The effect of aortic dissection on outcome in descending thoracic and thoracoabdominal aortic aneurysm repair.
It is estimated that 20% to 40% of the patients who survive the acute phase of aortic dissection will develop significant aneurysmal dilatation of the descending thoracic or thoracoabdominal aorta. Aortic dissection has long been considered a risk factor for mortality and neurologic deficit following surgical repair of the descending thoracic and/or thoracoabdominal aorta. In this article we review the surgical approach to patients with aortic dissection and thoracoabdominal aortic aneurysms and discuss the impact of adjuncts on survival and neurologic outcome.
Huynh
Tam T T
TT
Department of Cardiothoracic and Vascular Surgery, The University of Texas Health Science Center at Houston, Memorial Hermann Hospital, 77030, USA.
Porat
Eyal E
EE
Miller
Charles C
CC
Estrera
Anthony L
AL
Smith
Jesse J
JJ
Safi
Hazim J
HJ
D000784:Aortic Dissection / Q000453:epidemiology / Q000401:mortality / Q000601:surgery*; D017544:Aortic Aneurysm, Abdominal / Q000453:epidemiology / Q000401:mortality / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000453:epidemiology / Q000401:mortality / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D006801:Humans; D010477:Perfusion; D015996:Survival Rate; D016896:Treatment Outcome