scholarly journals Outcomes of Open Surgical Repair of Descending Thoracic Aortic Disease

2014 ◽  
Vol 47 (3) ◽  
pp. 255-261
Author(s):  
Won-Young Lee ◽  
Jae Suk Yoo ◽  
Joon Bum Kim ◽  
Sung-Ho Jung ◽  
Suk Jung Choo ◽  
...  
Keyword(s):  
Surgical Repair ◽  
Aortic Disease ◽  
Open Surgical Repair ◽  
Thoracic Aortic Disease

scholarly journals Endovascular Aortic Repair Versus Open Surgical Repair for Descending Thoracic Aortic Disease

2010 ◽  
Vol 55 (10) ◽  
pp. 986-1001 ◽  
Author(s):  
Davy Cheng ◽  
Janet Martin ◽  
Hani Shennib ◽  
Joel Dunning ◽  
Claudio Muneretto ◽  
...  
Keyword(s):  
Surgical Repair ◽  
Aortic Disease ◽  
Endovascular Aortic Repair ◽  
Open Surgical Repair ◽  
Thoracic Aortic Disease ◽  
Aortic Repair

scholarly journals Various Endoluminal Approaches Available for Treating Pathologies of the Aortic Arch

2020 ◽  
Vol 43 (12) ◽  
pp. 1756-1769
Author(s):  
Muzaffar A. Anwar ◽  
Mohammad Hamady
Keyword(s):  
Aortic Arch ◽  
Surgical Repair ◽  
Hybrid Approach ◽  
Aortic Disease ◽  
Open Surgical Repair ◽  
Neurological Sequelae ◽  
Aortic Stent Graft ◽  
Custom Made ◽  
Term Data

Abstract Open surgical repair of the aortic arch for degenerative aortic disease in an unfit patient is associated with significant morbidity and mortality. Endoluminal techniques have advanced over the last decade. Contemporary endovascular options including a hybrid approach (supra-aortic debranching and aortic stent graft), inner branched endograft, chimney stents, and scallop or fenestrated endografts are being used frequently as an alternative to open surgical arch repair. Understanding of the available endoluminal technology along with careful planning and effective teamwork is required to minimise complications associated with the endoluminal techniques, particularly neurological ones. Custom made techniques are superior to chimney or parallel technology in terms of their complications and durability. Integration of the protective devices such as embolic protection filters into stent design may reduce the risk of poor neurological sequelae. Long-term data are needed to assess the durability of these devices.

Clinical outcome of acute thoracic aortic syndrome in nonagenarians

2020 ◽  
Vol 28 (9) ◽  
pp. 577-582
Author(s):  
Mamoru Arakawa ◽  
Homare Okamura ◽  
Atsushi Miyagawa ◽  
Yuichiro Kitada ◽  
Hideo Adachi
Keyword(s):  
Decision Making ◽  
Thoracic Aorta ◽  
Surgical Repair ◽  
Survival Rates ◽  
Median Sternotomy ◽  
Aortic Disease ◽  
Open Surgical Repair ◽  
Clinical Frailty Scale ◽  
The Mean ◽  
Surgical Group

Background Decision-making regarding the operability of thoracic aortic disease in nonagenarian patients remains controversial because outcomes of open surgical repair of the thoracic aorta are unclear. We investigated the surgical and nonsurgical outcomes of acute thoracic aortic syndrome treatment in nonagenarians. Methods After evaluating data in our institute from April 2016 to March 2020, we included 10 nonagenarians who needed surgical intervention on the thoracic aorta via a median sternotomy for acute thoracic aortic syndrome. The mean age of the cohort was 91.9 ± 2.1 years. Five patients underwent open surgical repair of the thoracic aorta (surgical group), and 5 refused surgery (nonsurgical group). All patients in the surgical group performed activities of daily living independently, with a mean clinical frailty scale of 3.2 ± 0.4. The surgical group included 4 patients with type A aortic dissection and one with a ruptured thoracic aortic aneurysm. Hemiarch replacement was performed in 3 patients and total arch replacement in 2. The mean follow-up period was 17.8 ± 5.1 months. Results Hospital mortality rates were 0% in the surgical and 80% in the nonsurgical group. The mean length of hospitalization was 28.4 ± 6.7 days in the surgical group. The 1-year survival rates were 100% in the surgical group and 20% in the nonsurgical group. Conclusion Open surgical repair for acute thoracic aortic syndrome via median sternotomy is a reasonable treatment option even in nonagenarians. Involvement of family members is important for decision-making to devise the optimal treatment strategy (surgical vs. medical).

Thoracic Aortic Disease

2015 ◽  
pp. 728-755
Author(s):  
Berhane Worku ◽  
Leonard Girardi
Keyword(s):  
Risk Factors ◽  
Surgical Repair ◽  
Pressure Control ◽  
Aortic Disease ◽  
Postoperative Management ◽  
Neurologic Injury ◽  
Thoracic Aortic Disease ◽  
Aneurysmal Dilation ◽  
Associated Risk Factors ◽  
The Brain

Thoracic aortic disease most commonly presents in the form of aneurysmal dilation or dissection of the ascending or descending thoracic aorta, most commonly secondary to degenerative disease and hypertension. Several genetic connective tissue disorders are commonly associated as well. Treatment is focused on blood pressure control and surgical repair. Surgical repair of thoracic aortic disease presents unique risks, including neurologic injury involving the brain or spinal cord, and several adjuncts are available to mitigate against this risk. This chapter discusses commonly associated risk factors, preoperative testing, surgical repair, and postoperative management of thoracic aortic disease along with strategies for minimizing neurologic injury.

Thoracic Aortic Disease

2019 ◽  
pp. 357-384
Author(s):  
Berhane Worku ◽  
Leonard Girardi
Keyword(s):  
Risk Factors ◽  
Surgical Repair ◽  
Pressure Control ◽  
Aortic Disease ◽  
Postoperative Management ◽  
Neurologic Injury ◽  
Thoracic Aortic Disease ◽  
Aneurysmal Dilation ◽  
Associated Risk Factors ◽  
The Brain

Thoracic aortic disease most commonly presents in the form of aneurysmal dilation or dissection of the ascending or descending thoracic aorta, most commonly secondary to degenerative disease and hypertension. Several genetic connective tissue disorders are commonly associated as well. Treatment is focused on blood pressure control and surgical repair. Surgical repair of thoracic aortic disease presents unique risks, including neurologic injury involving the brain or spinal cord, and several adjuncts are available to mitigate against this risk. This chapter discusses commonly associated risk factors, preoperative testing, surgical repair, and postoperative management of thoracic aortic disease along with strategies for minimizing neurologic injury.

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