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Số xuất bản: Tập 56
Chuyên mục: Bài báo
DOI: 10.47972/vjcts.v56i.1788
Ngày xuất bản: 31/07/2026
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Trích dẫn bài báo
Nguyen, D. T., Huynh, N. H., & Lam, T. C. (2026). Outcomes of endovascular treatment for acute aortic syndrome at Thong Nhat Hospital. Tạp chí Phẫu thuật Tim mạch và Lồng ngực Việt Nam, 56, 33 - 39. https://doi.org/10.47972/vjcts.v56i.1788

Outcomes of endovascular treatment for acute aortic syndrome at Thong Nhat Hospital

Nguyen Duy Tan1,2, Huynh Ngoc Hanh1, Lam Thao Cuong3,4,
1 Thong Nhat Hospital
2 School of Health Sciences, Vietnam National University Ho Chi Minh City
3 University Medical Center Ho Chi Minh City
4 University of Medicine and Pharmacy Ho Chi Minh City

Nội dung chính của bài viết

Tóm tắt

Introduction: Acute aortic syndrome (AAS) is a life-threatening emergency encompassing aortic dissection, intramural hematoma (IMH), penetrating aortic ulcer (PAU), and aortic rupture/pseudoaneurysm. Mortality reaches 50–90% without timely intervention. Endovascular stent-grafting has become the preferred approach for descending aortic lesions.


Objective: To evaluate clinical characteristics, lesion morphology, and early outcomes of endovascular treatment for AAS at Thong Nhat Hospital.


Methods: A retrospective descriptive study of 22 patients diagnosed with AAS and treated by endovascular stent-grafting from June 2020 to January 2024. Lesion classification followed the Svensson system and the 2014 ESC Guidelines. Categorical variables were analyzed using Fisher’s exact test; continuous variables using the independent samples t-test.


Results: 22 patients (male 72.7%; mean age 58.5 ± 14.2 years). Lesion types: aortic dissection 45.5%, aortic rupture/pseudoaneurysm 27.3%, PAU 22.7%, IMH 4.5%. Most common proximal landing zones: zone 0 (22.7%) and zone 2 (36.4%). Supra-aortic vessel transposition was required in 68.2% of cases. Technical success rate was 77.3%. Complications (each 4.5%): endoleak, retrograde type A dissection, aortic/iliac rupture, cerebral embolism, and acute limb ischemia. In-hospital mortality was 9.1% (2/22).


Conclusion: Endovascular stent-grafting is a feasible, safe and effective treatment for AAS with acceptable in-hospital mortality. Larger cohorts and longer follow-up are needed to evaluate mid- and long-term outcomes.

Từ khóa

acute aortic syndrome, endovascular treatment, stent-graft, aortic dissection, aortic aneurysm

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Tài liệu tham khảo

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