Journal of Cardiothoracic Surgery (Apr 2010)
Outcome of open and endovascular repair in acute type B aortic dissection: a retrospective and observational study
Abstract
Abstract Background The aim of the study was to analyze surgical and endovascular results in the treatment of acute type B aortic dissection (B AAD). Methods Retrospective and observational analysis with patient inclusion between January 2001-December 2008 and follow-up ranged from 2 to 96 months (median = 47.2) was performed. Out of 51 consecutive patients with B AAD, 11 (21.6%) had to undergo open surgery (OS) and 13 (25.5%) endovascular treatment (TEVAR). Results There was a significantly difference in early mortality in the TEVAR group (0/13,0%) vs OS group (4/11,36.4%, P Conclusions TEVAR group had a significantly reduction in early mortality and postoperative complications. No significant differences were found in terms of cumulative survival at follow-up. On this basis TEVAR could be considered an option in the treatment of these complex cases with all proper reservation especially related to the small sample sizes examined.