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KMID : 0364020160490020073
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Korean Journal of Thoracic and Cardiovascular Surgery
2016 Volume.49 No. 2 p.73 ~ p.79
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Early Experiences with the Endovascular Repair of Ruptured Descending Thoracic Aortic Aneurysm
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Choi Jae-Sung
Oh Se-Jin
Sung Yong-Won
Moon Hyun-Jong
Lee Jung-Sang
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Abstract
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Background: The aim of this study was to report our early experiences with the endovascular repair of ruptured descending thoracic aortic aneurysms (rDTAAs), which are a rare and life-threatening condition.
Methods: Among 42 patients who underwent thoracic endovascular aortic repair (TEVAR) between October 2010 and September 2015, five patients (11.9%) suffered an rDTAA.
Results: The mean age was 72.4±5.1 years, and all patients were male. Hemoptysis and hemothorax were present in three (60%) and two (40%) patients, respectively. Hypovolemic shock was noted in three patients who underwent emergency operations. A hybrid operation was performed in three patients. The mean operative time was 269.8±72.3 minutes. The mean total length of aortic coverage was 186.0±49.2 mm. No 30-day mortality occurred. Stroke, delirium, and atrial fibrillation were observed in one patient each. Paraplegia did not occur. Endoleak was found in two patients (40%), one of whom underwent an early and successful reintervention. During the mean follow-up period of 16.8±14.8 months, two patients died; one cause of death was a persistent type 1 endoleak and the other cause was unknown.
Conclusion: TEVAR for rDTAA was associated with favorable early mortality and morbidity outcomes. However, early reintervention should be considered if persistent endoleak occurs.
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KEYWORD
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Aneurysm, Aorta, Rupture, Stents
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