Redo surgery after thoracic endovascular aortic repair

Shlomin V.V.; Bondarenko P.B.; Shloydo E.A.; Puzdryak P.D.; Uzhakhov I.R.; Gusinsky A.V.; Grebenkina N.Yu.; Drozhzhin I.G.

doi:https://doi.org/10.17116/kardio202013041303

Shlomin V.V.

St. Petersburg City Multi-Field Hospital No. 2

Bondarenko P.B.

Mechnikov North-West State Medical University

Shloydo E.A.

City Multi-Field Hospital No. 2, St. Petersburg

Puzdryak P.D.

Mechnikov North-West State Medical University

Uzhakhov I.R.

St. Petersburg City Multi-Field Hospital No. 2

Gusinsky A.V.

Almazov National Medical Research Center

Grebenkina N.Yu.

St. Petersburg City Multi-Field Hospital No. 2

Drozhzhin I.G.

St. Petersburg City Multi-Field Hospital No. 2

Redo surgery after thoracic endovascular aortic repair

Authors:

Shlomin V.V., Bondarenko P.B., Shloydo E.A., Puzdryak P.D., Uzhakhov I.R., Gusinsky A.V., Grebenkina N.Yu., Drozhzhin I.G.

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Journal: Russian Journal of Cardiology and Cardiovascular Surgery. 2020;13(4): 303‑308

DOI: 10.17116/kardio202013041303

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To cite this article:

Shlomin VV, Bondarenko PB, Shloydo EA, et al. . Redo surgery after thoracic endovascular aortic repair. Russian Journal of Cardiology and Cardiovascular Surgery. 2020;13(4):303‑308. (In Russ.)
https://doi.org/10.17116/kardio202013041303

Подписка 2026 Кардиология и сердечно-сосудистая хирургия (Russian Journal of Cardiology and Cardiovascular Surgery)

Использование инфографики авторами научных работ

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OBJECTIVE

To study long-term complications after thoracic endovascular aortic repair and their surgical treatment.

MATERIAL AND METHODS

There were 10 cases of redo surgery following primary thoracic endovascular aortic repair. Mean age of patients was 66±11 years. The period between primary TEVAR and redo surgery was 22±15 months. The causes of redo interventions were continued growth of the false lumen of descending thoracic aorta (DTA) due to endoleak type Ib (n=1), thoracoabdominal aorta aneurysm (n=1), DTA aneurysm below the implanted stent-graft (n=1), divergence between two stent-graft modules in DTA (n=1), distal stent-graft-induced new entry (n=1), retrograde dissection of ascending aorta (n=1), stent-graft migration followed by endoleak type I and continued pulmonary bleeding (n=2), secondary aorto-esophageal fistula (n=1), endoleak type Ia (n=1).

RESULTS

Redo TEVAR was performed in 5 patients (50%), open surgery — in other 5 (50%) patients. One patient (10%) died on the 5th day after closure of aorto-esophageal fistula due to multiple organ failure.

CONCLUSION

Redo surgery after previous thoracic endovascular aortic repair may be safely and effectively performed with high survival rate.

Keywords:

long-term results

TEVAR

thoracic aortic aneurysm

aortic dissection

stent-graft infection

repeated aortic surgery

Authors:

Shlomin V.V.

St. Petersburg City Multi-Field Hospital No. 2

Bondarenko P.B.

Mechnikov North-West State Medical University

Shloydo E.A.

City Multi-Field Hospital No. 2, St. Petersburg

Puzdryak P.D.

Mechnikov North-West State Medical University

Uzhakhov I.R.

St. Petersburg City Multi-Field Hospital No. 2

Gusinsky A.V.

Almazov National Medical Research Center

Grebenkina N.Yu.

St. Petersburg City Multi-Field Hospital No. 2

Drozhzhin I.G.

