E-VITA Jotec Open Hybrid Stent Graft System for the Treatment of Complex Thoracic Aortic Aneurysm and Dissection—A Four Year Experience

Introduction The management of complex aortic aneurysms and dissections involving both the aortic arch and descending aorta include operations associated with significant risks of mortality and morbidity [1] . The advent of hybrid systems such as the E-VITA Jotec open hybrid stent graft system (E-VI...

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Bibliographic Details
Published in:Heart, lung & circulation lung & circulation, 2014-03, Vol.23 (3), p.e77-e79
Main Authors: Varzaly, Jason, MBBS, Chaudhuri, Krish, MS, Crouch, Gareth, MBBS, Edwards, James, FRACS
Format: Article
Language:English
Subjects:
Aged
Aneurysm, Dissecting - pathology
Aneurysm, Dissecting - surgery
Aortic aneurysm
Aortic Aneurysm, Thoracic - pathology
Aortic Aneurysm, Thoracic - surgery
Aortic arch
Cardiovascular
Descending aorta
Endovascular procedures
Endovascular techniques
Female
Follow-Up Studies
Humans
Male
Middle Aged
Stents
Thoracic aorta
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Summary:Introduction The management of complex aortic aneurysms and dissections involving both the aortic arch and descending aorta include operations associated with significant risks of mortality and morbidity [1] . The advent of hybrid systems such as the E-VITA Jotec open hybrid stent graft system (E-VITA) provides the advantage of single stage repair with follow up repair of any remaining downstream aneurysm and dissection being easier to manage. Methods Herein we report a series of seven cases utilising E-VITA over a four year period. Results The average patient age was 66.9 years of age (range: 55–78 years). The average cardiopulmonary bypass and circulatory arrest times were 237.14 min and 47.83 min. There was one operative mortality. Follow up as far as three years revealed good results with few complications. Conclusion The E-VITA is a feasible management option in the treatment of complex aortic aneurismal disease and dissections. It allows treatment of patients that may have previously not been considered suitable for two-stage surgical procedure.
ISSN:1443-9506
1444-2892
DOI:10.1016/j.hlc.2013.08.004