Tiếp cận toàn diện bệnh lý động mạch chủ: kinh nghiệm tại trung tâm tim mạch BV đại học y dược Tp.hcm

Abstract

Background – Objectives: Aortic disease, oftenly seen in the elderly, is a severe condition with high mortality and high surgical risk. Treatment modalities consists of surgery and endovascular repair, each has advantages and disadvantages. We summarized our experiences in treating aortic disease at the Heart Center, University Medical Center at Ho Chi Minh City Method: We prospective reviewed patients underwent aortic surgery and endovascular treatment at the University Medical Center at Ho Chi Minh City from 08/2014 to 08/2019. Results: 67 patients underwent aortic surgery at our center, group mean age was 65.6, male:female ratio was 1.4:1. 28 cases were acute loạiA dissection, the other 39 patients were diagnosed with aortic aneurysms at different part of the aorta. Early mortality was 10.4%, including 4 arch replacement, 1 Bentall and 2 thoracoabdominal aneurysms. 112 patients were treated endovascularly, group mean age was 77.6, male:female ratio was 1.6:1. Early mortality was 9.8%, 10 endoleak was recorded (8.9%)1 Conclusions: In our experiences with aortic procedures, the outcomes are slightly better in the endovascular group, comparing to the surgical cohort. A holistic approach is required to provide the best option for patients with this severe condition..