Abstract
Surgical management of distinct thoracic aneurysmal lesions stands at the crossroads. Until recently, the only treatment options for thoracic aortic lesions were surgical repair or medical management. There is increasing evidence that endovascular therapy will be useful in treating thoracic aortic disease, possibly becoming the preferred approach. Endovascular surgery will affect the incidence of open thoracic aortic surgery not only by producing a lower mortality risk but also a significantly lower incidence of paraplegia. In designing adequate treatment options of complex and difficult-to-treat thoracic aortic lesions, novel three-dimensional imaging reconstructions are mandatory.
MeSH terms
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Aged
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Aged, 80 and over
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Aorta, Thoracic* / surgery
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Aortic Aneurysm, Thoracic / diagnosis
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Aortic Aneurysm, Thoracic / diagnostic imaging
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Aortic Aneurysm, Thoracic / mortality
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Aortic Aneurysm, Thoracic / surgery*
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Aortic Dissection / diagnosis
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Aortic Dissection / diagnostic imaging
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Aortic Dissection / etiology
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Aortic Dissection / mortality
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Aortic Dissection / physiopathology
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Aortic Dissection / surgery*
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Aortic Rupture / diagnosis
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Aortic Rupture / diagnostic imaging
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Aortic Rupture / etiology
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Aortic Rupture / mortality
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Aortic Rupture / surgery*
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Blood Vessel Prosthesis Implantation
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Extracorporeal Circulation
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Female
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Follow-Up Studies
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Humans
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Imaging, Three-Dimensional
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Male
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Middle Aged
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Postoperative Complications
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Prognosis
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Radiography, Thoracic
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Risk Assessment
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Risk Factors
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Stents
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Thoracotomy
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Time Factors
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Tomography, X-Ray Computed