The Outcome of thoracic endovascular aortic repair in patients with thoracic aortic diseases
Saleh, A., Aboleineen, M., Farag, E., soliman, H. (2023). The Outcome of thoracic endovascular aortic repair in patients with thoracic aortic diseases. EKB Journal Management System, 29(1.1), 215-220. doi: 10.21608/zumj.2020.24702.1776
Atef Saleh; Mohammed Aboleineen; ELsayed Farag; Hamdy mahmoud soliman. "The Outcome of thoracic endovascular aortic repair in patients with thoracic aortic diseases". EKB Journal Management System, 29, 1.1, 2023, 215-220. doi: 10.21608/zumj.2020.24702.1776
Saleh, A., Aboleineen, M., Farag, E., soliman, H. (2023). 'The Outcome of thoracic endovascular aortic repair in patients with thoracic aortic diseases', EKB Journal Management System, 29(1.1), pp. 215-220. doi: 10.21608/zumj.2020.24702.1776
Saleh, A., Aboleineen, M., Farag, E., soliman, H. The Outcome of thoracic endovascular aortic repair in patients with thoracic aortic diseases. EKB Journal Management System, 2023; 29(1.1): 215-220. doi: 10.21608/zumj.2020.24702.1776

The Outcome of thoracic endovascular aortic repair in patients with thoracic aortic diseases

Zagazig University Medical Journal
Article 30, Volume 29, Issue 1.1, January 2023, Page 215-220  XML PDF (349.64 K)
Document Type: Original Article
DOI: 10.21608/zumj.2020.24702.1776
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Authors
Atef Saleh email 1; Mohammed Aboleineen2; ELsayed Farag3; Hamdy mahmoud soliman4
1Cardiology department, National Heart Institute, Giza, Egypt
2Cardiology department, faculty of medicine,Zagazig university, Sharkia, Egypt
3cardiology department, faculty of medicine, zagazig university, Sharkia, Egypt
4Cardiology department,National heart institute,Giza, Egypt
Abstract
Background: Open surgical repair (OSR) for TAAs is associated with a high perioperative morbidity and mortality, depending on the extent of repair .Also, as a result of the high mortality rates associated with OSR; stable patients with uncomplicated type B AD frequently obtain medical treatment.
Objectives To evaluate the efficacy and predictors of outcomes of early thoracic endovascular aortic repair in patients with uncomplicated type B aortic dissection and patients with thoracic aortic aneurysms.
Methods: A total of 25 patients with uncomplicated type B AD and descending thoracic aortic aneurysm who underwent endovascular aortic repair in National Heart Institute in the period between 2015 and 2017 were included in the study.
Results: Of the 25 patients, 5 patients had a descending thoracic aortic aneurysm, and 20 patients had uncomplicated type B AD,the total mortality rate was 8 % throughout the follow-up. Procedure related complications were observed in 8 % of the study population, where 2 patients developed type I endoleak, which resolved spontaneously later during the follow up period .Both death and endoleak occurred in subacute and chronic cases, while using TEVAR in acute AD and aortic aneurysms showed no complications.
Conclusion: Early thoracic endovascular aortic repair, along with optimal medical therapy, in uncomplicated type B aortic dissections and thoracic aortic aneurysms is associated with better outcome.
Keywords
Aortic dissection; endovascular repair; surgery
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