The safety and prognosis assessment of surgical repair for retrograde type A aortic dissection after TEVAR
10.3760/cma.j.cn112434-20231114-00115
- VernacularTitle:TEVAR逆撕A型夹层外科修复的安全性和预后评估
- Author:
Xiang LUO
1
;
Jie LIU
;
Jiade ZHU
;
Tuerdi MUHETAIJIANG
;
Jun KE
;
Tucheng SUN
;
Jinlin WU
Author Information
1. 南方医科大学附属广东省人民医院 广东省医学科学院 广东省心血管病研究所心外科，广州 510080
- Keywords:
Thoracic endovascular aortic repair;
Retrograde type A aortic dissection;
Surgical repair;
Aortic disease
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2024;40(9):549-552
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the safety and prognosis for surgical repair of retrograde type A aortic dissection (RTAD) following thoracic endovascular aortic repair (TEVAR).Methods:This study utilized a retrospective cohort design, searching the hospital's medical records database to select patients who underwent TEVAR surgery from December 2017 to August 2020 and subsequently received another aortic surgery in our hospital due to RTAD. We collected data on patients' preoperative characteristics, details of the TEVAR procedure and the subsequent aortic surgeries, as well as postoperative follow-up data. Follow-up for these patients was conducted via telephone and outpatient visits, and data were analyzed using descriptive statistical methods.Results:The study included a total of 18 patients, of whom 17 were males, with an average age of 53.3 years old. Preoperative comorbidities included hypertension in 12 patients, abdominal aortic aneurysm in 1 patient, and coronary heart disease in 2 patients. There was 1 in-hospital death, 1 patient developed cardiac dysfunction, 1 experienced renal impairment, and 2 required a re-entry into the operating room for further management.Conclusion:Despite the widespread use of TEVAR, it is essential to carefully consider a patient's preoperative risk factors, patients who develop RTAD after TEVAR can safely and effectively undergo aortic surgical repair.
