REVIEW  CRITICAL ISSUES ON DEALING WITH CHRONIC POST-DISSECTION ARCH AND THORACOABDOMINAL AORTIC ANEURYSMS 

The Journal of Cardiovascular Surgery 2020 August;61(4):385-91

DOI: 10.23736/S0021-9509.20.11405-8

Copyright © 2020 EDIZIONI MINERVA MEDICA

lingua: Inglese

Anatomical aspects and feasibility of endovascular repair for chronic post-dissection arch and thoracoabdominal aortic aneurysms

Javairiah FATIMA ¹ ✉, Emanuel R. TENORIO ², Gustavo S. ODERICH ²

¹ Department of Vascular Surgery, MedStar Heart and Vascular Institute, Washington DC, USA; ² Division of Vascular and Endovascular Surgery, Mayo Clinic, Rochester, MN, USA

Aortic dissection is a complex pathology that carries significant morbidity and mortality if not treated in a timely fashion. While the open repair remains the gold standard treatment for patients with acute type A dissection, ascending aortic replacement is associated with high incidence of arch and descending thoracic aorta residual false lumen patency and aneurysmal degeneration. Multiple approaches have been used over the decades to address aneurysmal degeneration in the arch and thoracoabdominal aorta. This article summarizes anatomical requirements for total endovascular repair of aortic arch and TAAAs using fenestrated and branched endografts.

KEY WORDS: Aortic aneurysm, thoracic; Aneurysm, dissecting; Feasibility studies