1. Aortic dissection in childhood and adolescence: an analysis of occurrences over a 10-year interval in New York State.
- Author
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Fikar CR and Fikar R
- Subjects
- Adolescent, Aortic Dissection etiology, Aortic Dissection mortality, Aortic Aneurysm etiology, Aortic Aneurysm mortality, Cardiovascular Abnormalities complications, Cardiovascular Abnormalities epidemiology, Databases as Topic, Female, Genetic Predisposition to Disease, Humans, Incidence, Male, Marfan Syndrome complications, Marfan Syndrome epidemiology, New York epidemiology, Pedigree, Retrospective Studies, Risk Factors, Thoracic Injuries complications, Thoracic Injuries epidemiology, Young Adult, Aortic Dissection epidemiology, Aortic Aneurysm epidemiology
- Abstract
Background: Rarely occurring in the pediatric and adolescent population, aortic dissection is a condition with many predisposing factors. Previous studies have suggested that congenital cardiovascular disorders are the most common predisposing conditions. Trauma-associated aortic dissection is considered a rare occurrence., Methods: The Statewide Planning and Research Cooperative System database of New York State was used to retrieve cases of aortic dissection in persons < or = 21 years old over a 10-year period. A retrospective analysis for risk or associated conditions was undertaken., Results: Forty-five of a total of 12,142 cases of aortic dissection (0.37%) occurred in persons < or = 21 years old. No patient was younger than 15 years of age. Six of the 45 died (13%). Most patients were male (37 of 45, or 82%). Contrary to previous reports, the most common associated condition was trauma (19 of 45, or 42%), with Marfan syndrome the second most common (11 of 45, or 24%). Ten of 45 adolescent and young adult patients (22%) had no apparent risk factors., Conclusions: Traumatic aortic disruptions must be considered in children and adolescents who survive serious chest trauma. Family members of pediatric and young adult patients with trauma-associated aortic dissection may need to be evaluated for possible risk of aortic dissection., (2009 Wiley Periodicals, Inc.)
- Published
- 2009
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