Abstract

GONCALVES, Frederico Bastos et al. Rupture of thoracic aortic aneurism: evidence for endovascular approach. Angiol Cir Vasc [online]. 2011, vol.7, n.3, pp.138-144. ISSN 1646-706X.

Ruptured descending thoracic aneurysms are rare but frequently fatal conditions, despite adequate treatment. This revision aims to summarize the current evidence for endovascular repair of this pathology. In the last decade, introduction of endovascular techniques to treat ruptured thoracic aneurysms resulted in significant changes in the treatment paradigm, associated with important reductions in peri-operative mortality. Comparative studies have shown a two-fold reduction in 30-day mortality, and also a reduction in early morbidity, especially pulmonary and renal complications. Despite the early benefit, endovascular repair is associated with a higher device-related complication rate, particularly endoleaks. Rigorous follow-up allows for early detection and elective treatment of these complications. In conclusion, the preferential treatment for ruptured descending thoracic aneurysms is the implantation of an endograft, provided anatomical suitability.

Keywords : rupture; endovascular; thoracic aneurym.

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