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Clin Cardiol J Volume 1 | Issue 1

December 04-05, 2017 Dallas, USA

International Conference on

Heart Congress, Vascular Biology and Surgeon’s Meeting

Short term outcome of thoracic endovascular aortic repair in patients with thoracic

aortic diseases

Huthayfa Ghanem

and

Mohammed N. El-Ganainy

Alexandria University, Egypt

National Heart Institute, Egypt

Aim and Background:

Open surgical repair for thoracic aortic diseases is associated with a high perioperative

mortality and morbidity. Most of type B aortic dissections are uncomplicated and are medically treated which

carries a high mortality rate. Thoracic endovascular aortic repair is the first-line therapy for isolated aneurysms

of the descending aorta and complicated type B aortic dissection. The aim of this study is to test the efficacy and

safety of thoracic endovascular aortic repair in patients with uncomplicated type B aortic dissection and patients

with descending thoracic aortic aneurysms.

Methods:

A total of 30 patients (24 men and 6 females; mean age 59±8 years) with uncomplicated type B aortic

dissection and descending aortic aneurysm who underwent endovascular aortic repair in National Heart Institute

and Cairo University hospitals were followed up. Clinical follow-up data was done at one, three and twelve

months thereafter. Clinical follow-up events included death, neurological deficits, symptoms of chronic mal-

perfusion syndrome, and secondary intervention. Multi-slice computed tomography was performed at an average

of three and six months after intervention.

Results:

Of the 30 patients, 24 patients had aortic dissection, and 6 patients had an aortic aneurysm. Seven

patients underwent hybrid technique and rest underwent the basic endovascular technique. Success rate was

100% for the basic endovascular procedures. Two patients developed complications, type Ia endoleak and type

IIa endoleak, however both improved after short term follow up. The total mortality rate was 10% throughout the

follow-up. Early thoracic endovascular aortic repair showed better results and less complication.

Conclusion:

Along with medical treatment, early thoracic endovascular aortic repair should be considered as the

gold standard in uncomplicated aortic dissections type B and aortic aneurysms.

Biography

Dr. Huthayfa Ghanem did his Bachelor of Medicine and Surgery from College and University of Alexandria, Egypt.`