Endograft repair for pseudoaneurysms and penetrating ulcers of the ascending aorta.
J Thorac Cardiovasc Surg
; 151(6): 1606-14, 2016 Jun.
Article
en En
| MEDLINE
| ID: mdl-26872446
ABSTRACT
OBJECTIVE:
The aim of this paper is to report midterm results of thoracic endovascular aortic repair (TEVAR) for ascending aortic pseudoaneurysms (AAPs) and penetrating aortic ulcers (PAUs) of the ascending aorta.METHODS:
This study was retrospective and performed at tertiary centers. Eight patients with AAPs (n = 5) and PAUs (n = 3) received total endovascular repair of the ascending aorta. Patients with a history of type A aortic dissection or fusiform aneurysm were excluded. All patients analyzed were considered to be at high risk for open repair at the time of presentation.RESULTS:
Urgent intervention was performed in 6 (75%) cases. Primary clinical success was achieved in 7 (87.5%) cases. A low-flow type 3 endoleak remained asymptomatic and was managed conservatively. No TEVAR-related in-hospital mortality, primary conversion, cerebrovascular accidents, valve impairment, or myocardial infarction occurred. All patients were discharged home, alive and independent, after a median length of stay of 6 (range 5-24) days. No patient was lost at a mean follow-up of 40 ± 33 (range 4-93) months. Ongoing primary clinical success was maintained in all but 1 patient (type 3 endoleak) aortically related reintervention was never required. No endograft breakage or migration was observed. At 1-year follow-up, 7 (87.5%) aortic lesions had significant reduction in diameter (≥5 mm).CONCLUSIONS:
Ascending TEVAR was feasible, safe, and effective for AAPs and PAUs. In a very select subset of lesions, midterm results were favorable, with both standard and custom-designed endografts.Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Complicaciones Posoperatorias
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Úlcera
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Prótesis Vascular
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Procedimientos Endovasculares
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Disección Aórtica
Tipo de estudio:
Diagnostic_studies
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Incidence_studies
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Observational_studies
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Prognostic_studies
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Risk_factors_studies
Límite:
Female
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Humans
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Male
País/Región como asunto:
Europa
Idioma:
En
Revista:
J Thorac Cardiovasc Surg
Año:
2016
Tipo del documento:
Article