Artery Research

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Volume 20, Issue C, December 2017, Pages 50 - 50

2.2 HEART STRUCTURE AND VASCULAR FUNCTION IN YOUNG PATIENTS AFTER ENDOVASCULAR REPAIR FOR BLUNT THORACIC AORTIC INJURY

Authors
Paola Vallerio1, Ilenia D’Alessio2, Alessandro Maloberti1, Marisa Varrenti1, 2, Simone Maggioni2, Valentina Cantu2, Marco Carbonaro2, Maria Cristina Ferrara2, Elisa Spada2, Bruno Palmieri3, Alfredo Lista3, Cristina Giannattasio1, 2
1Cardiology IV, “A. De Gasperis” Department, Ospedale Niguarda Ca’ Granda, Milan, Italy
2Medicine and Surgery Department, Milano-Bicocca University, Milan, Italy
3Vascular Surgery, Ospedale Niguarda Ca’ Granda, Milan, Italy
Available Online 6 December 2017.
DOI
10.1016/j.artres.2017.10.024How to use a DOI?
Abstract

Objective: Thoracic Endovascular Aortic Repair (TEVAR) currently represents the gold standard of treatment for Blunt Thoracic Aortic Injury (BTAI). Nevertheless, there is an ongoing debate surrounding its safety and efficacy and its subsequent CV effects. The present study is aimed at assessing heart and aortic structure and function after TEVAR in BTAI patients

Method: In 20 patients (18 men, age 41 ± 14 years) treated with TEVAR (11 Gore-CTAG, 9 Medtronic-Valiant) after BTAI, between 2004–2015, after a median follow-up time of 3 years (range 12–1 years; T1) we evaluated BP, cf-PWV (sphygmocor) and Left Ventricular Mass Index (LVMI) on echocardiography.

Results: At baseline, all the patients were normotensive; At T1 despite mean normal BP value (131 ± 12/85 ± 10) 11 patients (55%) were hypertensives. Also LVMI (81,84 ± 28,11 g/m2) and PWV (7,58 ± 1,48 m/s) mean values were within the normal range. When patients were divided accordingly to the used graft patients treated with Medtronic-Valiant showed a significantly higher LVMI (97.17 ± 35.78 vs 69.58 ± 11.24 g/m2; p < 0,05) and PWV (7,78 ± 1,74 vs 6,45 ± 1,54 m/s; p < 0,05) compared with those treated with Gore-CTAG. Same figures were founded when patients were divided accordingly to the treating time with those treated more than 3 years before the evaluation that showed higher LVMI (91,16 ± 34,73 vs 70,20 ± 9,44 g/m2; p < 0,01) and PWV (7,50 ± 1,98 vs 6,38 ± 1,04 m/s; p < 0,05).

Conclusions: TEVAR for BTAI is associated after some years with the development of hypertension and heart and vascular alterations. The presence of TEVAR modify aortic functional properties and induce in young subject an increase in BP and LVMI probably related to the presence of a rigid aorta.

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<Previous Article In Issue
Next Article In Issue>
Journal
Artery Research
Volume-Issue
20 - C
Pages
50 - 50
Publication Date
2017/12/06
ISSN (Online)
1876-4401
ISSN (Print)
1872-9312
DOI
10.1016/j.artres.2017.10.024How to use a DOI?
Open Access
This is an open access article distributed under the CC BY-NC license.

Cite this article

risenwbib
TY  - JOUR
AU  - Paola Vallerio
AU  - Ilenia D’Alessio
AU  - Alessandro Maloberti
AU  - Marisa Varrenti
AU  - Simone Maggioni
AU  - Valentina Cantu
AU  - Marco Carbonaro
AU  - Maria Cristina Ferrara
AU  - Elisa Spada
AU  - Bruno Palmieri
AU  - Alfredo Lista
AU  - Cristina Giannattasio
PY  - 2017
DA  - 2017/12/06
TI  - 2.2 HEART STRUCTURE AND VASCULAR FUNCTION IN YOUNG PATIENTS AFTER ENDOVASCULAR REPAIR FOR BLUNT THORACIC AORTIC INJURY
JO  - Artery Research
SP  - 50
EP  - 50
VL  - 20
IS  - C
SN  - 1876-4401
UR  - https://doi.org/10.1016/j.artres.2017.10.024
DO  - 10.1016/j.artres.2017.10.024
ID  - Vallerio2017
ER  -