Evidence map›Paper›PMID 29204794›Full record

ReviewGeneral thoracic and cardiovascular surgery2019

Thoracic aortic aneurysm: unlocking the "silent killer" secrets.

Ayman A Saeyeldin, Camilo A Velasquez, Syed Usman B Mahmood, Adam J Brownstein, Mohammad A Zafar, Bulat A Ziganshin, John A Elefteriades

Registry-linked trialAbstract readReview
PubMed Publisher
In one paragraph

Review in General thoracic and cardiovascular surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07391293 (Genetic Aortic Diseases and Cardiovascular Complications. An Observational Survey of Risk Factors.), which is not on this map. Cited by 48 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07391293 recruitingnot on this mapstarted 2025, after this paper: background citation

Genetic Aortic Diseases and Cardiovascular Complications. An Observational Survey of Risk Factors.

Typeobservational_patient_registrySponsorIRCCS Policlinico S. DonatoRan2025 to 2027Enrolled208ConditionsThoracic Aortic Aneurysm (TAA)ArmsJourney to diagnosis, Quality of life, functional health and well-being, Awareness and self-esteem, acceptance of the condition, psychological and physical well-being
3 · Its place in the literature

Who cites it

48 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Ayman A SaeyeldinAortic Institute at Yale-New Haven, Yale University School of Medicine, 789 Howard Avenue, Clinic Building CB317, P.O. Box 208039, New Haven, CT, USA.
Camilo A VelasquezAortic Institute at Yale-New Haven, Yale University School of Medicine, 789 Howard Avenue, Clinic Building CB317, P.O. Box 208039, New Haven, CT, USA.
Syed Usman B MahmoodAortic Institute at Yale-New Haven, Yale University School of Medicine, 789 Howard Avenue, Clinic Building CB317, P.O. Box 208039, New Haven, CT, USA.
Adam J BrownsteinAortic Institute at Yale-New Haven, Yale University School of Medicine, 789 Howard Avenue, Clinic Building CB317, P.O. Box 208039, New Haven, CT, USA.
Mohammad A ZafarAortic Institute at Yale-New Haven, Yale University School of Medicine, 789 Howard Avenue, Clinic Building CB317, P.O. Box 208039, New Haven, CT, USA.
Bulat A ZiganshinAortic Institute at Yale-New Haven, Yale University School of Medicine, 789 Howard Avenue, Clinic Building CB317, P.O. Box 208039, New Haven, CT, USA.
John A ElefteriadesAortic Institute at Yale-New Haven, Yale University School of Medicine, 789 Howard Avenue, Clinic Building CB317, P.O. Box 208039, New Haven, CT, USA. john.elefteriades@yale.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Thoracic aortic aneurysm (TAA) is an increasingly recognized condition that is often diagnosed incidentally. This review discusses ten of the most relevant epidemiological and clinical secrets of this disease; (1) the difference in pathogenesis between ascending and descending TAAs. TAAs at these two sites act as different diseases, which is related to the different embryologic origins of the ascending and descending aorta. (2) The familial pattern and genetics of thoracic aneurysms. Syndromic TAAs only explain 5% of the pattern of inheritance. (3) The effect of female sex on TAA growth and outcome. Females have been found to have worse outcomes compared to males. (4) Guilt by Association. TAAs are associated with abdominal aortic aneurysms, intracranial aneurysms, bicuspid aortic valve, and inflammatory disorders. (5) Natural history of TAAs. Important findings have been made regarding the expansion rate (in relation to familial pattern, location and size), and also regarding the risk of rupture or dissection. (6) The aortic size paradox. Size only is not a sufficient predictor of risk of dissection. (7) Biomarker void. Although many serum biomarkers have been studied, imaging remains the only reliable method for diagnosis and follow-up. (8) Indications for repair. Decisions are made depending on symptoms, location, size, and familial patterns. (9) Types of repair. Both open and endovascular repair options are available for certain TAAs. (10) Medical treatment. The efficacy of prescribing beta blockers, angiotensin converting enzyme inhibitors or angiotensin receptor blockers remains dubious.

Indexed as

Diagnostic ImagingDisease ManagementAorta, ThoracicAortic Aneurysm, ThoracicAortic DissectionHumansAortic dissectionBiomarkersGeneticsIndications for treatmentMedical managementNatural historyThoracic aortic aneurysm

Identifiers

What OpenQuestion holds

Textmetadata
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.