Aortic Coral Reef
Conditions
Brief summary
Coral reef aorta is defined by a calcified stenosis of the visceral aorta which can cause leg claudication, renal failure and visceral ischemia depending the type and localisation of the stenosis. This pathology is rare and is usually treated by open surgery with aortic endarteriectomy. Little is know about the outcomes after such aggressive surgery with short series and short follow up. The authors propose a retrospective study from their institution to explore the post operative and long term outcomes after this surgery.
Detailed description
Coral reef aorta is defined by a calcified stenosis of the visceral aorta which can cause leg claudication, renal failure and visceral ischemia depending the type and localisation of the stenosis. This pathology is rare and is usually treated by open surgery with aortic endarteriectomy. Little is known in the literature regarding the outcomes of this aggressive surgery. The authors propose a retrospective study from their institution describing the type of surgery realised. They describe the post operative outcomes of this surgery in term of cardiologic, respiratory, renal complication a,d surgical complication. Moreover they follow the patients to present long term outcomes of this pathology with a description of the post operative recurrence of a coral reef, the permeability of the different target vessel and the cardiologic, respiratory and renal evolution of the different patients.
Interventions
PROCEDUREAortic endarteriectomy
Thoraco-phreno-lumbotomy with thoracic aortic cross clamping Longitudinal aortotomy Endarteriectomy of the aorta Direct closure more or less bypass to the visceral arteries and downstream aorta reconstruction.
Sponsors
University Paul Sabatier of Toulouse
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* Coral reef surgery * Urgent intervention * Claudication, renal, visceral involvement * Thoracic aortic cross clamping (above coeliac trunk)
Exclusion criteria
* simple visceral aorto thrombectomy without opening laterally the aorta * Pregnant
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Reintervention | 1 month after surgery | Need of reintervention before discharge |
| Major adverse cardiac event (MACE) | 1 month after surgery | Post operative cardiologic complication |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Long term follow up | 1 month, 1 year, yearly up to 5 years | Cumulative survival rate |
| Target vessel patency | 1 month, 1 year, yearly up to 5 years | Permeability of the different vessel (renal and visceral arteries) on CT scan or Duplex ultrasound |
| Kidney function evolution | 1 month, 1 year, yearly up to 5 years | glomerular filtration rate evolution, |
Countries
France
Outcome results
None listed