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Early Experiences with the Endovascular Repair of Ruptured Descending Thoracic Aortic Aneurysm
Article em En | WPRIM | ID: wpr-16387
Biblioteca responsável: WPRO
ABSTRACT

BACKGROUND:

The aim of this study was to report our early experiences with the endovascular repair of ruptured descending thoracic aortic aneurysms (rDTAAs), which are a rare and life-threatening condition.

METHODS:

Among 42 patients who underwent thoracic endovascular aortic repair (TEVAR) between October 2010 and September 2015, five patients (11.9%) suffered an rDTAA.

RESULTS:

The mean age was 72.4±5.1 years, and all patients were male. Hemoptysis and hemothorax were present in three (60%) and two (40%) patients, respectively. Hypovolemic shock was noted in three patients who underwent emergency operations. A hybrid operation was performed in three patients. The mean operative time was 269.8±72.3 minutes. The mean total length of aortic coverage was 186.0±49.2 mm. No 30-day mortality occurred. Stroke, delirium, and atrial fibrillation were observed in one patient each. Paraplegia did not occur. Endoleak was found in two patients (40%), one of whom underwent an early and successful reintervention. During the mean follow-up period of 16.8±14.8 months, two patients died; one cause of death was a persistent type 1 endoleak and the other cause was unknown.

CONCLUSION:

TEVAR for rDTAA was associated with favorable early mortality and morbidity outcomes. However, early reintervention should be considered if persistent endoleak occurs.
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Texto completo: 1 Índice: WPRIM Assunto principal: Aorta / Paraplegia / Ruptura / Fibrilação Atrial / Choque / Stents / Seguimentos / Mortalidade / Causas de Morte / Aneurisma da Aorta Torácica Tipo de estudo: Observational_studies / Prognostic_studies Limite: Humans / Male Idioma: En Revista: The Korean Journal of Thoracic and Cardiovascular Surgery Ano de publicação: 2016 Tipo de documento: Article
Texto completo: 1 Índice: WPRIM Assunto principal: Aorta / Paraplegia / Ruptura / Fibrilação Atrial / Choque / Stents / Seguimentos / Mortalidade / Causas de Morte / Aneurisma da Aorta Torácica Tipo de estudo: Observational_studies / Prognostic_studies Limite: Humans / Male Idioma: En Revista: The Korean Journal of Thoracic and Cardiovascular Surgery Ano de publicação: 2016 Tipo de documento: Article