Evidence map›Paper›PMID 38491494›Full record

ArticleJournal of cardiothoracic surgery2024

Significant thrombus in saccular aneurysm in a patient with polycythemia: a case report.

Atsuyuki Mitsuishi, Hiromasa Nakamura, Yujiro Miura, Tsuyoshi Miyata, Kazumasa Orihashi, Keisuke Yoshida, Kouhei Araki

Open access · goldAbstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of cardiothoracic surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.8field-weighted citation impact, top 28% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Review
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 at 2 institutions in 1 country.

Atsuyuki MitsuishiDepartment of Cardiovascular Surgery, Kochi Medical School Hospital, 185-1, Kohasu, Nankoku-shi, 783-8505,, Okohcho, Kochi Prefecture, Japan. atmitsu@kochi-u.ac.jp.
Hiromasa NakamuraDepartment of Cardiovascular Surgery, Kochi Medical School Hospital, 185-1, Kohasu, Nankoku-shi, 783-8505,, Okohcho, Kochi Prefecture, Japan. knakamurah@kochi-u.ac.jp.
Yujiro MiuraDepartment of Cardiovascular Surgery, Kochi Medical School Hospital, 185-1, Kohasu, Nankoku-shi, 783-8505,, Okohcho, Kochi Prefecture, Japan.
Tsuyoshi MiyataLiaison Healthcare Engineering Section Medicine, Kochi Medical School Hospital, 185-1, Kohasu, Nankoku-shi, 783-8505,, Okohcho, Kochi Prefecture, Japan.
Kazumasa OrihashiDepartment of Anesthesiology and intensive Care Medicine, Kochi Medical School Hospital, 185-1, Kohasu, Nankoku-shi, 783-8505, Okohcho, Kochi Prefecture, Japan.
Keisuke YoshidaDepartment of Cardiovascular Surgery, Kochi Medical School Hospital, 185-1, Kohasu, Nankoku-shi, 783-8505,, Okohcho, Kochi Prefecture, Japan.
Kouhei ArakiDepartment of Surgery, Kochi Medical School Hospital, 185-1, Kohasu, Nankoku-shi, 783-8505,, Okohcho, Kochi Prefecture, Japan.
Kochi Medical School Hospital · JPKōchi University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMorphologically, the risk of aortic aneurysm rupture is mainly evaluated based on its type (e.g., fusiform or saccular) and diameter. Based on the finite element analysis, peak wall stress has been identified as a more sensitive and specific predictor of rupture in recent years. Moreover, in finite analysis, the neck of aneurysm is the highest peak wall stress and is associated with the rupture point. CASE PRESENTATION: A saccular aortic aneurysm (84 mm) was incidentally detected during preoperative examination for chronic empyema in a 74-year-old male patient with a history of polycythemia. Aortic arch graft replacement using an open stent was performed.

conclusionsMorphologically, this case was associated with a very high risk of rupture; nevertheless, it did not rupture. In this case, a mural thrombus (likely formed due to polycythemia) covered the neck of aneurysm that is experiencing the highest peak wall stress and is associated with the rupture point. The mural thrombus decreased peak wall stress and could reduce the risk of rupture even for huge saccular aneurysms. Furthermore, the mural thrombus was fully occupied in aneurysms, such as during coil embolization. Thus, polycythemia could decrease the risk of rupture of huge saccular aneurysms.

Indexed as

Aortic AneurysmAortic Aneurysm, AbdominalAortic RupturePolycythemiaThromboembolismThrombosisAgedHumansMaleCase reportEndothelial cellMural thrombusPeak wall stressPolycythemiaRupture pointSaccular aneurysmVasa Vasorum

Identifiers

PMID38491494
PMCPMC10941378
OpenAlexW4392863699

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

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.