Back to Search
Start Over
Surgical repair of thoracic aortic aneurysms: results and complications.
- Source :
-
Acta bio-medica de L'Ateneo parmense : organo della Societa di medicina e scienze naturali di Parma [Acta Biomed Ateneo Parmense] 2001; Vol. 72 (1-2), pp. 33-43. - Publication Year :
- 2001
-
Abstract
- Between January 1990 and February 2001 a total of 323 patients underwent following operations at our Institution: respectively 256 on the ascending aorta, 13 on the transverse arch and 54 on thoracic descending aorta. Sixteen patients with thoracic aortic aneurysms underwent endovascular stent graft implantation. The overall in-hospital mortality was respectively: 7% for ascending aortic aneurysms, 7.7% in the aortic arch aneurysms group and 5.5% for descending aortic aneurysms. The mortality was greater in case of emergency surgery and in the subgroup of patients with acute type A dissection. Stroke with permanent dysfunction occurred in 1.5% of ascending aneurysms, 7.7% of arch aneurysms and in 3.7% of thoracic descending aneurysms. In the latter group, all the major neurological events were related to conventional surgical procedures only: really no mortality or neurological morbidity occurred with endovascular stent graft implantation. Even if modern physiologic monitoring devices and new surgical techniques have been developed in the last years, the treatment of thoracic aortic aneurysms remains challenging. Endoluminal placement of stent grafts has developed as an alternative procedure for the treatment of thoracic aortic aneurysms, even if longer term follow-up is still necessary to fully define the efficacy of this approach.
- Subjects :
- Adolescent
Adult
Aged
Aortic Aneurysm, Thoracic epidemiology
Female
Follow-Up Studies
Humans
Male
Middle Aged
Morbidity
Pulmonary Disease, Chronic Obstructive epidemiology
Renal Insufficiency epidemiology
Stents
Aortic Aneurysm, Thoracic surgery
Cardiac Surgical Procedures methods
Postoperative Complications
Subjects
Details
- Language :
- English
- Volume :
- 72
- Issue :
- 1-2
- Database :
- MEDLINE
- Journal :
- Acta bio-medica de L'Ateneo parmense : organo della Societa di medicina e scienze naturali di Parma
- Publication Type :
- Academic Journal
- Accession number :
- 11554122