Treatment of Descending Thoracic Aortic Aneurysms and Dissections with Endovascular Stent-Grafts [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2003; 31(9): 489-497

Treatment of Descending Thoracic Aortic Aneurysms and Dissections with Endovascular Stent-Grafts

Harun Arbatlı1, Naci Yağan1, Ergun Demirsoy1, Murat Arpaz1, Oğuz Yılmaz1, Faruk Tükenmez1, Deniz Şener1, Fürüzan Numan1, Bingür Sönmez1

Treatment of Descending Thoracic Aortic Aneuiysms and Dissections with Endovascular Stent-Grafts The aim of this study was to evaluate the early results of the endovascular treatment for aneurysms and dissections of the deseending thoracic aorta. From August 2001 to June 2003, endovascular procedures were performed for descending thoracic aortic aneurysms and dissections in 6 patients. All patients were male with a mean age of 58.3±18.71 (range 31-73). Two patients were operated due to acute type B dissection; with left heart failure, pulmonary edema and visceral ischemia in one and, intractable hypertension, back pain and radiological signs of evolving rupture in the other. In another patient, there was a false aneurysm and an aorto-bronchial fistula originating from the distal anastomosis of a previously surgically implanted graft within the descending thoracic aorta. One patient had a thoracoabdominal aortic aneurysm, one patient had thoracic aortic aneurysms distal to the left subclavian artery, and the other patient had postraumatic false aneurysm of the thoracic aorta. Endovascular stent-grafts were successfully implanted at the target site in all patients. One patient with acute type B dissection died probably due to massive pulmonary embolism 72 days after the procedure. The remaining patients are leading their normal active life. Treatment of descending thoracic aortic diseases with an endovascular approach has acceptable early mortality and morbidity in high risk patients.

Keywords: Aorta, aneurysm, dissection, endovascular therapy

How to cite this article
Harun Arbatlı, Naci Yağan, Ergun Demirsoy, Murat Arpaz, Oğuz Yılmaz, Faruk Tükenmez, Deniz Şener, Fürüzan Numan, Bingür Sönmez. Treatment of Descending Thoracic Aortic Aneurysms and Dissections with Endovascular Stent-Grafts. Turk Kardiyol Dern Ars. 2003; 31(9): 489-497
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