Cardiology Unit, Ospedale del Cuore, Fondazione Toscana "G. Monasterio", 54100 Massa, Italy.
Cardiology Division, Pisa University Hospital, 56124 Pisa, Italy.
Int J Environ Res Public Health. 2023 Feb 24;20(5):4094. doi: 10.3390/ijerph20054094.
Ascending aorta diseases represent an important cause of mortality worldwide. Notably, acute and chronic thoracic aorta pathologies have increased during the last years, but medical therapy does not seem to influence their natural history. Currently, although open surgery is the first choice of treatment, many patients are still rejected or have poor outcomes. In this scenario, endovascular treatment is raised as a valuable option. In this review we describe the limitations of conventional surgery and the state-of-art of endovascular ascending aorta repair.
升主动脉疾病是全球范围内一个重要的死亡原因。值得注意的是,近年来急性和慢性胸主动脉疾病的发病率有所增加,但药物治疗似乎并不能改变其自然病程。目前,虽然开放手术仍然是治疗的首选,但许多患者仍被拒绝或治疗效果不佳。在此背景下,血管内治疗作为一种有价值的选择被提了出来。在这篇综述中,我们描述了传统手术的局限性和血管内升主动脉修复的最新进展。