Current treatment of descending thoracic aortic aneurysms
Journal Title: Αρχεία Ελληνικής Ιατρικής - Year 2009, Vol 26, Issue 2
Abstract
Vascular diseases occur very often in Greece, as in all countries of the western world, and their incidence is expected to increase as life expectancy increases. The incidence of thoracic aortic aneurysms is calculated at 5.9 for 100,000 population, and descending thoracic aortic aneurysm disease affects 1 in 1,000 elderly persons. Recently, significant improvement in the management of descending thoracic aortic aneurysms has been achieved. Anatomic studies in primates and particularly in human cadavers have elucidated the specific anatomy of the vasculature of the spinal cord, including the anatomy and the role of the anterior spinal artery, and its relationship with the great anterior radiculomedullary artery, the so-called artery of Adamkiewicz. Various strategies have been elaborated for the prevention of spinal cord injury and for reducing the need for open surgical treatment. Additionally, endovascular treatment of the disease has further reduced perioperative morbidity and mortality, while continuous improvements in endoprosthetic material are expected to improve the outcome even more. The aim of this study was to review the literature on the most recent progress in the management of descending thoracic aortic aneurysms. The management of the more complex thoracoabdominal aneurysms, and those that involve the aortic arch or left aortic hemiarch, are beyond the purpose of this review.
Authors and Affiliations
I. DALAINAS
Keywords
Related Articles
- EP ID EP160115
- DOI -
- Views 91
- Downloads 0
Αντισυλληπτικά και καρκίνος του μαστού
Pancreaticopleural fistula: From diagnosis to treatment
Pancreaticopleural fistula is an uncommon but severe complication of acute, or more often chronic, pancreatitis, characterized by communication between the pleural cavity (usually the left side) and the pancreatic duct....
5q- syndrome [del(5q) MDS]
A 66-year-old lady presented to the outpatient clinic because of progressive normochromic macrocytic anemia of nine months duration, causing fatigue, weakness and malaise. She was treated, before her admission, with intr...
Spirometric differences between athletes and non-athletes compared to predicted values in healthy Greeks aged 20−45 years
OBJECTIVE To compare spirometric measurements in athletes and non-athletes to predicted values. METHOD Healthy athletes and non-athlete volunteers were tested by spirometry using an American Thoracic Society/ European...
Allocation of point of care testing analyzers to rural primary hospitals. A report on allocation planning
OBJECTIVE Laboratory investigation plays important roles in the management of diabetes mellitus (DM). The use of point of care testing analyzers (POCTs) can provide a solution for the rural local primary care hospital th...