Related Experiment Video
Updated: Jun 12, 2026
06:26
Novel and Innovative Hybrid Technique for Type A Aortic Dissection
Published on: March 28, 2025
Thoracic aortic aneurysms and dissections: endovascular treatment
Donald T Baril1, Jae S Cho, Rabih A Chaer
1Division of Vascular Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA. barildt@upmc.edu
The Mount Sinai Journal of Medicine, New York
|May 28, 2010
Summary
Thoracic endovascular aortic repair offers excellent outcomes for aneurysms and dissections, with lower risks than open surgery. Further long-term studies are needed to fully establish this advanced treatment for thoracic aortic disease.
Area of Science:
- Cardiovascular Surgery
- Vascular Medicine
- Medical Technology
Background:
- Endovascular therapy has revolutionized thoracic aortic disease treatment.
- Thoracic endovascular aortic repair (TEVAR) has evolved significantly over 15 years.
Purpose of the Study:
- To review available thoracic endografts.
- To examine preoperative planning for TEVAR.
- To assess TEVAR outcomes for aneurysms and dissections.
Main Methods:
- Review of existing literature and clinical reports.
- Analysis of outcomes data for thoracic endovascular aortic repair.
- Examination of commercially available thoracic endografts.
Main Results:
- TEVAR demonstrates excellent outcomes for thoracic aortic aneurysms.
- TEVAR shows comparable outcomes for type B aortic dissections.
- TEVAR reports lower perioperative morbidity and mortality than open repair.
Conclusions:
- Endovascular therapy is a viable alternative for thoracic aortic disease.
- Larger studies with long-term follow-up are required.
- TEVAR is a significant advancement in treating thoracic aortic conditions.
Related Concept Videos
01:26Aneurysm III: Interprofessional Care
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
01:21Aneurysm II: Clinical Manifestations and Diagnostic Studies
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
01:22Aneurysm IV: Nursing Management
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
01:29Venous Thrombosis III: Interprofessional Care
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
01:25Aortic Regurgitation III: Medical Management
Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...
01:30Aneurysm I: Introduction
An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...