{"id":"https://openalex.org/W2074009055","doi":"https://doi.org/10.1161/01.cir.100.suppl_2.ii-275","title":"Toward the Best Treatment for Uncomplicated Patients With Type B Acute Aortic Dissection : A Consideration for Sound Surgical Indication","display_name":"Toward the Best Treatment for Uncomplicated Patients With Type B Acute Aortic Dissection : A Consideration for Sound Surgical Indication","publication_year":1999,"publication_date":"1999-11-09","ids":{"openalex":"https://openalex.org/W2074009055","doi":"https://doi.org/10.1161/01.cir.100.suppl_2.ii-275","mag":"2074009055","pmid":"https://pubmed.ncbi.nlm.nih.gov/10567316"},"language":"en","primary_location":{"id":"doi:10.1161/01.cir.100.suppl_2.ii-275","doi":"https://doi.org/10.1161/01.cir.100.suppl_2.ii-275","is_oa":false,"landing_page_url":"https://doi.org/10.1161/01.cir.100.suppl_2.ii-275","pdf_url":null,"source":{"id":"https://openalex.org/S116251202","display_name":"Circulation","issn_l":"0009-7322","issn":["0009-7322","1524-4539"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Circulation","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5019998066","display_name":"Akira Marui","orcid":"https://orcid.org/0000-0003-2792-4863","observed_orcids":["https://orcid.org/0000-0003-2792-4863"]},"institutions":[{"id":"https://openalex.org/I4405254546","display_name":"Tsuchiya General Hospital","ror":"https://ror.org/01yapdx55","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4405254546"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"A. Marui","raw_affiliation_strings":["Department of Cardiovascular Surgery, Akane-Foundation Tsuchiya General Hospital, Hiroshima, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Cardiovascular Surgery, Akane-Foundation Tsuchiya General Hospital, Hiroshima, Japan","institution_ids":["https://openalex.org/I4405254546"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5103209167","display_name":"T Mochizuki","orcid":"https://orcid.org/0000-0002-7095-047X","observed_orcids":["https://orcid.org/0000-0002-7095-047X"]},"institutions":[{"id":"https://openalex.org/I4405254546","display_name":"Tsuchiya General Hospital","ror":"https://ror.org/01yapdx55","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4405254546"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"T. Mochizuki","raw_affiliation_strings":["Tsuchiya General Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Tsuchiya General Hospital","institution_ids":["https://openalex.org/I4405254546"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5109327966","display_name":"N Mitsui","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4405254546","display_name":"Tsuchiya General Hospital","ror":"https://ror.org/01yapdx55","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4405254546"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"N. Mitsui","raw_affiliation_strings":["Tsuchiya General Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Tsuchiya General Hospital","institution_ids":["https://openalex.org/I4405254546"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5018694479","display_name":"Tadaaki Koyama","orcid":"https://orcid.org/0000-0003-3436-2299","observed_orcids":["https://orcid.org/0000-0003-3436-2299"]},"institutions":[{"id":"https://openalex.org/I4405254546","display_name":"Tsuchiya General Hospital","ror":"https://ror.org/01yapdx55","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4405254546"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"T. Koyama","raw_affiliation_strings":["Tsuchiya General Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Tsuchiya General Hospital","institution_ids":["https://openalex.org/I4405254546"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5110881336","display_name":"Fumitoshi Kimura","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4405254546","display_name":"Tsuchiya General Hospital","ror":"https://ror.org/01yapdx55","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4405254546"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"F. Kimura","raw_affiliation_strings":["Tsuchiya General Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Tsuchiya General Hospital","institution_ids":["https://openalex.org/I4405254546"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5110449910","display_name":"Mayumi Horibe","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4405254546","display_name":"Tsuchiya General Hospital","ror":"https://ror.org/01yapdx55","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4405254546"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"M. Horibe","raw_affiliation_strings":["Tsuchiya General Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Tsuchiya General Hospital","institution_ids":["https://openalex.org/I4405254546"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I4405254546"],"apc_list":null,"apc_paid":null,"fwci":2.966,"has_fulltext":false,"cited_by_count":225,"citation_normalized_percentile":{"value":0.90643204,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":94,"max":99},"biblio":{"volume":"100","issue":"Supplement 2","first_page":"II","last_page":"275"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10618","display_name":"Aortic Disease and Treatment Approaches","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10618","display_name":"Aortic Disease and Treatment Approaches","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10983","display_name":"Aortic aneurysm repair treatments","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11310","display_name":"Connective tissue disorders research","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/1311","display_name":"Genetics"},"field":{"id":"https://openalex.org/fields/13","display_name":"Biochemistry, Genetics and Molecular Biology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/type-b-acute-aortic-dissection","display_name":"type B acute aortic dissection","score":0.9890000224113464},{"id":"https://openalex.org/keywords/uncomplicated-aortic-dissection","display_name":"uncomplicated aortic dissection","score":0.8899999856948853},{"id":"https://openalex.org/keywords/aortic-dilation","display_name":"aortic dilatation","score":0.8640000224113464},{"id":"https://openalex.org/keywords/timing-of-surgery","display_name":"timing of surgery","score":0.6169999837875366},{"id":"https://openalex.org/keywords/false-lumen-patency","display_name":"false lumen patency","score":0.7739999890327454},{"id":"https://openalex.org/keywords/surgical-indications","display_name":"surgical indications","score":0.36399999260902405}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.915012538433075},{"id":"https://openalex.org/C2779993142","wikidata":"https://www.wikidata.org/wiki/Q594660","display_name":"Aortic dissection","level":3,"score":0.7845414280891418},{"id":"https://openalex.org/C2779980429","wikidata":"https://www.wikidata.org/wiki/Q101004","display_name":"Aorta","level":2,"score":0.7020670771598816},{"id":"https://openalex.org/C2775862295","wikidata":"https://www.wikidata.org/wiki/Q2660911","display_name":"Dissection (medical)","level":2,"score":0.48531240224838257},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.47149819135665894},{"id":"https://openalex.org/C131631996","wikidata":"https://www.wikidata.org/wiki/Q1141325","display_name":"Lumen (anatomy)","level":2,"score":0.4701195955276489},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.44751617312431335},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.40751001238822937},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.35469257831573486}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000369","descriptor_name":"Aged, 80 and over","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000369","descriptor_name":"Aged, 80 and over","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000369","descriptor_name":"Aged, 80 and over","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001011","descriptor_name":"Aorta","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":false},{"descriptor_ui":"D001011","descriptor_name":"Aorta","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":false},{"descriptor_ui":"D001011","descriptor_name":"Aorta","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":false},{"descriptor_ui":"D001011","descriptor_name":"Aorta","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":false},{"descriptor_ui":"D001011","descriptor_name":"Aorta","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":false},{"descriptor_ui":"D001011","descriptor_name":"Aorta","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":false},{"descriptor_ui":"D001014","descriptor_name":"Aortic Aneurysm","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":false},{"descriptor_ui":"D001014","descriptor_name":"Aortic Aneurysm","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":false},{"descriptor_ui":"D001014","descriptor_name":"Aortic Aneurysm","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":false},{"descriptor_ui":"D001014","descriptor_name":"Aortic Aneurysm","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":false},{"descriptor_ui":"D001014","descriptor_name":"Aortic Aneurysm","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":false},{"descriptor_ui":"D001014","descriptor_name":"Aortic Aneurysm","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":false},{"descriptor_ui":"D001014","descriptor_name":"Aortic Aneurysm","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":false},{"descriptor_ui":"D001014","descriptor_name":"Aortic Aneurysm","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":false},{"descriptor_ui":"D001014","descriptor_name":"Aortic Aneurysm","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011237","descriptor_name":"Predictive Value of Tests","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011237","descriptor_name":"Predictive Value of Tests","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011237","descriptor_name":"Predictive Value of Tests","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012307","descriptor_name":"Risk Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012307","descriptor_name":"Risk Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012307","descriptor_name":"Risk Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015999","descriptor_name":"Multivariate Analysis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015999","descriptor_name":"Multivariate Analysis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015999","descriptor_name":"Multivariate Analysis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1161/01.cir.100.suppl_2.ii-275","doi":"https://doi.org/10.1161/01.cir.100.suppl_2.ii-275","is_oa":false,"landing_page_url":"https://doi.org/10.1161/01.cir.100.suppl_2.ii-275","pdf_url":null,"source":{"id":"https://openalex.org/S116251202","display_name":"Circulation","issn_l":"0009-7322","issn":["0009-7322","1524-4539"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Circulation","raw_type":"journal-article"},{"id":"pmid:10567316","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/10567316","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Circulation","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":1.0}],"sustainable_development_goals_aurora":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.44999998807907104}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":16,"referenced_works":["https://openalex.org/W16540776","https://openalex.org/W149837191","https://openalex.org/W1964468006","https://openalex.org/W1988979550","https://openalex.org/W1989155496","https://openalex.org/W2008856686","https://openalex.org/W2015160601","https://openalex.org/W2050829798","https://openalex.org/W2063585696","https://openalex.org/W2087112348","https://openalex.org/W2169938898","https://openalex.org/W2238688529","https://openalex.org/W2398452106","https://openalex.org/W2406841265","https://openalex.org/W2470349373","https://openalex.org/W2992707176"],"related_works":["https://openalex.org/W3123119358","https://openalex.org/W2351782692","https://openalex.org/W2030803180","https://openalex.org/W1699888515","https://openalex.org/W2121972189","https://openalex.org/W2377638205","https://openalex.org/W2419623461","https://openalex.org/W2033152741","https://openalex.org/W4232452130","https://openalex.org/W2368955799"],"abstract_inverted_index":{"BACKGROUND:":[0],"In":[1,83],"the":[2,23,57,77,104,112,123,140,152,195,234],"treatment":[3,37],"of":[4,22,51,70,111,131,145,159,187,221,239,248],"type":[5,87,210],"B":[6,88,211],"acute":[7,78,89,141,212],"aortic":[8,32,64,120,129,149,157,185,213,219,246],"dissection":[9,90,214],"without":[10,74],"complications,":[11,94],"better":[12],"results":[13,205],"are":[14,28,43],"obtained":[15],"if":[16,35],"surgery":[17,231],"is":[18,38],"performed":[19,101],"before":[20,237],"enlargement":[21,33,65,69,108,121,150,238],"aorta":[24],"in":[25,72,122,180],"patients":[26,41,73,85,153,181,208,242],"who":[27,42,91,215],"predicted":[29,44],"to":[30,45,55,102,258],"show":[31,46,216],"and":[34,96,134,162,170,176,190,200,224,251],"drug-based":[36],"continued":[39],"for":[40,106,119,151],"no":[47,93],"enlargement.":[48],"The":[49,115,143],"purpose":[50],"this":[52],"study":[53],"was":[54],"predict":[56],"acute-phase":[58],"factors":[59],"that":[60,207],"may":[61],"affect":[62],"chronic-phase":[63,68,107],"by":[66],"studying":[67],"dissections":[71],"complications":[75],"during":[76,139,233],"phase.":[79,142],"METHODS":[80],"AND":[81],"RESULTS:":[82],"101":[84],"with":[86,154,182,209,243],"had":[92],"univariate":[95],"multivariate":[97],"factor":[98],"analyses":[99],"were":[100,126,173,197],"determine":[103],"predictors":[105,118],"(>/=60":[109],"mm)":[110],"dissected":[113],"aorta.":[114],"independent":[116],"predominant":[117],"chronic":[124,235],"phase":[125,236],"a":[127,135,155,163,183,191,217,225,244,252],"maximum":[128,156,184,218,245],"diameter":[130,158,186,220,247],">/=40":[132,222],"mm":[133,161,189,223,250],"patent":[136,164,226],"false":[137,165,193,227,254],"lumen":[138,166,228,255],"values":[144,196],"actuarial":[146],"freedom":[147],"from":[148],"40":[160],"at":[167],"1,":[168],"5,":[169],"10":[171],"years":[172],"43%,":[174],"33%,":[175],"22%,":[177],"respectively,":[178],"whereas":[179,241],"<40":[188,249],"closed":[192,253],"lumen,":[194],"97%,":[198],"94%,":[199],"84%,":[201],"respectively.":[202],"CONCLUSIONS:":[203],"These":[204],"suggest":[206],"should":[229,256],"undergo":[230],"earlier":[232],"aorta,":[240],"continue":[257],"receive":[259],"hypotensive":[260],"therapy.":[261]},"counts_by_year":[{"year":2025,"cited_by_count":2},{"year":2024,"cited_by_count":7},{"year":2023,"cited_by_count":4},{"year":2022,"cited_by_count":4},{"year":2021,"cited_by_count":4},{"year":2020,"cited_by_count":6},{"year":2019,"cited_by_count":2},{"year":2018,"cited_by_count":13},{"year":2017,"cited_by_count":10},{"year":2016,"cited_by_count":12},{"year":2015,"cited_by_count":7},{"year":2014,"cited_by_count":13},{"year":2013,"cited_by_count":11},{"year":2012,"cited_by_count":6}],"updated_date":"2026-10-08T09:06:37.294493","created_date":"2025-10-10T00:00:00"}