ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
ENDOVASCULAR TREATMENT OF THORACIC AND ABDOMINAL AORTIC ANEURYSMS
Cengiz Köksal1, Vural Özcan1, Sabit Sarıkaya1, Burhan Meydan1, Mustafa Zengin1, Firuzan Numan2
1SSK Süreyyapaşa Göğüs Kalp Damar Hastalıkları Hastanesi, Kalp Damar Cerrahisi Kliniği, İstanbul
2İstanbul Üniversitesi Cerrahpaşa Tıp Fakültesi, Radyoloji Ana Bilim Dalı, İstanbul
Background: We report our initial results of thoracic aortic aneurysm (TAA) and abdominal aortic aneurysm (AAA) treated with endovascular stent graft.

Methods: Ten patients underwent endovascular procedures to repair AAA and TAA between 2002-2003 in 10 months period. Patients were preoperatively evaluated with 0.5 cm contrast computerized tomography (CT) and digital substraction angiography with markered catheter for anatomic feasibility and stent graft size measurement. During follow-up period at 1, 3, 6 and 9 months, patients were evaluated with anteroposterior chest film and contrast CT for graft migration and endoleak.

Results: There were 9 male and 1 female patient with mean age of 71.7 ± 7.1 years (ranged 62 to 83 years). Four patient were treated for AAA, five patients for TAA, and one patient for both AAA and TAA by endovascular procedures. A combined surgical and endovascular procedure was performed for one patient with TAA involving the arcus aorta. Mean follow-up period was 4.6 months (ranged 1 to 9 months). There was no hospital mortality. No graft migration or endoleak was encountered during follow-up period. One patient was died at second month because of myocardial infarction.

Conclusions: Although longterm results of open surgical repair is promising in young and low risk patients, endovascular aneurysm repair is an alternative treatment especially for high risk selected older patients with lower morbidity and mortality rates.

Keywords : Abdominal aortic aneurysm, thoracic aortic aneurysm, interventional radiography, endovascular stent
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