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Journals / Koşuyolu Heart Journal / 2020 / Cilt: 23 - Sayı: 1

Frozen Elephant Trunk Procedure for Treatment of Acute Complicated Type B Aortic Dissections

Komplike Akut Tip B Aortik Diseksiyonların Tedavisinde Donmuş Fil Hortumu Prosedürü

Mustafa AKBULUT
Adnan AK
Serpil TAŞ
Özgür ARSLAN
Arzu ANTAL DÖNMEZ
Davut ÇEKMECELİOĞLU
Mesut ŞİŞMANOĞLU
Mehmet Altuğ TUNCER
Pages
53–58
Publication Date
2020-04-01
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: Aortic arch involvement in acute complicated type B aortic dissections requires more extensive treatment, and frozen elephant trunk procedure serves as an alternative treatment modality.

📌 3 Key Takeaways

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Objective & Hypothesis:Introduction: This study aimed to define midterm clinical outcomes and morphological changes of acute complicated type B aortic dissections after the application of frozen elephant trunk technique.
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Key Findings & Data:Patients and Methods: Data were collected from 143 patients treated with frozen elephant trunk procedure for complex thoracic aortic diseases between May 2012 and October 2018.
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Conclusion & Impact:Conclusion: Aortic arch involvement in acute complicated type B aortic dissections requires more extensive treatment, and frozen elephant trunk procedure serves as an alternative treatment modality.
🔬Design:Research Article
📍Scope:2012 Verileri
⚙️Variables:Aortic patoloji · donmuş fil hortumu · tip B aortik diseksiyon

Abstract

Introduction: This study aimed to define midterm clinical outcomes and morphological changes of acute complicated type B aortic dissections after the application of frozen elephant trunk technique. Patients and Methods: Data were collected from 143 patients treated with frozen elephant trunk procedure for complex thoracic aortic diseases between May 2012 and October 2018. Twenty-seven patients with acute complicated type B aortic dissection were included in the study. Results: The mean age of the study population was 56.9 ± 9.1 years, and 23 (85.2%)patients were male. Complete false lumen thrombosis in the descending aorta before the distal end of the stent graft was achieved in 88.9% of cases. There was no late mortality observed at a mean follow-up of 50.7 ± 22.5 months. Only one patient died due to multiple organ failure 62 days after the operation. Five patients underwent secondary distal aortic endovascular repair because of stent graft-induced new entry (n= 3) and second-stage treatment for post-dissection aneurysm (n= 2). Conclusion: Aortic arch involvement in acute complicated type B aortic dissections requires more extensive treatment, and frozen elephant trunk procedure serves as an alternative treatment modality.

Özet

Giriş: Bu çalışma, akut komplike tip B aortik diseksiyonlarında donmuş fil hortumu tekniği uygulanmasından sonraki orta dönem klinik sonuçları ve morfolojik değişikleri tanımlamayı amaçlamıştır. Hastalar ve Yöntem: Veriler, Mayıs 2012-Ekim 2018 tarihleri arasındaki kompleks torasik aorta hastalıkları nedeniyle donmuş fil hortumu prosedürü ile tedavi edilen 143 hastadan toplandı. Akut komplike tip B aortik diseksiyonu olan 27 hasta çalışmaya dahil edildi. Bulgular: Çalışma popülasyonunun ortalama yaşı 56.9 ± 9.1 yıl ve 23 (%85.2) hasta erkekti. Olguların %88.9’unda stent-greft seviyesindeki inen aortada tam yalancı lümen trombozu sağlandı. Ortalama 50.7 ± 22.5 aylık takipte geç dönem mortalite gözlenmedi. Sadece bir hasta operasyondan 62 gün sonrasında çoklu organ yetmezliği nedeniyle kaybedildi. Beş hastaya stent-greft kaynaklı yeni yırtık (n= 3) ve postdiseksiyon anevrizması (n= 2) için ikinci bir distal aortik endovasküler onarım yapıldı. Sonuç: Akut komplike tip B aortik diseksiyonlarda arkus aortanın tutulumu daha genişletilmiş bir tedavi gerektirmektedir ve donmuş fil hortumu prosedürü bu yönde hizmet eden alternatif bir yöntemdir.

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Cite This Article

AKBULUT, M., AK, A., TAŞ, S., ARSLAN, Ö., DÖNMEZ, A. A., ÇEKMECELİOĞLU, D., ŞİŞMANOĞLU, M., TUNCER, M. A. (2020). Frozen Elephant Trunk Procedure for Treatment of Acute Complicated Type B Aortic Dissections. Koşuyolu Heart Journal, Cilt: 23 - Sayı: 1, 53–58. https://ajindex.com/articles/63837

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