Document Detail

Staged hybrid repair of thoracoabdominal aortic aneurysm after chronic type B aortic dissection.
MedLine Citation:
PMID:  20979921     Owner:  NLM     Status:  MEDLINE    
The purpose of this study was to evaluate clinical outcomes of combined endovascular and open techniques to eradicate false lumen dilatation in the visceral aortic segment after type B aortic dissection associated with aortic aneurysm. We reviewed eight patients with distal thoracic and abdominal false lumen dilatation treated with a staged procedure. These included arch debranching as needed, proximal thoracic endovascular repair, and open surgical correction with abdominal aortic replacement of the visceral and infrarenal aorta. False lumen eradication was successful in all patients. There were no operative deaths, and paraplegia or paraparesis occurred in two patients. During a mean follow-up of 30 months, no complications or secondary interventions were necessary. The thoracic false lumen remained thrombosed in all patients, with no evidence of aortic dilatation or stent graft complications. Complete thrombosis and eradication of the false lumen can be achieved through a three-stage repair of chronic type B aortic dissection with aneurysmal dilatation. A prospective randomized trial is needed to establish the viability of this approach versus standard open repair of type II thoracoabdominal aortic aneurysms.
Nicola Mangialardi; Pierluigi Costa; Patrice Bergeron; Eugenia Serrao; Sonia Ronchey
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Vascular     Volume:  18     ISSN:  1708-5381     ISO Abbreviation:  Vascular     Publication Date:    2010 Nov-Dec
Date Detail:
Created Date:  2010-10-28     Completed Date:  2010-12-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101196722     Medline TA:  Vascular     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  336-43     Citation Subset:  IM    
Department of Vascular Surgery, San Filippo Neri Hospital, Rome, Italy.
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MeSH Terms
Aneurysm, Dissecting / radiography,  surgery*
Aortic Aneurysm, Thoracic / radiography,  surgery*
Aortography / methods
Blood Vessel Prosthesis Implantation* / adverse effects
Chronic Disease
Endovascular Procedures* / adverse effects
Middle Aged
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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