Early Experiences with the Endovascular Repair of Ruptured Descending Thoracic Aortic Aneurysm.
10.5090/kjtcs.2016.49.2.73
- Author:
Jae Sung CHOI
1
;
Se Jin OH
;
Yong Won SUNG
;
Hyun Jong MOON
;
Jung Sang LEE
Author Information
1. Department of Thoracic and Cardiovascular Surgery, SMG-SNU Boramae Medical Center, Korea. turejsreal@hanmail.net
- Publication Type:Original Article
- Keywords:
Aneurysm;
Aorta;
Rupture;
Stents
- MeSH:
Aneurysm;
Aorta;
Aortic Aneurysm, Thoracic*;
Atrial Fibrillation;
Cause of Death;
Delirium;
Emergencies;
Endoleak;
Follow-Up Studies;
Hemoptysis;
Hemothorax;
Humans;
Male;
Mortality;
Operative Time;
Paraplegia;
Rupture;
Shock;
Stents;
Stroke
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2016;49(2):73-79
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND: The aim of this study was to report our early experiences with the endovascular repair of ruptured descending thoracic aortic aneurysms (rDTAAs), which are a rare and life-threatening condition. METHODS: Among 42 patients who underwent thoracic endovascular aortic repair (TEVAR) between October 2010 and September 2015, five patients (11.9%) suffered an rDTAA. RESULTS: The mean age was 72.4±5.1 years, and all patients were male. Hemoptysis and hemothorax were present in three (60%) and two (40%) patients, respectively. Hypovolemic shock was noted in three patients who underwent emergency operations. A hybrid operation was performed in three patients. The mean operative time was 269.8±72.3 minutes. The mean total length of aortic coverage was 186.0±49.2 mm. No 30-day mortality occurred. Stroke, delirium, and atrial fibrillation were observed in one patient each. Paraplegia did not occur. Endoleak was found in two patients (40%), one of whom underwent an early and successful reintervention. During the mean follow-up period of 16.8±14.8 months, two patients died; one cause of death was a persistent type 1 endoleak and the other cause was unknown. CONCLUSION: TEVAR for rDTAA was associated with favorable early mortality and morbidity outcomes. However, early reintervention should be considered if persistent endoleak occurs.
