In a propensity-matched analysis of patients with thoracic or thoracoabdominal aortic aneurysms, short-term results favor endovascular repair but outcomes at 5 to 10 years favor open surgery.
As more patients benefit from TEVAR, larger numbers survive to the point where their aortic disease progresses. Cleveland Clinic recently reported the world’s largest experience in extending and completing these patients’ repairs.
A seven-hour surgery by a multidisciplinary team achieves at least five separate repairs and replacements in a 12-year-old with a large left subclavian aneurysm due to his genetic disorder.
Even when repair of acute aortic dissection is successful, risk of progressive aneurysmal degeneration of the residual aorta remains. We share takeaways from a case requiring multistage operations over 15 years.
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Heterogeneity is the rule with bicuspid aortic valves, so optimal surgical solutions vary by patient. Our experts share experience-based guidance for managing various presentations of BAV and aortopathy.
Key clinicians from our Aorta Center share guidance on care from referral to medical and surgical management to patient and family follow-up.