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Article: Endoluminal repair of distal aortic arch aneurysms causing aorto-vocal syndrome

TitleEndoluminal repair of distal aortic arch aneurysms causing aorto-vocal syndrome
Authors
Issue Date2008
PublisherBlackwell Publishing Ltd. The Journal's web site is located at http://www.blackwellpublishing.com/journals/IJCP
Citation
International Journal Of Clinical Practice, 2008, v. 62 n. 10, p. 1511-1514 How to Cite?
AbstractPurpose: We have evaluated the efficacy of endovascular repair of distal aortic arch aneurysms (DAAA) causing recurrent laryngeal nerve palsy. Material and methods: Eight patients (five male and three female) with median age of 72 years (range: 59-80) presented with left recurrent laryngeal nerve palsy associated with DAAA. All patients were considered unfit for open surgery. The median aneurysm size was 5.9 cm (range: 5-7.3). Thirteen stents were deployed: eight Gore, four Endofit and one Talent. Epidural anaesthesia was used in all patients. The left subclavian artery was covered in all and the left common carotid in three who had a preliminary right to left carotid-carotid bypass. Routine follow-up (FU) was with computed tomography (CT) at 3-6 months and yearly thereafter. Results: Exclusion of the aneurysm sac was achieved in all patients. Thirty-day mortality was 0%, with no paraplegia or stroke. Early complications included: rupture of the external iliac artery (one) and common femoral artery thrombectomy (one). One patient died of unknown cause at 17 months. The mean FU in the remaining seven patients was 21 months (range: 6-51). Aneurysm size decreased in five, was unchanged in one and increased in one. Three patients had improvement in voice quality postoperatively. One patient had a recurrent type 1 endoleak which was restented twice. No late deaths have occurred. Conclusion: Though technically the procedures involved were more complicated, endovascular repair of DAAA causing aorto-vocal syndrome is safe and offers a realistic alternative to open surgery. Hoarseness of the voice can improve postoperatively and is associated with reduction in aortic sac diameter. © 2007 The Authors.
Persistent Identifierhttp://hdl.handle.net/10722/59915
ISSN
2015 Impact Factor: 2.226
2015 SCImago Journal Rankings: 0.759
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorMorales, JPen_HK
dc.contributor.authorChan, YCen_HK
dc.contributor.authorBell, REen_HK
dc.contributor.authorReidy, JFen_HK
dc.contributor.authorTaylor, PRen_HK
dc.date.accessioned2010-05-31T04:00:01Z-
dc.date.available2010-05-31T04:00:01Z-
dc.date.issued2008en_HK
dc.identifier.citationInternational Journal Of Clinical Practice, 2008, v. 62 n. 10, p. 1511-1514en_HK
dc.identifier.issn1368-5031en_HK
dc.identifier.urihttp://hdl.handle.net/10722/59915-
dc.description.abstractPurpose: We have evaluated the efficacy of endovascular repair of distal aortic arch aneurysms (DAAA) causing recurrent laryngeal nerve palsy. Material and methods: Eight patients (five male and three female) with median age of 72 years (range: 59-80) presented with left recurrent laryngeal nerve palsy associated with DAAA. All patients were considered unfit for open surgery. The median aneurysm size was 5.9 cm (range: 5-7.3). Thirteen stents were deployed: eight Gore, four Endofit and one Talent. Epidural anaesthesia was used in all patients. The left subclavian artery was covered in all and the left common carotid in three who had a preliminary right to left carotid-carotid bypass. Routine follow-up (FU) was with computed tomography (CT) at 3-6 months and yearly thereafter. Results: Exclusion of the aneurysm sac was achieved in all patients. Thirty-day mortality was 0%, with no paraplegia or stroke. Early complications included: rupture of the external iliac artery (one) and common femoral artery thrombectomy (one). One patient died of unknown cause at 17 months. The mean FU in the remaining seven patients was 21 months (range: 6-51). Aneurysm size decreased in five, was unchanged in one and increased in one. Three patients had improvement in voice quality postoperatively. One patient had a recurrent type 1 endoleak which was restented twice. No late deaths have occurred. Conclusion: Though technically the procedures involved were more complicated, endovascular repair of DAAA causing aorto-vocal syndrome is safe and offers a realistic alternative to open surgery. Hoarseness of the voice can improve postoperatively and is associated with reduction in aortic sac diameter. © 2007 The Authors.en_HK
dc.languageengen_HK
dc.publisherBlackwell Publishing Ltd. The Journal's web site is located at http://www.blackwellpublishing.com/journals/IJCPen_HK
dc.relation.ispartofInternational Journal of Clinical Practiceen_HK
dc.rightsInternational Journal of Clinical Practice. Copyright © Blackwell Publishing Ltd.en_HK
dc.subject.meshAgeden_HK
dc.subject.meshAged, 80 and overen_HK
dc.subject.meshAortic Aneurysm, Thoracic - complications - radiography - surgeryen_HK
dc.subject.meshBlood Vessel Prosthesisen_HK
dc.subject.meshBlood Vessel Prosthesis Implantationen_HK
dc.subject.meshFemaleen_HK
dc.subject.meshHoarseness - etiologyen_HK
dc.subject.meshHumansen_HK
dc.subject.meshMaleen_HK
dc.subject.meshMiddle Ageden_HK
dc.subject.meshProspective Studiesen_HK
dc.subject.meshStentsen_HK
dc.subject.meshVocal Cord Paralysis - etiologyen_HK
dc.titleEndoluminal repair of distal aortic arch aneurysms causing aorto-vocal syndromeen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1368-5031&volume=62&issue=10&spage=1511&epage=1514&date=2008&atitle=Endoluminal+repair+of+distal+aortic+arch+aneurysms+causing+aorto-vocal+syndromeen_HK
dc.identifier.emailChan, YC: ycchan88@hkucc.hku.hken_HK
dc.identifier.authorityChan, YC=rp00530en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1111/j.1742-1241.2006.01282.xen_HK
dc.identifier.pmid17537194-
dc.identifier.scopuseid_2-s2.0-51349167195en_HK
dc.identifier.hkuros153561en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-51349167195&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume62en_HK
dc.identifier.issue10en_HK
dc.identifier.spage1511en_HK
dc.identifier.epage1514en_HK
dc.identifier.isiWOS:000259025500009-
dc.publisher.placeUnited Kingdomen_HK
dc.identifier.scopusauthoridMorales, JP=8082109300en_HK
dc.identifier.scopusauthoridChan, YC=27170769400en_HK
dc.identifier.scopusauthoridBell, RE=16306367100en_HK
dc.identifier.scopusauthoridReidy, JF=7102684353en_HK
dc.identifier.scopusauthoridTaylor, PR=35103559200en_HK
dc.identifier.citeulike3244831-

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