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Ann Thorac Surg 2009;87:1377-1378. doi:10.1016/j.athoracsur.2009.03.025
© 2009 The Society of Thoracic Surgeons

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Original Articles: Adult Cardiac

Invited Commentary

George J. Koullias, MD

Illinois Cardiac Surgery Associates, 515 NE Glen Oak Dr, Suite 202, Peoria, IL 60613

(Email: georgekoullias@hotmail.com).

The first 20% of the full text of this article appears below.

I read with great interest the article of Shingu and colleagues [1], demonstrating an elevated augmentation index (AI) in thoracic aortic aneurysms and thoracic aortic dissections.

The concept of AI is not very well known to many cardiac surgeons, but it has received intense study and attention in the last decade of the cardiac physiology literature.

As the incident systolic pressure wave generated by cardiac ejection encounters zones in impedance, such as arterial bifurcations and obstructive lesions, part of the wave is reflected backward, . . . [Full Text of this Article]


Related Article

Augmentation Index Is Elevated in Aortic Aneurysm and Dissection
Yasushige Shingu, Norihiko Shiiya, Tomonori Ooka, Tsuyoshi Tachibana, Suguru Kubota, Satoshi Morita, and Yoshiro Matsui
Ann. Thorac. Surg. 2009 87: 1373-1377. [Abstract] [Full Text] [PDF]






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