Diagnostic and Treatment Dilemmas of the Aortic Arch

Dawn S Hui; Fernando Fleischman

doi:10.1016/j.ccl.2017.03.012

Diagnostic and Treatment Dilemmas of the Aortic Arch

Cardiol Clin. 2017 Aug;35(3):347-355. doi: 10.1016/j.ccl.2017.03.012.

Authors

Dawn S Hui¹, Fernando Fleischman²

Affiliations

¹ Department of Surgery, Center for Comprehensive Cardiovascular Care, Saint Louis University, 3635 Vista Avenue, DT 13th Floor, St Louis, MO 63130, USA. Electronic address: huids@slu.edu.
² Department of Cardiothoracic Surgery, Keck School of Medicine, University of Southern California, 1520 San Pablo Street, HCC II, Suite 4300, Los Angeles, CA 90033, USA.

PMID: 28683906
DOI: 10.1016/j.ccl.2017.03.012

Abstract

Endovascular approaches to the aortic arch are challenged by unique anatomy and physiology of this area. Simple application of conventional endovascular technology and technique for abdominal or descending thoracic aortic disease to the aortic arch is insufficient to achieve effective and durable repairs. Appreciation of these challenges has led to developments in endovascular technology as well as complex strategies to deal with individual patient anatomy that hold the potential for continued improved outcomes in both the short and the long term.

Keywords: Aortic aneurysm; Aortic arch; Endovascular; Thoracic stent graft.

Publication types

Review

MeSH terms

Aorta, Thoracic / abnormalities
Aorta, Thoracic / anatomy & histology
Aorta, Thoracic / surgery*
Blood Vessel Prosthesis Implantation*
Endovascular Procedures
Hospitals, High-Volume
Humans
Stents
Treatment Outcome