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Date Published: 01/02/2021
Abstract Views: 311
Views PDF: 211
DOI: https://doi.org/10.47972/vjcts.v31i.497
Issue
Vol. 31
Section
Research Article
How to Cite
Tien, T. Q., & Kien, P. D. (2021). Results of emergency intervention for ruptured descending thoracic aneurysms. The Vietnam Journal of Cardiovascular and Thoracic Surgery, 31, 12-20. https://doi.org/10.47972/vjcts.v31i.497

Results of emergency intervention for ruptured descending thoracic aneurysms

Trần Quyết Tiến, Phan Duy Kiên

Main Article Content

Abstract

Background: Ruptured descending thoracic aortic aneurysm is dangerous with many severe complications and high mortality if untreated. Endovascular is currently considered as an efficent, less invasive treatment in many worldwide vascular surgery centers.


Objective: Evaluating efficacy of stent graft treatment in patients with ruptured descending thoracic aortic aneurysms at Vascular Surgery department, Cho Ray hospital.


Methods: Case series with 31 patients with ruptured descending thoracic aortic aneurysms treated by stent graft at Vascular Surgery department, Cho Ray hospital from 05/2012 to 12/2019.


Results: 31 patients were treated with stent graft for ruptured descending thoracic aneurysms. The mean age was 64 ± 15,1, 80,7 % were men, mean follow-up time was 18,6 months. The rate of patients needed aortic arch and visceral debranching to have sufficent sealing zone was 12,9 %. 29 % of patients had subclavian arterial coverage. The rate of local anesthesia was 38,8 %. Perioperative and mid-term mortality rates were 6,4 % and 31 %. 100 % cases were successfully deployed. Technical related complications were type II endoleak (6 cases but none of that needed to re-intervention), 1 case of secondary aorto-esophageal fistula died due to sepsis and 1 case of secondary rupture due to aneurysm expansion.


Conclusion: Endograft therapy for ruptured descending thoracic aneurysms is safe, efficient, less invasive with high success and low complication rate.

Article Details

Keywords

stent graft, ruptured descending thoracic aneurysms, emergency intervention

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