late after the arterial switch operation for transposition of the great arteries

Acute angulation of the aortic arch predisposes a patient to ascending aortic dilatation and aortic regurgitation late after the arterial switch operation for transposition of the great arteries

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri