Aortic Dissection Type A in Alpine Skiers
Joint Authors
Schachner, Thomas
Fischler, Nikolaus
Dumfarth, Julia
Bonaros, Nikolaos
Grimm, Michael
Krapf, Christoph
Schobersberger, Wolfgang
Source
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-07-21
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Patients and Methods.
140 patients with aortic dissection type A were admitted for cardiac surgery.
Seventy-seven patients experienced their dissection in the winter season (from November to April).
We analyzed cases of ascending aortic dissection associated with alpine skiing.
Results.
In 17 patients we found skiing-related aortic dissections.
Skiers were taller (180 (172–200) cm versus 175 (157–191) cm, P=0.008) and heavier (90 (68–125) kg versus 80 (45–110) kg, P=0.002) than nonskiers.
An extension of aortic dissection into the aortic arch, the descending thoracic aorta, and the abdominal aorta was found in 91%, 74%, and 69%, respectively, with no significant difference between skiers and nonskiers.
Skiers experienced RCA ostium dissection requiring CABG in 17.6% while this was true for 5% of nonskiers (P=0.086).
Hospital mortality of skiers was 6% versus 13% in nonskiers (P=0.399).
The skiers live at an altitude of 170 (0–853) m.a.s.l.
and experience their dissection at 1602 (1185–3105; P<0.001) m.a.s.l.
In 82% symptom start was during recreational skiing without any trauma.
Conclusion.
Skiing associated aortic dissection type A is usually nontraumatic.
The persons affected live at low altitudes and practice an outdoor sport at unusual high altitude at cold temperatures.
Postoperative outcome is good.
American Psychological Association (APA)
Schachner, Thomas& Fischler, Nikolaus& Dumfarth, Julia& Bonaros, Nikolaos& Krapf, Christoph& Schobersberger, Wolfgang…[et al.]. 2013. Aortic Dissection Type A in Alpine Skiers. BioMed Research International،Vol. 2013, no. 2013, pp.1-4.
https://search.emarefa.net/detail/BIM-1030177
Modern Language Association (MLA)
Schachner, Thomas…[et al.]. Aortic Dissection Type A in Alpine Skiers. BioMed Research International No. 2013 (2013), pp.1-4.
https://search.emarefa.net/detail/BIM-1030177
American Medical Association (AMA)
Schachner, Thomas& Fischler, Nikolaus& Dumfarth, Julia& Bonaros, Nikolaos& Krapf, Christoph& Schobersberger, Wolfgang…[et al.]. Aortic Dissection Type A in Alpine Skiers. BioMed Research International. 2013. Vol. 2013, no. 2013, pp.1-4.
https://search.emarefa.net/detail/BIM-1030177
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1030177