Endovascular Repair of Thoracic Aortic Aneurysms

  • Bradley B. Hill
  • Christopher K. Zarins
  • Thomas J. Fogarty

Abstract

The detection of thoracic aortic aneurysms has increased since the early 1970s along with the overall increasing prevalence of aneurysmal disease in our aging population. Frequently, patients with thoracic aneurysms have additional serious medical co-morbidities that make them high risk surgical candidates. The results of endovascular repair of abdominal aortic aneurysms indicate that stent-graft techniques, compared to conventional repair, are associated with decreased morbidity and mortality rates, shorter hospitalization, and a more rapid, less painful recovery from the patient’s perspective. Thoracotomy for repair of thoracic aortic aneurysms is associated with an even higher risk of serious morbidity and mortality than conventional repair of abdominal aortic aneurysms particularly in patients with significant cardiopulmonary disease. Recognition of this problem has spurred an initiative to develop less invasive approaches to repairing descending thoracic aortic aneurysms. The adaptation of stent-graft technology to the treatment of thoracic aneurysms is limited because most aneurysms that involve the descending thoracic aorta extend into the abdominal viscerorenal aortic segment. In select patients, endovascular repair of thoracic aortic aneurysms offers the possibility of reducing morbidity and mortality by avoiding thoracotomy.

Keywords

Magnetic Resonance Angiography Aortic Aneurysm Thoracic Aorta Abdominal Aortic Aneurysm Common Iliac Artery 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer Science+Business Media New York 1999

Authors and Affiliations

  • Bradley B. Hill
  • Christopher K. Zarins
  • Thomas J. Fogarty

There are no affiliations available

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