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Thorac Cardiovasc Surg 2016; 64(04): 290-295
DOI: 10.1055/s-0035-1556819
Original Cardiovascular
Georg Thieme Verlag KG Stuttgart · New York

Hybrid Operation for Descending Aortic Pathologies Involving Distal Aortic Arch

Xu-Dong Pan   *
1   Beijing Aortic Disease Center, Beijing Anzhen Hospital, Capital Medical University, Beijing, China
,
Ke-Feng Zhang   *
1   Beijing Aortic Disease Center, Beijing Anzhen Hospital, Capital Medical University, Beijing, China
2   Cardiovascular Surgery Department, Xuanwu Hospital, Capital Medical University, Beijing, China
,
Jun Zheng
1   Beijing Aortic Disease Center, Beijing Anzhen Hospital, Capital Medical University, Beijing, China
,
Wei-Guo Ma
1   Beijing Aortic Disease Center, Beijing Anzhen Hospital, Capital Medical University, Beijing, China
,
Yong-Min Liu
1   Beijing Aortic Disease Center, Beijing Anzhen Hospital, Capital Medical University, Beijing, China
,
Jun-Ming Zhu
1   Beijing Aortic Disease Center, Beijing Anzhen Hospital, Capital Medical University, Beijing, China
,
Lian-Jun Huang
1   Beijing Aortic Disease Center, Beijing Anzhen Hospital, Capital Medical University, Beijing, China
,
Li-Zhong Sun
1   Beijing Aortic Disease Center, Beijing Anzhen Hospital, Capital Medical University, Beijing, China
› Author Affiliations
Further Information

Publication History

26 March 2015

15 May 2015

Publication Date:
20 August 2015 (online)

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Abstract

Background A combined endovascular and debranching hybrid procedure was performed for descending aortic pathologies involving the distal aortic arch. We reviewed our results of this procedure to summarize clinical experiences.

Methods From April 2009 to April 2013, 36 patients (21 males and 15 females) underwent the hybrid operation. Hospital stay and complications were closely monitored after operation. Follow-up CT scan was performed at postoperative 3 months and 12 months.

Results The hospital stay ranged from 7 to 25 (15.1 ± 5.0) days. The mean age at operation was 67.6 ± 4.8 years (range: 60–79 years). In-hospital mortality and stroke rates were 2.8% (1/36) and 2.8% (1/36). At a mean follow-up of 22 months (4–52 months), the mortality was 0% (0/35). All remaining 35 patients returned to normal life. During the follow-up period, one patient required secondary endovascular reintervention for a type 1 distal endovascular leak.

Conclusion Hybrid repair for descending aortic pathologies involving the distal arch proves to be effective and safe at midterm follow-up with acceptable surgical risks and satisfactory results.

Keywords

aortic arch - aortic dissection - aortic operation

* Ke-Feng Zhang and Xu-Dong Pan contributed equally to this work.


 

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