Yagual-Gutiérrez E, Ávalos-Rios J, Díaz-Quiroz G, García-Ortegón MS, Morales M

Language: English
References: 10
Page: 112-106
PDF size: 181.64 Kb.

ABSTRACT

Background. Surgery of the thoracic aorta leads to high mortality and morbidity rates. The endovascular technique has enjoyed greater permissiveness for the treatment of penetrating ulcer, intramural hematoma, traumatism of the aorta, chronic dissections. We want to present the result of endovascular management in Stanford B aortic dissection by Cardiothoracic Surgery Service at one center. Materials. We registered the patients with diagnosis of aortic dissection Stanford B, De-Bakey III A, at our institution. Between January 2017 to January 2019, 18 patients underwent an aortic endovascular procedure, and 12 had a compromise after the emergence of the left subclavian artery. Results. Endovascular procedure was performed in (N = 12) through the femoral or iliac artery. The average age of the patients was 57 years, with the minimum and maximum age being 32 and 80 years respectively. The surgical time used was on average 170 min. The stay in the intensive care unit was on average 2 days and the hospital stay on average 5 days. Among the early complications, cerebral edema was observed in 1 patient and another with type II endoleak. Operative mortality at 30-days and 1-year was 0%. Conclusions. The endovascular approach has led to great changes in the therapeutic possibilities that affect the thoracic aorta, the cardiothoracic surgeon with a good learning curve is able to deal with this type of aortic pathology with promising results.

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