St. Petersburg City Multi-Field Hospital No. 2

Received:

29.03.2020

Accepted:

02.04.2020

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References:

Abugov SA, Polyakov RS, Charchyan ER, Puretsky MV, Saakyan YuM, Mardanyan GV, Kudrinsky AV, Belov YuV. Endovascular repair in hybrid and staged aortic surgery. Russian Journal of Cardiology and Cardiovascular Surgery. 2018;11(6):38-44. https://doi.org/10.17116/kardio20181106138
Editorial board. Clinical guidelines. Guidelines for the diagnosis and treatment of aortic diseases (2017). Russian Journal of Cardiology and Cardiovascular Surgery = Kardiologiya i serdechno-sosudistaya khirurgiya. 2018;11(1):7-67.
Szeto WY, Desai ND, Moeller P, Moser GW, Woo EY, Fairman RM, Pochettino A, Bavaria JE. Reintervention for endograft failures after thoracic endovascular aortic repair. J Thorac Cardiovasc Surg. 2013 Mar;145(3):165-170. https://doi.org/10.1016/j.jtcvs.2012.11.046
Boufi M, Patterson BO, Grima MJ, Karthikesalingam A, Hudda MT, Holt PJ, Loftus IM, Thompson MM. Systematic Review of Reintervention After Thoracic Endovascular Repair for Chronic Type B Dissection. Ann Thorac Surg. 2017 June;103(6):1992-2004. https://doi.org/10.1016/j.athoracsur.2016.12.036
JooHC, Youn YN, Kwon JH, Won JY, Lee DY, Ko YG, Choi D, Yoo KJ. Late complications after hybrid aortic arch repair. J Vasc Surg. 2019 Oct;70(4):1023-1030. https://doi.org/10.1016/j.jvs.2019.01.058
Spiliotopoulos K, Preventza O, Green SY, Price MD, Amarasekara HS, Davis BM, de la Cruz KI, LeMaire SA, Coselli JS. Open descending thoracic or thoracoabdominal aortic approaches for complications of endovascular aortic procedures: 19-year experience. J Thorac Cardiovasc Surg. 2018 Jan;155(1):10-18. https://doi.org/10.1016/j.jtcvs.2017.08.023
Shlomin VV, Gordeev ML, Bondarenko PB, Gusinsky AV, Puzdryak PD, Yurtaev EA, Didenko YuP, Drozhzhin IG, Grebenkina NI, Fionik OV, Vedernikova ES, Kasyanov IV. Use of the temporal bypass technique in the treatment of thoracic and thoracoabdominal aortic aneurysms. Grekov’s Bulletin of Surgery. 2019;178(3):21-27. (In Russ.) https://doi.org/10.24884/0042-4625-2019-178-3-21-27
Daye D, Walker TG. Complications of endovascular aneurysm repair of the thoracic and abdominal aorta: evaluation and management. Cardiovasc Diagn Ther. 2018 Apr;8(1):138-156. https://doi.org/10.21037/cdt.2017.09.17
Son SA, Lee DH, Oh TH, Cho JY, Lee YO, Kim YE, Kim JW, Kim GJ. RiskFactors Associated With Reintervention After Thoracic Endovascular Aortic Repair for Descending Aortic Pathologies. Vasc Endovascular Surg. 2019 Apr;53(3):181-188. https://doi.org/10.1177/1538574418814989
Coselli JS, LeMaire SA, Preventza O, de la Cruz KI, Cooley DA, Price MD, Stolz AP, Green SY, Arredondo CN, Rosengart TK. Outcomes of 3309 thoracoabdominal aortic aneurysm repairs. J Thorac Cardiovasc Surg. 2016 May;151(5):1323-1337. https://doi.org/10.1016/j.jtcvs.2015.12.050
Revishvili ASh, Popov VA, Korostelev AN, Malyshenko ES. Infectious complications after endoprosthetic repair of the thoracic aorta. Angiol sosud khir. 2018;24(1):190-195]
Bazarov DV, Shestakov AL, Charchyan ER, Vyzhigina MA, Lokshin LS, Boranov EV, Kazaryan GA, Tskhovrebov AT. Aorto-esophago-bronchial and aorto-pulmonary fistulas in a patient with aortic aneurysm (in Russian only). Pirogov Russian Journal of Surgery = Khirurgiya. Zhurnal im. N.I. Pirogova. 2019;(6):101-106. https://doi.org/10.17116/hirurgia201906101
Charchyan ER, Belov YuV, Chakal DA, Skvortsov AA. The results of redo thoracoabdominal aortic surgery. Russian Journal of Cardiology and Cardiovascular Surgery = Kardiologiya i serdechno-sosudistaya khirurgiya. 2017;10(5):64-68. https://doi.org/10.17116/kardio201710564-68
Uno K, Koike T, Takahashi S, Komazawa D, Shimosegawa T. Management of aorto-esophageal fistula secondary after thoracic endovascular aortic repair: a review of literature. Clin J Gastroenterol. 2017 Oct;10(5):393-402. https://doi.org/10.1007/s12328-017-0762-z