Interact CardioVasc Thorac Surg, 2022 · DOI: 10.1093/icvts/ivac233 · Published: September 14, 2022
This study looks at the outcomes of open surgical repair for chronic aortic dissection specifically focusing on the descending thoracic aorta. The goal was to see how well patients did in the short and long term after this type of surgery. The study found that this surgery can have good results, especially for patients who are considered low-risk. Low-risk patients were defined as those under 70 years old who had the surgery electively. The authors suggest that open surgical repair is still a good option for these low-risk patients, especially when the dissection is limited to the descending thoracic aorta.
Open surgical repair (OSR) remains a viable option, particularly for low-risk patients with chronic aortic dissection limited to the descending thoracic aorta.
Age and the elective vs. non-elective nature of the surgery are critical factors in predicting patient outcomes.
The extent of aortic involvement (descending thoracic aorta only vs. thoracoabdominal aorta) should be considered when choosing between OSR and TEVAR.