| Staged hybrid repair of thoracoabdominal aortic aneurysm after chronic type B aortic dissection. | |
| | |
MedLine Citation:
|
PMID: 20979921 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
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. |
| | |
Authors:
|
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 |
Affiliation:
|
Department of Vascular Surgery, San Filippo Neri Hospital, Rome, Italy. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Aged Aneurysm, Dissecting / radiography, surgery* Aortic Aneurysm, Thoracic / radiography, surgery* Aortography / methods Blood Vessel Prosthesis Implantation* / adverse effects Chronic Disease Endovascular Procedures* / adverse effects Female Humans Male Middle Aged Rome Time Factors Tomography, X-Ray Computed Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Initial results of a 12-week, institution-based, supervised exercise rehabilitation program for the ...
Next Document: Transit-time volume flow measurements in autogenous femorodistal bypass surgery for intraoperative q...