Coral reef aorta is defined by a calcified stenosis of the visceral aorta which can cause leg claudication, renal failure and visceral ischemia depending the type and localisation of the stenosis. This pathology is rare and is usually treated by open surgery with aortic endarteriectomy. Little is know about the outcomes after such aggressive surgery with short series and short follow up. The authors propose a retrospective study from their institution to explore the post operative and long term outcomes after this surgery.
Coral reef aorta is defined by a calcified stenosis of the visceral aorta which can cause leg claudication, renal failure and visceral ischemia depending the type and localisation of the stenosis. This pathology is rare and is usually treated by open surgery with aortic endarteriectomy. Little is known in the literature regarding the outcomes of this aggressive surgery. The authors propose a retrospective study from their institution describing the type of surgery realised. They describe the post operative outcomes of this surgery in term of cardiologic, respiratory, renal complication a,d surgical complication. Moreover they follow the patients to present long term outcomes of this pathology with a description of the post operative recurrence of a coral reef, the permeability of the different target vessel and the cardiologic, respiratory and renal evolution of the different patients.
Study Type
OBSERVATIONAL
Enrollment
40
Thoraco-phreno-lumbotomy with thoracic aortic cross clamping Longitudinal aortotomy Endarteriectomy of the aorta Direct closure more or less bypass to the visceral arteries and downstream aorta reconstruction.
Hostalrich Aurélien
Toulouse, France
Major adverse cardiac event (MACE)
Post operative cardiologic complication
Time frame: 1 month after surgery
Reintervention
Need of reintervention before discharge
Time frame: 1 month after surgery
Long term follow up
Cumulative survival rate
Time frame: 1 month, 1 year, yearly up to 5 years
Target vessel patency
Permeability of the different vessel (renal and visceral arteries) on CT scan or Duplex ultrasound
Time frame: 1 month, 1 year, yearly up to 5 years
Kidney function evolution
glomerular filtration rate evolution,
Time frame: 1 month, 1 year, yearly up to 5 years
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