Journal Article

Late complications after surgical exclusion of the thoracic aorta

in European Journal of Cardio-Thoracic Surgery

Published on behalf of European Association for Cardio-Thoracic Surgery

Volume 10, issue 7, pages 590-592
Published in print July 1996 | ISSN: 1010-7940
Published online July 1996 | e-ISSN: 1873-734X | DOI: https://dx.doi.org/10.1016/S1010-7940(96)80430-1
Late complications after surgical exclusion of the thoracic aorta

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Two patients who underwent surgical exclusion of the thoracic aorta forchronic dissecting aneurysms of the descending aorta died 4 and 8 yearsafter surgery due to complications in part related to the operativetechnique. One patient developed pseudoaneurysm of the proximal aorticstump with fatal exsanguination through an aortapulmonary fistula. Theother patient developed progressive dilatation of the remaining abdominalaorta with subsequent rupture. The surgical approach in this case wasextremely difficult because of the previous exclusion procedure whichdetermined a highly demanding reoperation. Although surgical exclusion ofthe thoracic aortic may be a useful technique in some situations, we mustbe aware of its early and late complications and, in our opinion, it shouldbe seen only as an alternative treatment for very special patients withdiseases of the descending thoracic aorta.

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Subjects: Cardiovascular Medicine ; Cardiothoracic Surgery

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