title: E-VITA Jotec open hybrid stent graft system for the treatment of complex thoracic aortic aneurysm and dissection--a four year experience.
abstract: BACKGROUND
  The management of complex aortic aneurysms and dissections involving both the aortic arch and descending aorta include operations associated with significant risks of mortality and morbidity. The advent of hybrid systems such as the E-VITA Jotec open hybrid stent graft system (E-VITA) provides the advantage of single stage repair with follow up repair of any remaining downstream aneurysm and dissection being easier to manage.
  
  
  METHODS
  Herein we report a series of seven cases utilising E-VITA over a four year period.
  
  
  RESULTS
  The average patient age was 66.9 years of age (range: 55-78 years). The average cardiopulmonary bypass and circulatory arrest times were 237.14 min and 47.83 min. There was one operative mortality. Follow up as far as three years revealed good results with few complications.
  
  
  CONCLUSIONS
  The E-VITA is a feasible management option in the treatment of complex aortic aneurismal disease and dissections. It allows treatment of patients that may have previously not been considered suitable for two-stage surgical procedure.
authors.affiliation: Cardiothoracic Surgery Department, Royal Adelaide Hospital, Adelaide, South Australia, Australia. Electronic address: jason.varzaly@gmail.com.
authors.forename: Jason
authors.initials: J
authors.lastname: Varzaly
authors.affiliation: Cardiothoracic Surgery Department, Royal Adelaide Hospital, Adelaide, South Australia, Australia.
authors.forename: Krish
authors.initials: K
authors.lastname: Chaudhuri
authors.affiliation: Cardiothoracic Surgery Department, Royal Adelaide Hospital, Adelaide, South Australia, Australia.
authors.forename: Gareth
authors.initials: G
authors.lastname: Crouch
authors.affiliation: Cardiothoracic Surgery Department, Royal Adelaide Hospital, Adelaide, South Australia, Australia.
authors.forename: James
authors.initials: J
authors.lastname: Edwards
mesh_terms: D000368:Aged; D000784:Aortic Dissection / Q000473:pathology / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000473:pathology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D015607:Stents
keywords: Aortic aneurysm; Aortic arch; Descending aorta; Endovascular procedures; Endovascular techniques; Thoracic aorta