Evidence map›Paper›PMID 42216260›Full record

ArticleJournal of the American Heart Association2026

Medial Neovascularization: A Novel Mechanism of Aortic Dissection in a Hypertensive Population?

Yong Lin, Xiao-Chai Lv, Zi-Wen Cai, Yue Shen, Mei-Fang Chen, Lin-Feng Xie, Zhao-Feng Zhang, Zhi-Huang Qiu, Yu-Mei Li, Liang-Wan Chen

Abstract read
In one paragraph

Article in Journal of the American Heart Association, 2026. 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
–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.

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.

  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

10 authors.

Yong Lin *Department of Cardiovascular Surgery Fujian Medical University Union Hospital Fuzhou Fujian P. R. China.ORCID 0000-0001-9002-2606
Xiao-Chai Lv *Department of Cardiovascular Surgery Fujian Medical University Union Hospital Fuzhou Fujian P. R. China.
Zi-Wen Cai *Department of Cardiovascular Surgery Fujian Medical University Union Hospital Fuzhou Fujian P. R. China.ORCID 0000-0002-7819-7734
Yue ShenDepartment of Cardiovascular Surgery Fujian Medical University Union Hospital Fuzhou Fujian P. R. China.
Mei-Fang ChenDepartment of Cardiovascular Surgery Fujian Medical University Union Hospital Fuzhou Fujian P. R. China.ORCID 0009-0009-9499-7617
Lin-Feng XieKey Laboratory of Cardio-Thoracic Surgery (Fujian Medical University) Fujian Province University Fuzhou Fujian P. R. China.ORCID 0000-0001-5889-3225
Zhao-Feng ZhangKey Laboratory of Cardio-Thoracic Surgery (Fujian Medical University) Fujian Province University Fuzhou Fujian P. R. China.ORCID 0009-0002-9316-0937
Zhi-Huang QiuDepartment of Cardiovascular Surgery Fujian Medical University Union Hospital Fuzhou Fujian P. R. China.ORCID 0000-0002-5917-8968
Yu-Mei LiFujian Provincial Special Reserve Talents Laboratory Fuzhou China.ORCID 0000-0002-6158-7488
Liang-Wan ChenDepartment of Cardiovascular Surgery Fujian Medical University Union Hospital Fuzhou Fujian P. R. China.ORCID 0000-0002-4211-3842

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aimed to elucidate the impact of vasa vasorum on the natural progression of aortic dissection in patients with hypertension.

methodsFull-thickness ascending aortic walls from 43 participants (median age, 53 years; 32.6% women) were analyzed using pathological observation and shear stress measurement. Comparisons among hypertensive dissection (AD, n=23), hypertensive control (n=12), and nonhypertensive dissection (non-HT-AD, n=8) groups were performed using Kruskal-Wallis and repeated-measures ANOVA tests.

resultsCompared with the control group, a higher density of vasa vasorum was observed within the outer third of the tunica media (medial neovascularization [MN]) in the AD group (adjusted

conclusionsMN and subsequent vasa vasorum rupture in the outer tunica media may represent an alternative initiating event in hypertension-related aortic dissection, distinct from the classical intimal tear. However, the cross-sectional nature of this study precludes definitive causal conclusions.

Indexed as

Aortic DissectionHypertensionNeovascularization, PathologicAdultAgedAneurysm, Ascending AortaCase-Control StudiesDisease ProgressionDissection, Ascending AortaFemaleHumansMaleMiddle AgedStress, MechanicalTunica MediaVasa Vasorumaortic dissectionhypertensionshear stressvasa vasorum

Identifiers

PMID42216260
PMCPMC13315137

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.