We present the results of an atomistic study on the Poisson's ratios of face‐centered cubic metal (001) nanoplates under tensile loading. Here, we find that the behavior of the Poisson's ratios of metal nanoplates is strongly dependent on the characteristics of a phase transformation that takes place in their bulk counterparts as well as on the amount of compressive stress induced in the nanoplates. In addition, we discuss the effects of the nanoplate thickness and temperature on the mechanical behavior of the nanoplates. As the thickness decreases, the amount of compressive stress increases. As a result, the metal nanoplates become more auxetic. Higher temperatures cause the phase transformation to occur sooner. Thus, strongly auxetic nanoplates can be obtained by raising the temperature. In addition to investigating the effects of the thickness and temperature, we compare the behaviors of the Poisson's ratios of (001) nanoplates of six different metals. Interestingly, the behaviors of the Poisson's ratios of the metal nanoplates differ, even though their corresponding bulks have similar and positive Poisson's ratios. This is because the six metals exhibit large differences in their surface stresses as well as in the critical strains for the phase transformation.

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ObjectiveTo evaluate the natural course of coronary-to-pulmonary artery fistula (CPAF) detected on coronary computed tomography angiography (CCTA) and to propose potential treatment strategies.Materials and MethodsIn this retrospective multicenter study, we assessed the CCTA reports of 188 CPAF patients evaluated between March 2009 and June 2016. Fifty-seven patients were excluded because their follow-up (FU) periods were less than 2 years. Information regarding demographic characteristics, past history, treatment method, and the occurrence of major adverse cardiac events (MACE) during the FU period was collected. We analyzed the morphologic features of CPAF and the various factors associated with surgical treatment. Patients who had undergone FU CCTA after being diagnosed with CPAF were assessed for the presence of morphological changes on FU imaging.ResultsThe median age of the study population was 63.0 years (range, 57.0–72.0 years), and the median FU period was 5.72 years (range, 4.08–6.96 years). The most common origin of the CPAF was both coronary arteries in 76 (58.0%) cases. An aneurysm or aneurysms was/were present in 41 (31.3%) cases. Fifty-four (41.2%) fistulas were less than 2 mm in size. Eight patients underwent surgery, and 123 (93.9%) patients received optimal medical treatment (OMT). The fistula size was significantly different between the two treatment groups (p = 0.013) and was the only factor associated with surgical treatment (odds ratio = 1.14, p = 0.021). Only one patient in the OMT group reported MACE during the FU period due to preexisting coronary artery disease. Twenty-nine patients (22.1%) underwent FU CCTA after CPAF diagnosis, with a median FU period of 3.81 years. None of the patients in the OMT group demonstrated morphological changes in the CPAF on FU imaging.ConclusionMost CPAFs identified on CCTA have a favorable prognosis. Observation with OMT is usually an appropriate strategy. Fistula size is a possible determinant for surgical treatment.

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