| Self-expanding endovascular stent-graft implant for treatment of descending aortic diseases. | |
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MedLine Citation:
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PMID: 10678440 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Aneurysms and dissections involving the descending thoracic aorta and the distal portion of the aortic arch are difficult to resolve surgically. The introduction of endovascular self-expanding stent-grafts has simplified the operation. Given the complications associated with their peripheral placement, we explored the feasibility of surgical insertion. METHODS: Thirteen patients underwent surgical insertion of a stent-graft into the aortic arch via longitudinal aortotomy. Six patients had aneurysms (ruptured in two, and seven dissections (acute in two, ruptured in one). Five patients also underwent associated procedures including aortic valve replacement (one), ascending aorta replacement (two), arch replacement (one), and coronary artery bypass (one). RESULTS: There was one intraoperative death due to ascending aortic dissection, and two hospital deaths due to multiple complications. Of ten patients discharged, one died 3 months postoperatively. The remaining survivors are well, and imaging studies confirmed adequate correction of the aortic disease. CONCLUSIONS: The use of this technique simplifies the operation and treatment of particular cases of aortic disease. The observed morbidity and mortality are due to factors independent of the technique. |
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Authors:
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N A Stolf; P M Pêgo Fernandes; L R Souza; R Moitinho; E Arteaga; A D Jatene |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of cardiac surgery Volume: 14 ISSN: 0886-0440 ISO Abbreviation: J Card Surg Publication Date: 1999 Jan-Feb |
Date Detail:
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Created Date: 2000-03-16 Completed Date: 2000-03-16 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8908809 Medline TA: J Card Surg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 9-15 Citation Subset: IM |
Affiliation:
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Heart Institute-INCOR University of Sao Paulo Medical Center, Brazil. dci-paulopego@incor.usp.br |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aneurysm, Dissecting / mortality, radiography, surgery* Aorta, Thoracic / radiography, surgery* Aortic Aneurysm, Thoracic / mortality, radiography, surgery* Aortic Rupture / mortality, radiography, surgery* Female Hospital Mortality Humans Male Middle Aged Postoperative Complications / mortality, radiography Stents* Tomography, X-Ray Computed Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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