ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
Thoracic endovascular aortic repair for acute pathologies of descending thoracic aorta
Serkan Ertugay1, Hakan Posacıoğlu2, Mustafa Parıldar3, Börteçin Eygi4, Halil Bozkaya3
1Department of Cardiovascular Surgery, Dumlupınar University Evliya Çelebi Training and Research Hospital, Kütahya, Turkey
2Department of Cardiovascular Surgery, Medical Faculty of Ege University, İzmir, Turkey
3Department of Interventional Radiology, Medical Faculty of Ege University, İzmir, Turkey
4Department of Cardiovascular Surgery, Diyarbakır Training and Research Hospital, Diyarbakır, Turkey
DOI : 10.5606/tgkdc.dergisi.2013.6388
Background: This study aims to analyze early and midterm results of thoracic endovascular aortic repair performed in acute pathologies of descending aorta.

Methods: Between September 2006 and April 2010, 25 patients (21 males, 4 females; mean age 62.1±14.8 years; range 26 to 82 years) with acute aortic syndrome who underwent emergent surgery in our clinic through endovascular approach were included in this study. Demographic characteristics, preoperative and postoperative data were analyzed retrospectively by means of file scanning method.

Results: The procedure was successful in all patients. A total of 29 thoracic endograft were implanted in 25 patients. Three patients (12%) died before hospital discharge. Major complications of this procedure including neurologic event and type 1 endoleaks were not observed in any patient. The mean follow-up was 20.2±16.8 months. During this period, none of the patients had need procedure-related complications, while only one patient treated for penetrating atherosclerotic ulcer died at 20 months due to malignancy.

Conclusion: Although our study was designed retrospectively with a small sample size, we detected low morbidity and mortality rates. These results are consistent with the literature, however further studies reflecting the long-term safety results are required. Thoracic endovascular aortic repair is a feasible option of treatment for acute pathologies of descending thoracic aorta.

Keywords : Descending thoracic aorta; endovascular; malperfusion; mortality; rupture
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