Elective Surgery for Thoracic Aortic Aneurysms: Late Functional Status and Quality of Life

Zierer, Andreas; Melby, Spencer J.; Lubahn, Jordon G.; Sicard, Gregorio A.; Damiano, Ralph J.; Moon, Marc R.

doi:10.1016/j.athoracsur.2006.03.042

Cited by 46 publications

(27 citation statements)

References 22 publications

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“…Moreover, TEVAR was restricted to use in cases of descending thoracic aortic aneurysm only. Open surgical repair of the descending thoracic aorta has been associated with a lower risk compared to lesions of the thoracoabdominal aorta [18][19][20]. This was true in our cohort as well as the patients who received open surgical repair of the descending thoracic aorta had better outcomes than the thoracoabdominal aorta operations.…”

Section: Discussionsupporting

confidence: 49%

Neurologic Outcomes from High Risk Descending Thoracic and Thoracoabdominal Aortic Operations in the Era of Endovascular Repair

et al. 2008

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Section: Discussionsupporting

confidence: 49%

Neurologic Outcomes from High Risk Descending Thoracic and Thoracoabdominal Aortic Operations in the Era of Endovascular Repair

et al. 2008

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“…According to the results from a recent review carried out in the United States, early mortality for elective replacement of the ascending aorta (AA) is 3.4% (2). However, this figure increase significantly when the procedure is performed in elderly patients with multiple comorbidities, ranging from 4% to 20% (3). In these cases, or when the correction of the aortic pathology is associated with other procedures, a conservative surgical approach for the AA aneurysm may be…”

Section: Introductionmentioning

confidence: 99%

Wrapping of the ascending aorta revisited—is there any role left for conservative treatment of ascending aortic aneurysm?

González-Santos

Arnáiz-García

2017

J. Thorac. Dis.

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Dilatation of the ascending aorta (AA) is a common finding in patients with aortic valve disease.The clinical practice guidelines recommend replacing the AA whenever the diameter exceeds 45 mm.However, no consensus has been reached regarding the approach when the aorta is only moderately dilated.Although the risk in aorta replacement is generally low, it may be higher when associated with other complex surgical procedures or it is carried out in elderly patients or patients with significant comorbidity. This would justify the use of alternative surgical techniques, which reduce surgical risk and guarantee a durable correction of the aortic pathology. Conservative treatment of aneurysms of the AA via wrapping with different synthetic materials has been implemented for many years. The most commonly used technical variant is wrapping the dilated aorta with a vascular prosthesis with a predetermined diameter. When this technique is adequately applied, it immediately reduces the diameter of the AA and, to a lesser degree, the diameter of the aortic root and arch, while at the same time it reinforces the weak aortic wall. These effects lead to a drop-in wall shear stress and in the risk of aortic dissection and rupture, and persist over time. Although the low elasticity of the external support causes significant changes in the histologic structure of the aortic wall, mainly atrophy and alterations typical of a foreign body-induced reaction, this does not seem to involve a higher risk of complications. In some selected patients, this technique may be used in cases other than post-stenotic aortopathy, and also in aortas with a larger diameter.

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“…Indeed, survivors may subjectively experience QoL as the single most important indicator of treatment success. Long-term QoL after TEVAR has only been assessed in smaller collectives so far [9,10], and it is unknown whether urgency of TEVAR negatively affects QoL during follow-up. The aim of this single centre series therefore was to assess outcome and postoperative QoL in surviving patients after TEVAR and to relate them to an age-and gender-matched standard population after stratification for urgency of initial treatment.…”

Section: Introductionmentioning

confidence: 99%

Thoracic endovascular aortic repair: impact of urgency on outcome and quality of life☆

Dick

Hinder

Immer

et al. 2009

European Journal of Cardio-Thoracic Surgery

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Elective Surgery for Thoracic Aortic Aneurysms: Late Functional Status and Quality of Life

Cited by 46 publications

References 22 publications

Neurologic Outcomes from High Risk Descending Thoracic and Thoracoabdominal Aortic Operations in the Era of Endovascular Repair

Neurologic Outcomes from High Risk Descending Thoracic and Thoracoabdominal Aortic Operations in the Era of Endovascular Repair

Wrapping of the ascending aorta revisited—is there any role left for conservative treatment of ascending aortic aneurysm?

Thoracic endovascular aortic repair: impact of urgency on outcome and quality of life☆

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