Descending thoracic aortic aneurysms (DTAA) have always represented a challenge for the vascular surgeon, despite their incidence is lower compared to abdominal aortic aneurysms. Endovascular repair (ER) has noticeably improved the outcomes of treatment, and it is now considered the “gold standard” even in urgent situations. Yet, open repair is still reserved to selected cases, such as connective tissue disorders, aortic anatomies not suitable for ER, and large aneurysms compressing neighboring organs. Therefore the knowledge of surgical techniques should still belong to every vascular surgeon’s arsenal. The aim of this chapter is to summarize the current knowledge on DTAA, from epidemiology to treatment, providing a description of surgical and endovascular procedures and their related results.

How to approach elective and urgent thoracic aortic aneurysms

Antonello M.;Bonvini S.;Colacchio E. C.
2021

Abstract

Descending thoracic aortic aneurysms (DTAA) have always represented a challenge for the vascular surgeon, despite their incidence is lower compared to abdominal aortic aneurysms. Endovascular repair (ER) has noticeably improved the outcomes of treatment, and it is now considered the “gold standard” even in urgent situations. Yet, open repair is still reserved to selected cases, such as connective tissue disorders, aortic anatomies not suitable for ER, and large aneurysms compressing neighboring organs. Therefore the knowledge of surgical techniques should still belong to every vascular surgeon’s arsenal. The aim of this chapter is to summarize the current knowledge on DTAA, from epidemiology to treatment, providing a description of surgical and endovascular procedures and their related results.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11577/3416263
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