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Objectives: The thoracic branch endoprosthesis (TBE®, WL Gore, Flagstaff AZ) offers an off-the-shelf single option for thoracic endovascular aortic repair (TEVAR) of aortic arch pathology with sealing in zones 0-2. This study reports the early outcomes of TBE®-TEVAR for acute indications.
Methods: Clinical data, imaging, and outcomes of patients treated with TBE®-TEVAR at seven institutions were retrospectively reviewed (March 2017- March 2024).
[Thoracic Endovascular Aortic Repair for Re-entry of Distal Anastomosis Following Ascending Replacement for Acute Aortic Dissection:Report of a Case].
Kyobu Geka
December 2024
Department of Cardiovascular Surgery, Shizuoka Medical Center, Shizuoka, Japan.
A 61-year-old female underwent ascending aortic replacement (resecting the primary entry in the ascending aorta) for Stanford type A acute aortic dissection 1 year and 8 months before. Her postoperative course was uneventful, and the patient was discharged on 17 days later. Follow-up recent computed tomography (CT) scans, however, revealed dissecting aortic aneurysm of the distal aortic arch due to a new entry at the distal anastomosis of the ascending replacement.
View Article and Find Full Text PDFPurulent Pericarditis and Mycotic Pseudoaneurysm of the Ascending Aorta: A Case Report.
Cureus
November 2024
Department of Surgery, The Warren Alpert Medical School, Brown University, Providence, USA.
Concomitant presentation of purulent pericarditis and mycotic pseudoaneurysm of the ascending aorta is exceedingly uncommon. We present a case of a 63-year-old male who presented to the emergency department after one week of severe neck pain along with pleuritic chest pain. He was found to have purulent pericarditis associated with a 0.
View Article and Find Full Text PDFThoracic endovascular aortic repair in connective tissue disease patients is not a definitive option.
J Vasc Surg
November 2024
Cleveland Clinic Foundation, Cleveland, OH. Electronic address:
Article Synopsis
- * The study looked at 40 CTD patients who had TEVAR for thoracoabdominal aortic aneurysms or aortic dissections between February 2014 and April 2021, revealing most had previous aortic interventions and a significant number faced complications post-surgery.
- * Results showed a high reintervention rate (62.5%), with reinterventions typically occurring within the first year, and indicated ongoing risks for aortic-related issues, highlighting challenges in treating CTD patients
Outcomes of Endovascular Repair Confined to the Ascending Thoracic Aorta: A Systematic Review and Meta-Analysis.
Eur J Vasc Endovasc Surg
November 2024
Cardiac Surgery Unit, Cardiac Surgery Division, Department of Cardiovascular Disease E. Malan, IRCCS Policlinico S. Donato, Milan, Italy.
Objective: High risk, inoperable patients with ascending aortic disease are increasingly managed with thoracic endovascular aortic repair (TEVAR). The aim of this study was to assess the available literature on TEVAR confined to the ascending aorta (a-TEVAR), describing study and patient characteristics, procedural and stent graft details, and outcomes.
Data Sources: This was a systematic review and meta-analysis.
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