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Retrograde type a dissection in a 24th gestational week pregnant patient – the importance of interdisciplinary interaction to a successful outcome

Overview of attention for article published in Journal of Cardiothoracic Surgery, May 2018
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  • High Attention Score compared to outputs of the same age and source (83rd percentile)

Mentioned by

twitter
2 tweeters

Citations

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4 Dimensions

Readers on

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18 Mendeley
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Title
Retrograde type a dissection in a 24th gestational week pregnant patient – the importance of interdisciplinary interaction to a successful outcome
Published in
Journal of Cardiothoracic Surgery, May 2018
DOI 10.1186/s13019-018-0724-7
Pubmed ID
Authors

Jerry Easo, Michael Horst, Bernhard Schmuck, Rohit Philip Thomas, Steffen Saupe, Malte Book, Alexander Weymann

Abstract

Type A Dissection in pregnancy is a devastating medical condition with 2 lives at stake and unclear strategy at early gestational stages. We describe a successful outcome, clearly dependent on the coordination of all involved disciplines. This case history describes a 28 year old female with a 24th week pregnancy gravida 2 para 0 with a DeBakey Type I aortic dissection, diagnosed via ultrasound. Surgery was perfomed on the day of diagnosis. After conferral with the mother, caesarean section was performed and a 690 g fetus could be delivered and was immediately transferred to the neonatal unit. Subsequent aortic repair was performed after hysterectomy, with replacement of the ascending aorta and hemiarch treatment. Intraoperatively no entry in the ascending aorta or transverse arch could be demonstrated, so that a retrograde Type A with entry distal to the left subclavian had to be postulated. We decided to perform subsequent computer tomography, demonstrating multiple entry sites in the descending aorta distal to the left subclavian artery. Successful endovascular treatment could be performed with a Medtronic Valiant Stent via a transfemoral approach. The further hospital stay was uneventful and the patient could be discharged on the 18th postoperative day. The baby demonstrated fighter qualities and could be discharged home after a 3 month hospital stay to be reunited with his mother. Prompt diagnosis, precise coordination between all involved subspecialties and ultimately, as in this case, definitive treatment in consensus with operative and interventional departments have led to a successful outcome and encourages us in our daily struggle in this often demanding surgery.

Twitter Demographics

The data shown below were collected from the profiles of 2 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 18 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 18 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 6 33%
Student > Master 4 22%
Student > Ph. D. Student 2 11%
Student > Doctoral Student 1 6%
Librarian 1 6%
Other 2 11%
Unknown 2 11%
Readers by discipline Count As %
Medicine and Dentistry 12 67%
Nursing and Health Professions 1 6%
Social Sciences 1 6%
Engineering 1 6%
Unknown 3 17%

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 03 May 2018.
All research outputs
#9,865,648
of 12,886,920 outputs
Outputs from Journal of Cardiothoracic Surgery
#236
of 479 outputs
Outputs of similar age
#186,090
of 269,132 outputs
Outputs of similar age from Journal of Cardiothoracic Surgery
#3
of 31 outputs
Altmetric has tracked 12,886,920 research outputs across all sources so far. This one is in the 20th percentile – i.e., 20% of other outputs scored the same or lower than it.
So far Altmetric has tracked 479 research outputs from this source. They receive a mean Attention Score of 2.4. This one is in the 38th percentile – i.e., 38% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 269,132 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 25th percentile – i.e., 25% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 31 others from the same source and published within six weeks on either side of this one. This one has done well, scoring higher than 83% of its contemporaries.