Universität zu Köln

Hoermann, Mareike, Pavlidis, Daphne, Brunkwall, Jan and Gawenda, Michael (2011). Long-term results of endovascular aortic repair for thoracic pseudoaneurysms after previous surgical coarctation repair. Interact Cardiovasc. Thorac. Surg., 13 (4). S. 401 - 405. OXFORD: OXFORD UNIV PRESS. ISSN 1569-9293

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Abstract

Objectives: Late aneurysm formation has been reported after every type of surgical coarctation repair in up to 10%, with rupture of such aneurysms being responsible for approximately 7% of all deaths. Secondary surgical repair carries a significant mortality (up to 15%) and morbidity rate (recurrent laryngeal nerve paralysis similar to 20%, phrenic nerve injury similar to 5%). According to the positive experience with endovascular therapy of atherosclerotic thoracic aortic aneurysms, it is worthwhile to evaluate the concept of minimally invasive endovascular stent grafting for secondary repair of postsurgical aneurysms. Methods: Data were collected prospectively on consecutive patients who presented with postcoarctation false aneurysms. Results: Since 1999, in a cohort of 210 endovascularly treated patients with thoracic and thoracoabdominal aortic pathologies, four patients with postcoarctation false aneurysms underwent endoluminal stent-graft placement. All of these procedures were technically successful without 30-day or one-year procedure-related mortality. After a follow-up of 71 months in median (range, 7-93 months; mean, 60.5 months), all aneurysms remain excluded without any endoleak. Conclusions: According to the current limited experience of small series, the endoluminal repair seems to be a promising alternative to redo open operations for postsurgical thoracic aneurysms associated with coarctation repair. Long-term follow-up of our small cohort confirmed the durability of the stent-graft treatment. (c) 2011 Published by European Association for Cardio-Thoracic Surgery. All rights reserved.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Hoermann, Mareike UNSPECIFIED UNSPECIFIED UNSPECIFIED Pavlidis, Daphne UNSPECIFIED UNSPECIFIED UNSPECIFIED Brunkwall, Jan UNSPECIFIED UNSPECIFIED UNSPECIFIED Gawenda, Michael UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-488469
DOI:	10.1510/icvts.2011.271312
Journal or Publication Title:	Interact Cardiovasc. Thorac. Surg.
Volume:	13
Number:	4
Page Range:	S. 401 - 405
Date:	2011
Publisher:	OXFORD UNIV PRESS
Place of Publication:	OXFORD
ISSN:	1569-9293
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language SUBCLAVIAN ARTERY; STENT GRAFTS; ANEURYSMS; COMPLICATIONS; MANAGEMENT; SURGERY; ADULT Multiple languages Cardiac & Cardiovascular Systems; Respiratory System; Surgery Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/48846