Long-Term Results (Seven and More Years) of Sparing Treatment of Subjects with Descending Aortic Aneurysms

• 作者: Aleksey Leonidovich Smaliakou Dmitry Evgeniyevich Shevtsov Gennadiy Adolfovich Popel Leonid Ivanovich Reut Nadezhda Vladimirovna Mankevich Valentina Nikolaevna Gayduk Vladimir Petrovich Krylov
• 来源期刊: 健康(英文)
• 学科: 医学
• 关键词: DESCENDING AORTIC ANEURYSMS Medical and Surgical TREATMENT 7-Year TREATMENT Results Survival
• 年，卷（期）: 2019,（6）
• 页码范围: 661-670
• 页数: 10页
• 分类号: R73

摘要

Descending aortic aneurysms (DAAs), including dissecting aneurysms (DA) have a multifactorial etiology and pathogenesis, therefore raising questions about the leading role of operative treatment to repair the lesion. Objective: To investigate remote (7 and more years) results of treatment in patients with DAAs in operative treatment only if there is a danger of aneurysm rupture. A total of 82 patients with atherosclerotic DAA identified between 2008 and 2011, and 22 patients with type 1 or 3 DeBakey dissecting aneurysms (DA) who had not been operated in the acute period due to a number of reasons were examined. The follow-up period of these groups was 7 or more years. When using a sparing treatment to treat DAA, we saw survival of 90.1 at 2 years, 76.8% at 4 years, 59.4% at 6 years, and 57.5% at 7 years with the uniform increase in mortality rate, mainly due to a comorbidity. Survival in DA group (77.3%) was better due to a younger age and was 68.4% in operated and 54% in non-operated patients at 7 years. It is symptomatic that the aneurysm rupture rate was not always affected by operative treatment. Therefore, it seems like medical treatment is more consistent with etiopathogenesis of the disease compared to surgery during the stabilization period.