medigraphic.com
ISSN 0185-3252 (Impreso)
Revista de la Asociación Médica del Centro Médico ABC

2013, Número 1

<< Anterior Siguiente >>

An Med Asoc Med Hosp ABC 2013; 58 (1)


Puente carótido-subclavio y prótesis endovascular como manejo híbrido de aneurisma de aorta torácica

Cohen MS, Zerrweck LC, Rey RA, Valdés FJA, Vidal GP, Ramírez CC

Idioma: Español
Referencias bibliográficas: 25
Paginas: 55-59
Archivo PDF: 210.15 Kb.


RESUMEN

Introducción: Los aneurismas de aorta torácica son menos comunes que los de aorta abdominal. Su manejo convencional se basa en la cirugía abierta, pero existe una alta morbimortalidad, especialmente en pacientes que cuentan con comorbilidades de base. Con el avance de la tecnología el abordaje endovascular se ha convertido en una opción real para esta patología. Objetivo: Presentar el caso de un paciente masculino de 56 años de edad con múltiples antecedentes médicos y comorbilidades, al cual se le diagnosticó un aneurisma de aorta torácica que fue manejado de manera híbrida (cirugía abierta y endovascular). Conclusiones: El manejo de aneurismas de aorta torácica con prótesis endovascular tiene buenos resultados y puede disminuir la morbimortalidad de estos pacientes, especialmente en aquellos no candidatos a cirugía abierta. Este manejo debe ser multidisciplinario e individualizado, especialmente cuando se considera un manejo híbrido.


REFERENCIAS (EN ESTE ARTÍCULO)

  1. Johnston KW, Rutherford RB, Tilson MD, Shah DM, Hollier L, Stanley JC. Suggested standards for reporting on arterial aneurysms. Subcommittee on Reporting Standards for Arterial Aneurysms, ad hoc Committee on Reporting Standards, Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery. J Vasc Surg 1991; 13 (3): 452-458.

  2. Bickerstaff LK, Pairolero PC, Hollier LH, Melton LJ, Van Peenen HJ, Cherry KJ et al. Thoracic aortic aneurysms: a population-based study. Surgery 1982; 92 (6): 1103-1108.

  3. Crawford ES, Cohen ES. Aortic aneurysm: a multifocal disease. Presidential address. Arch Surg 1982; 117 (11): 1393-400.

  4. Isselbacher EM. Thoracic and abdominal aortic aneurysms. Circulation 2005; 111 (6): 816-828.

  5. Pressler V, McNamara JJ. Aneurysm of the thoracic aorta. Review of 260 cases. J Thorac Cardiovasc Surg 1985; 89 (1): 50-54.

  6. Crawford ES, DeNatale RW. Thoracoabdominal aortic aneurysm: observations regarding the natural course of the disease. J Vasc Surg 1986; 3 (4): 578-582.

  7. Coady MA, Rizzo JA, Hammond GL, Kopf GS, Elefteriades JA. Surgical intervention criteria for thoracic aortic aneurysms: a study of growth rates and complications. Ann Thorac Surg 1999; 67 (6): 1922-1926.

  8. Elefteriades JA. Natural history of thoracic aortic aneurysms: indications for surgery, and surgical versus nonsurgical risks. Ann Thorac Surg 2002; 74 (5): S1877-80; discussion S1892-1898.

  9. Volodos NL, Karpovich IP, Troyan VI, Kalashnikova YuV, Shekhanin VE, Ternyuk NE. Clinical experience of the use of self-fixing synthetic prostheses for remote endoprosthetics of the thoracic and the abdominal aorta and iliac arteries through the femoral artery and as intraoperative endoprosthesis for aorta reconstruction. Vasa Suppl 1991; 33: 93-95.

  10. Dake MD, Miller DC, Mitchell RS, Semba CP, Moore KA, Sakai T. The “first generation” of endovascular stent-grafts for patients with aneurysms of the descending thoracic aorta. J Thorac Cardiovasc Surg 1998; 116 (5): 689-703; discussion 703-704.

