Dr. Joseph S. Coselli: Lifetime of TAAA analysis gives patients, surgeons new insight into procedures
Take home message
After more than 3,300 operations to repair thoracoabdominal aortic aneurysms, which represent “some 15,000 hours” performing surgery over nearly 30 years in a single institution, according to estimates calculated by Dr. L. Svensson, Coselli and his team have refined their technique in order to reduce the risk of early death and complications that would affect the patient’s quality of life.
“The main conclusions of this study are that contemporary TAAA repairs result in good-to-excellent outcomes in experienced centers. The results are generally better in younger patients, including those with Marfan syndrome, survivors of DeBakey I dissection, and those with Extent I and II. The long-term survival of patients is reasonable; our patients are usually older than 65 and reach nearly life expectancy. The repairs are reliable; we observed few late events or secondary interventions,” said Coselli.