TITLE:
A Five-Year Experience of Sparing Treatment of Descending Aortic Atherosclerotic Aneurysms
AUTHORS:
Vladimir Petrovich Krylov, Alexander Gennadyevich Mrochek, Valentina Nukolaevna Gayduk, Leonid Ivanovich Reut, Aleksey Leonidovich Smaliakou, Nadezhda Vladimirovna Mankevich, Roman Nikolaevich Pizhik
KEYWORDS:
Aortic Atherosclerotic Aneurysms, Surgical Treatment, Conservative Treatment, Outcomes
JOURNAL NAME:
World Journal of Cardiovascular Surgery,
Vol.6 No.4,
April
15,
2016
ABSTRACT: A growing number of specialists are now beginning to ascertain that treatment of individuals with
descending aortic atherosclerotic aneurysms must be provided by cardiologists on a scheduled
basis. Surgery is feasible when there is a risk of aneurysm rupture. It requires for the development
of conservative treatments and elaboration of indications for surgery. A total of 97 patients with
thoracic aortic atherosclerotic aneurysms (TAAA) and abdominal aortic aneurysms (AAA) have
been examined over a 5-year period. They received multifaceted anti-inflammatory medical
treatment to strengthen the aortic wall and control its possible expansion. Operative treatment
was offered only if there was a risk of aneurysm rupture. One of the principal factors adversely affecting
mortality is the presence of co-morbidities requiring permanent medical corrective treatment
irrespective of surgical or medical treatment provided. It is also important to outline the indications
for surgery based on multifactorial pathogenetic manifestations. Treatment aiming at
the reversal of ethiopathogenic mechanisms of disease progression contributes to a significant
longer survival in DAA patients.