  11. Wheatley GH, 3rd, Gurbuz AT, Rodríguez-López JA, Ramaiah VG, Olsen D, Williams J et al. Midterm outcome in 158 consecutive Gore TAG thoracic endoprostheses: single center experience. Ann Thorac Surg 2006; 81 (5): 1570-1577.

  12. Shapira OM, Aldea GS, Cutter SM, Fitzgerald CA, Lazar HL, Shemin RJ. Improved clinical outcomes after operation of the proximal aorta: a 10-year experience. Ann Thorac Surg 1999; 67 (4): 1030-1037.

  13. LeMaire SA, Miller CC 3rd, Conklin LD, Schmittling ZC, Köskoy C, Cosselli JS. A new predictive model for adverse outcomes after elective thoracoabdominal aortic aneurysm repair. Ann Thorac Surg 2001; 71 (4): 1233-1238.

  14. Coselli JS, Plestis KA, La Francesca S, Cohen S. Results of contemporary surgical treatment of descending thoracic aortic aneurysms: experience in 198 patients. Ann Vasc Surg 1996; 10 (2): 131-137.

  15. Makaroun MS, Dillavou ED, Wheatley GH, Cambria RP. Five-year results of endovascular treatment with the Gore TAG device compared with open repair of thoracic aortic aneurysms. J Vasc Surg 2008; 47 (5): 912-918.

  16. Bavaria JE, Appoo JJ, Makaroun MS, Verter J, Yu ZF, Mitchell RS. Endovascular stent grafting versus open surgical repair of descending thoracic aortic aneurysms in low-risk patients: a multicenter comparative trial. J Thorac Cardiovasc Surg 2007; 133 (2): 369-377.

  17. Matsumura JS, Cambria RP, Dake MD, Moore RD, Svensson LG, Snyder S. International controlled clinical trial of thoracic endovascular aneurysm repair with the Zenith TX2 endovascular graft: 1-year results. J Vasc Surg 2008; 47 (2): 247-257.

  18. Walsh SR, Tang TY, Sadat U, Naik J, Gaunt ME, Boyle JR et al. Endovascular stenting versus open surgery for thoracic aortic disease: systematic review and meta-analysis of perioperative results. J Vasc Surg 2008; 47 (5): 1094-1098.

  19. Peterson BG, Eskandari MK, Gleason TG, Morasch MD. Utility of left subclavian artery revascularization in association with endoluminal repair of acute and chronic thoracic aortic pathology. J Vasc Surg 2006; 43 (3): 433-439.

  20. Apple J, McQuade KL, Hamman BL, Hebeler RF, Shutze WP, Gable DR. Initial experience in the treatment of thoracic aortic aneurysmal disease with a thoracic aortic endograft at Baylor University Medical Center. Proc (Bayl Univ Med Cent) 2008; 21 (2): 115-119.

  21. Cina CS, Safar HA, Lagana A, Arena G, Clase CM. Subclavian carotid transposition and bypass grafting: consecutive cohort study and systematic review. J Vasc Surg 2002; 35 (3): 422-429.

  22. Berguer R, Morasch MD, Kline RA, Kazmers A, Friedland MS. Cervical reconstruction of the supra-aortic trunks: a 16-year experience. J Vasc Surg 1999; 29 (2): 239-246.

  23. Preventza O, Wheatley GH 3rd, Ramaiah VG, Rodriguez-Lopez JA, Williams J, Olsen D et al. Management of endoleaks associated with endovascular treatment of descending thoracic aortic diseases. J Vasc Surg 2008; 48 (1): 69-73.

  24. Svensson LG, Kouchoukos NT, Miller DC, Bavaria JE, Cosselli JS, Curi MA et al. Expert consensus document on the treatment of descending thoracic aortic disease using endovascular stent-grafts. Ann Thorac Surg 2008; 85 (1 Suppl): S1-41.

  25. Gabriel EA, Locali RF, Romano CC, Duarte AJ, Palma JH, Buffolo E. Analysis of the inflammatory response in endovascular treatment of aortic aneurysms. Eur J Cardiothorac Surg 2007; 31 (3): 406-412.




2020     |     www.medigraphic.com