caa a22 4500 606220887 CHVBK 20210128101126.0 cr unu---uuuuu 210128e20150501xx s 000 0 eng 10.1007/s00380-014-0488-5 doi (NATIONALLICENCE)springer-10.1007/s00380-014-0488-5 Coronary atherosclerotic lesions in patients with a ruptured abdominal aortic aneurysm [Elektronische Daten] [Atsuko Nakayama, Hiroyuki Morita, Akihiko Hamamatsu, Tetsuro Miyata, Katsuyuki Hoshina, Masatoshi Nagayama, Shuichiro Takanashi, Tetsuya Sumiyoshi, Issei Komuro] In this study, the coronary findings in 185 autopsy cases with a ruptured abdominal aortic aneurysm (AAA) from the Tokyo Medical Examiner's Office were examined and compared with those in 1,056 patients undergoing AAA repair at the University of Tokyo Hospital or Sakakibara Heart Institute (Tokyo, Japan). The number of cases with any significant coronary stenosis was significantly greater in the autopsy cases with a ruptured AAA than in the patients undergoing emergency repair of a ruptured AAA, suggesting that the low prevalence of CAD observed in patients undergoing emergency repair of a ruptured AAA was due to the survival bias before reaching hospital. In addition, we also found that significant coronary left main trunk stenosis was more frequent in CAD cases with a ruptured AAA than in those with an unruptured AAA, findings that suggest novel clinical implications. Large-scale prospective studies are warranted to confirm our findings and to clarify the pathophysiological relationship between coronary atherosclerosis and AAA status. Springer Japan, 2014 Abdominal aortic aneurysm nationallicence Rupture nationallicence Coronary artery nationallicence Left main trunk nationallicence Mortality nationallicence Nakayama Atsuko Department of Cardiovascular Medicine, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan aut Morita Hiroyuki Department of Translational Research for Healthcare and Clinical Science, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, 113-8655, Tokyo, Japan aut Hamamatsu Akihiko Tokyo Medical Examiner's Office, Tokyo, Japan aut Miyata Tetsuro Division of Vascular Surgery, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan aut Hoshina Katsuyuki Division of Vascular Surgery, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan aut Nagayama Masatoshi Sakakibara Heart Institute, Tokyo, Japan aut Takanashi Shuichiro Sakakibara Heart Institute, Tokyo, Japan aut Sumiyoshi Tetsuya Sakakibara Heart Institute, Tokyo, Japan aut Komuro Issei Department of Cardiovascular Medicine, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan aut Heart and Vessels Springer Japan 30/3(2015-05-01), 304-308 0910-8327 30:3<304 2015 30 380 https://doi.org/10.1007/s00380-014-0488-5 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00380-014-0488-5 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Nakayama Atsuko Department of Cardiovascular Medicine, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan aut NATIONALLICENCE 700 1- Morita Hiroyuki Department of Translational Research for Healthcare and Clinical Science, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, 113-8655, Tokyo, Japan aut NATIONALLICENCE 700 1- Hamamatsu Akihiko Tokyo Medical Examiner's Office, Tokyo, Japan aut NATIONALLICENCE 700 1- Miyata Tetsuro Division of Vascular Surgery, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan aut NATIONALLICENCE 700 1- Hoshina Katsuyuki Division of Vascular Surgery, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan aut NATIONALLICENCE 700 1- Nagayama Masatoshi Sakakibara Heart Institute, Tokyo, Japan aut NATIONALLICENCE 700 1- Takanashi Shuichiro Sakakibara Heart Institute, Tokyo, Japan aut NATIONALLICENCE 700 1- Sumiyoshi Tetsuya Sakakibara Heart Institute, Tokyo, Japan aut NATIONALLICENCE 700 1- Komuro Issei Department of Cardiovascular Medicine, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan aut NATIONALLICENCE 773 0- Heart and Vessels Springer Japan 30/3(2015-05-01), 304-308 0910-8327 30:3<304 2015 30 380