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International Society For Minimally Invasive Cardiothoracic Surgery

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Late Outcomes Of Thoracic Endovascular Repair In Acute Aortic Events (type 3 Acute Aortic Dissection And Traumatic Aortic Disruption)
Sung-Ho Jung.
Asan Medical Center, Seoul, Korea, Republic of.

Objective: The present study was performed to know the late state after the thoracic endovascular repair (TEVAR) in patients with acute events including acute aortic dissection type III or traumatic aortic disruption.
Methods: Between July 2009 and March 2011, 6 patients underwent TEVAR for traumatic aortic disruption in 4 patients and acute type III aortic dissection in 2 patients. The indications for endovascular repair in acute type III dissection were a limb ischemia and intractable pain.
In three patients, tapered stent grafts were used. One patient needed the window operation due to the hemopericardium. Mean clinical follow up duration was 8.4 years and the last computed tomography scan was performed at 5.8 years after procedure.
Results: There were no early and late mortality. In all patients, the aortic portion covered by stent graft was stable and remnant dissection has been checked (Figure 1) There was no repeated intervention during follow up period.
Conclusions: In selected patients, TEVAR shows good early and late outcomes in acute type III aortic dissection or traumatic aortic disruption.

Demographic and follow up data
case 1case 2case 3case 4case 5case 6
DiagnosisTraumatic aortic disruptionTraumatic aortic disruptionTraumatic aortic disruptionAcute AD type IIITraumatic aortic disruptionAcute AD type s
Stent graft size (mm)28-243632-2834-303224,26
Stent graft length (cm)121010131013,13
Stent graft number111112
CT follow up duration (Year)
Last stateAliveAliveAliveAliveAliveAlive

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