Revista Colombiana de Cardiología
Print version ISSN 0120-5633
BARRERA, Juan G et al. Experience in endovascular management for thoracic aorta treatment. Rev. Col. Cardiol. [online]. 2007, vol.14, n.6, pp. 373-377. ISSN 0120-5633.
Antecedents: endovascular treatment has the possibility of covering the dissection origin and to avoid its progression to aortic aneurysm, showing a 16% mortality reduction. Objective: evaluate surgical results in terms of morbid-mortality in patients submitted to endovascular management of thoracic aortic lesions in the Colombian Cardiovascular Foundation from 2003 to 2005. Design-Method: longitudinal descriptive retrospective study in which clinical histories of all patients submitted to endovascular treatment of thoracico-abdominal aortic lesions were evaluated. Only patients with thoracic aortic procedures between 2003 and 2005 were included. Data analysis was realized in Stata/SE 8,0. Results: thoracic aortic procedures were performed in 16 patients. 75% were male with mean age 55.9 ± 12.6 years. 87.5% (14) had type A or B aortic dissection; one patient had traumatic aortic transection and one had aneurysm of thoracic descendant aorta. Acute dissections were presented in 78.6% (11 patients) and chronic dissections in 21.4% (3 patients). Average of endoprosthesis employed was 2.8 ± 1. Intensive care unit stay was 3 ± 2.7 days. 81.3% had no mayor complications. Mortality was 18.7% (3 patients). All patients had post-operative computerized tomography scan, with satisfactory evolution. Conclusion: according to the largest casuistics literature reports, endovascular management of dissection, aneurysm or aortic trauma is considered a trustworthy procedure that diminishes morbid-mortality.
Keywords : thoracic aortic aneurysm; endoprosthesis; endovascular treatment; acute thoracic aortic dissection; chronic aortic dissection.