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

Paola Vallerio; Ilenia D’Alessio; Alessandro Maloberti; Marisa Varrenti; Simone Maggioni; Valentina Cantu; Marco Carbonaro; Maria Cristina Ferrara; Elisa Spada; Bruno Palmieri; Alfredo Lista; Cristina Giannattasio

doi:10.1016/j.artres.2017.10.024

<Previous Article In Issue

Download article (PDF)

Next Article In Issue>

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.2017.10.024 How 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.
Open Access: This is an open access article distributed under the CC BY-NC license.

<Previous Article In Issue

Download article (PDF)

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.2017.10.024 How to use a DOI?
Open Access: This is an open access article distributed under the CC BY-NC license.

Cite this article

ris enw bib

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  -

download .riscopy to clipboard