Contemporary results for open repair of suprarenal and type IV thoracoabdominal aortic aneurysms

The British Journal of Surgery
J M J RichardsR T A Chalmers

Abstract

Endovascular and hybrid procedures are not yet widely established in the management of type IV thoracoabdominal aortic aneurysm (TAAA). Open surgery remains the treatment of choice until the long-term outcomes of these novel techniques are known. This study reviewed a 10-year experience of open repair of non-ruptured type IV and suprarenal TAAA. All procedures were performed using a totally abdominal approach with supracoeliac clamping of the aorta. There were 53 patients (31 men; 58 per cent) of median age 69 (range 54-82) years. Forty-four patients had a type IV TAAA and nine a suprarenal aneurysm. Three patients (6 per cent) died within 30 days and the 12-month mortality rate for patients followed for at least 1 year was 6 per cent (three of 49). Ten patients (19 per cent) had a cardiac complication, 20 (38 percent) a respiratory complication, three (6 percent) required early reoperation, and one patient (2 percent) developed permanent paraplegia. There was one late death resulting from an aneurysm-related complication. Open repair of suprarenal aneurysms and type IV TAAA may be undertaken using a totally abdominal approach with acceptable levels of morbidity and mortality.

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Citations

Jul 5, 2011·Journal of Vascular Surgery·Michael P JenkinsThomas L Forbes
Jun 28, 2011·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·M P Jenkins
Dec 27, 2011·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·R E CloughT W Carrell
Apr 26, 2011·Journal of Vascular Surgery·Virendra I PatelRichard P Cambria
Oct 5, 2013·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·N T VenthamR T A Chalmers
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Jan 11, 2014·ANZ Journal of Surgery·Christopher P TwineIan M Williams
Jul 6, 2020·Journal of Vascular Surgery·Christopher A LatzMark F Conrad
Jan 5, 2019·Journal of Vascular Surgery·Christopher A LatzW Darrin Clouse
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Aug 16, 2011·Journal of Vascular Surgery·Derek P NathanEdward Y Woo

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