Document Detail


Early and midterm results of thoracic endovascular aortic repair of chronic type B aortic dissection.
MedLine Citation:
PMID:  19910003     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The optimal treatment for chronic type B dissection remains controversial. This study reports early and midterm results of thoracic endovascular aortic repair for chronic type B aortic dissection. METHODS: From June 2001 to September 2007, a total of 84 patients with chronic type B aortic dissection underwent thoracic endovascular aortic repair. The time between onset of dissection and thoracic endovascular aortic repair was 13.9 +/- 22.0 months (range, 1-120 months). All patients were followed up from 6 to 86 months (mean, 33.2 +/- 19.2 months). RESULTS: The entry tear was completely sealed in 77 cases (91.7%) during thoracic endovascular aortic repair. The incidence of incomplete seal was 8.3%. The 1-month mortality was 1.2%. One patient had retrograde type A dissection 1 month after the operation. Four patients underwent a second thoracic endovascular aortic repair during follow-up, for endoleak in 3 patients and for newly formed intimal tear in 1 patient. Seven patients (8.3%) died during follow-up. Three died of rupture of the thoracic aorta because of endoleak. The Kaplan-Meier actuarial survival curve showed a 5-year survival of 84.4%. At 5 years, 75.2% of patients were alive with neither endoleak nor reintervention. CONCLUSIONS: Early and midterm results show that thoracic endovascular aortic repair was effective in the treatment of chronic type B aortic dissection. Endoleak was the main cause of death during follow-up. With increased surgical experience and refinement of the stent graft, results are likely to improve in the future.
Authors:
Shang Dong Xu; Fang Jiong Huang; Jin Fei Yang; Zhi Zhong Li; Sheng Yang; Jia Hui Du; Zhao Guang Zhang
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Publication Detail:
Type:  Journal Article     Date:  2009-11-11
Journal Detail:
Title:  The Journal of thoracic and cardiovascular surgery     Volume:  139     ISSN:  1097-685X     ISO Abbreviation:  J. Thorac. Cardiovasc. Surg.     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-05-24     Completed Date:  2010-06-16     Revised Date:  2010-10-21    
Medline Journal Info:
Nlm Unique ID:  0376343     Medline TA:  J Thorac Cardiovasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1548-53     Citation Subset:  AIM; IM    
Copyright Information:
Copyright 2010 The American Association for Thoracic Surgery. Published by Mosby, Inc. All rights reserved.
Affiliation:
Division of Cardiac Surgery, Beijing Institute of Heart, Lung & Vascular Diseases, Capital Medical University, Beijing Anzhen Hospital, Beijing 100029, China. xushangdong@vip.sina.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aorta, Thoracic / surgery*
Aortic Diseases / classification*,  surgery*
Chronic Disease
Female
Humans
Male
Middle Aged
Retrospective Studies
Time Factors
Treatment Outcome
Vascular Surgical Procedures / methods
Comments/Corrections
Comment In:
J Thorac Cardiovasc Surg. 2010 Nov;140(5):1202-3.e1   [PMID:  20951266 ]

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