Combined Open and Endovascular Repair for Aortic Arch Pathology.
10.4070/kcj.2010.40.8.399
- Author:
Woong Chol KANG
1
;
Eak Kyun SHIN
;
Tae Hoon AHN
;
Kyung Hoon LEE
;
Chan Il MOON
;
Seung Hwan HAN
;
Chul Hyun PARK
;
Kook Yang PARK
;
Jin Mo KANG
;
Jung Ho KIM
Author Information
1. Department of Cardiology, Gil Medical Center, Gachon University of Medicine and Science, Incheon, Korea. ekshin@gilhospital.com
- Publication Type:Original Article
- Keywords:
Prostheses and implants;
Aortic disease;
Aortic aneurysm
- MeSH:
Aneurysm;
Aorta, Thoracic;
Aortic Aneurysm;
Aortic Diseases;
Endoleak;
Follow-Up Studies;
Glycosaminoglycans;
Hemorrhage;
Humans;
Male;
Medical Records;
Prostheses and Implants;
Retrospective Studies;
Rupture;
Stents;
Transplants
- From:Korean Circulation Journal
2010;40(8):399-404
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND AND OBJECTIVES: We describe our experience with combined open and endovascular repair in patients who have aortic arch pathology. SUBJECTS AND METHODS: This study is a retrospective analysis of 7 patients who underwent combined open and endovascular repair for aortic arch pathology. Medical records and radiographic information were reviewed. RESULTS: A total of 7 consecutive patients (5 men, 71.4%) underwent thoracic stent graft implantation. The mean age was 59.9+/-16.7 years. The indication for endovascular repair was aneurysmal degeneration in 5 patients, and rupture or impending rupture in 2 patients. In all 7 cases, supra-aortic transposition of the great vessels was performed successfully. Stent graft implantation was achieved in all cases. Surgical exposure of the access vessel was necessary in 2 patients. A total of 9 stent grafts were implanted (3 stent grafts in one patient). The Seal thoracic and the Valiant endovascular stent graft were implanted in 6 patients and 1 patient, respectively. There were no post-procedure deaths or neurologic complications. In 2 patients, bleeding and injury of access vessel were noted after the procedure. Postoperative endoleak was noted in 1 patient. One patient died at 10 months after the procedure due to a newly developed ascending aortic dissection. No patients required secondary intervention during the follow-up period. The aortic diameter decreased in 4 patients. In 3 patients, including 1 patient with endoleak, there was no change in aortic diameter. CONCLUSION: Our experience suggests that combined open and endovascular repair for aortic arch pathology is safe and effective, with few complications.
