| Long-term results of second-stage thoracic endovascular aortic repair following total aortic arch replacement. | |
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MedLine Citation:
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PMID: 20941562 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: We investigated the surgical results of secondary thoracic endovascular aneurysm repair (TEVAR) using the elephant trunk graft after total aortic arch replacement (TAR) for extensive thoracic aortic lesions. METHODS: The subjects comprised 16 patients who underwent TEVAR as a staged procedure following TAR at our institution between 1997 and 2007. Long-term results were retrospectively surveyed (mean observation period 68.4 months). We performed TEVAR with the elephant trunk graft as a proximal landing zone for the descending thoracic repair, the mean duration between TAR and TEVAR was 4.7 weeks for the staged operations and 18.3 months for the nonstaged operations. RESULTS: Early results were good in all cases, with no deaths and no noteworthy complications. For the seven patients without dissection, long-term results were also good. Among the nine patients with dissection, the false lumen in the thoracoabdominal area enlarged in three during follow-up. We performed thoracoabdominal repair in two, but one died of an aneurysm-esophageal fistula. There was only one long-term aneurysm-related death. CONCLUSION: Second-stage TEVAR using the elephant trunk graft after TAR allows less invasive surgery for extensive aortic lesions and achieves good long-term results. However, enlargement of the false lumen was a long-term concern in patients with aortic dissection, and careful follow-up is essential. |
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Authors:
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Yukio Obitsu; Nobusato Koizumi; Yasunori Iida; Toru Iwahashi; Naozumi Saiki; Yoshiko Watanabe; Hisahito Takae; Satoshi Kawaguchi; Hiroshi Shigematsu |
Publication Detail:
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Type: Journal Article Date: 2010-10-13 |
Journal Detail:
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Title: General thoracic and cardiovascular surgery Volume: 58 ISSN: 1863-6713 ISO Abbreviation: Gen Thorac Cardiovasc Surg Publication Date: 2010 Oct |
Date Detail:
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Created Date: 2010-10-13 Completed Date: 2011-02-02 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101303952 Medline TA: Gen Thorac Cardiovasc Surg Country: Japan |
Other Details:
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Languages: eng Pagination: 501-5 Citation Subset: IM |
Affiliation:
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Department of Vascular Surgery, Tokyo Medical University, Shinjyuku-ku, Japan. obitsu@tokyo-med.ac.jp |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aneurysm, Dissecting
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mortality,
radiography,
surgery* Aorta, Thoracic / radiography, surgery* Aortic Aneurysm, Thoracic / mortality, radiography, surgery* Aortography / methods Blood Vessel Prosthesis Blood Vessel Prosthesis Implantation* / adverse effects, instrumentation, mortality Endovascular Procedures* / adverse effects, instrumentation, mortality Humans Japan Prosthesis Design Retrospective Studies Time Factors Tomography, X-Ray Computed Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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