Corrigendum to: 2014 ESC Guidelines on the diagnosis and treatment of aortic diseases (2024)

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Aortic aneurysms are of different types as different ones are the types of treatment available to us. Following the advent of endovascular surgery, perioperative mortality has been significantly reduced, but open surgery remains the first choice under some occurrences. The purpose of this chapter is to try to clarify the dichotomy between open and endovascular aortic aneurysms in the several types of aortic aneurysms, highlighting the indications and complications to guide to the best therapeutic choice.

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Aortic aneurysms remain a significant problem in the population, and there is a concerted effort to identify, define, image, and treat these conditions to ultimately improve outcomes. The rapid development of diagnostic modalities, operative strategies, and endovascular techniques within the realm of this aortic disease has transformed the field and broadened the spectrum of patients that can be treated with minimally invasive techniques. This investigation has a broad spectrum of normal expected findings that must be differentiated from early or late complications in which intervention is required. In this article, normal and abnormal postoperative and post-TEVAR/EVAR MDCT findings are described.

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Purpose: To assess overall survival and to determine factors predicting outcome after thoracic endovascular aortic repair. Materials and methods: A Retrospective analysis was performed on a cohort of 212 consecutive patients (165 men and 47 women; mean age 64 years) who underwent thoracic endovascular aortic repair in a tertiary referral center for aortic disease. Main indications were true thoracic aortic aneurysm (n = 58; 27.6%), traumatic aortic rupture (n = 33; 15.7%), anastomotic pseudoaneurysms (n = 23; 10.9%), chronic type B aortic dissection (n = 22; 10.5%), and symptomatic, acute type B dissection (n = 21; 10.0%). In 79 patients (37.3%), a hybrid procedure, including supra-aortic rerouting, was performed. Kaplan–Meier estimates were used for overall survival and Cox regression models were used for univariable analysis of the association between risk factors and survival. Results: Proximal landing zones were predominantly zone 3 (n = 66; 31.3%), zone 2 (n = 63; 29.9%), and z...

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European Heart Journal

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KULDEEP Singh

Aortic aneurysm repair is a common procedure and may be performed in an open or endovascular fashion, It is important to be aware that there exist many potential hazards associated with aortic aneurysm repair. The fact that this entity can be treated in an open or in an endovascular fashion increases the complexity of the problems that may arise. To begin there exists the inherent risks associated with any surgical procedures in the high-risk patient including bleeding, infection, cardiovascular and respiratory issues that may arise. Complications can also occur in the acute or delayed setting and can present several months or even years after repair. Aneurysms may form in the abdominal or thoracic aorta and each segment has its own unique set of issues that may present after repair. Experience and knowledge of associated problems is imperative for early recognition and best outcomes.

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Corrigendum to: 2014 ESC Guidelines on the diagnosis and treatment of aortic diseases (2024)
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