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Evolution of Aortic Surgery: Advancements, Challenges, and Patient Benefits
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Evolution of Aortic Surgery: Advancements, Challenges, and Patient Benefits

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Cardiology".

Deadline for manuscript submissions: 27 September 2024 | Viewed by 1099

Special Issue Editors

Dr. Petar S. Risteski

E-Mail
Guest Editor
Department of Cardiac Surgery, Universitätsspital Zürich, 8091 Zürich, Switzerland
Interests: aortic diseases; vascular surgery; arteries; cardiovascular surgery; cardiac surgery; coronary artery bypass surgery
Prof. Dr. Omer Dzemali

E-Mail Website
Guest Editor
1. Department of Cardiac Surgery, University Hospital of Zurich, 8091 Zurich, Switzerland
2. Department of Cardiac Surgery, City Hospital of Zurich—Triemli, 8063 Zurich, Switzerland
3. Cardiosurgery Allianz Zurich, Zurich, Switzerland
Interests: heart failure; cardiac surgery; cardiopulmonary bypass; aortic diseases; heart valve diseases; mitral valve surgery; coronary artery bypass surgery; off-pump coronary artery bypass; minimally invasive cardiac surgery; TAVI; thoracic aortic aneurysm; thoracic aorta; hemodynamics perfusion; aortic valve; coronary artery bypass
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

This Special Issue is dedicated to exploring the future and evolution of aortic surgery, with a particular emphasis on minimally invasive surgery. The proposed issue aims to highlight the importance and interest of this topic to the medical community. The guest editor for this issue is Dr. Risteski, an internationally recognized minimally invasive surgeon with specialization in aortic surgery. The issue will delve into the latest advancements and technologies in minimally invasive aortic surgery, as well as the challenges and opportunities presented by this approach. The authors will also discuss the benefits of minimally invasive surgery for patients, including reduced pain, shorter hospital stays, and faster recovery times. This Special Issue is an opportunity for medical professionals to share their expertise and insights on this important topic and contribute to the ongoing evolution of aortic surgery.

Dr. Petar S. Risteski
Prof. Dr. Omer Dzemali
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • aortic surgery
  • minimally invasive surgery
  • advancements
  • fast recovery
  • patient outcomes

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Published Papers (2 papers)

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Research

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11 pages, 1677 KiB  
Article
The Fate of the Aorta after Coarctation Repair: Open Surgical Replacement of Descending Aorta in a High-Volume Unit
by Ezin Deniz, Dmitry Bobylev, Heike Krüger, Jawad Salman, Alina Zubarevich, Andreas Martens, Tim Kaufeld, Bastian Schmack, Alexander Weymann, Arjang Ruhparwar, Aron-Frederik Popov and Florian Helms
J. Clin. Med. 2024, 13(18), 5345; https://doi.org/10.3390/jcm13185345 - 10 Sep 2024
Viewed by 345
Abstract
Objectives: Complications after aortic coarctation repair are associated with high mortality and require surgical or endovascular reintervention. For patients unsuitable for endovascular therapies, reoperation remains the only therapeutic option. However, surgical experience and up-to-date follow-up data concerning this overall rare entity in the [...] Read more.
Objectives: Complications after aortic coarctation repair are associated with high mortality and require surgical or endovascular reintervention. For patients unsuitable for endovascular therapies, reoperation remains the only therapeutic option. However, surgical experience and up-to-date follow-up data concerning this overall rare entity in the spectrum of aortic reoperations are still highly limited. Thus, the aim of this study was to analyze the short-term outcomes and long-term survival of patients undergoing surgical descending aorta repair after previous coarctation repair in a high-volume unit. Methods: We present a retrospective single-center analysis of 25 patients who underwent open descending aorta replacement after initial coarctation repair. The surgical history, concomitant cardiovascular malformations, and preoperative characteristics as well as postoperative complications and long-term survival were analyzed. Results: The mean age at operation was 45.4 ± 12.8 years. A proportion of 68% (n = 17) of the patients were male. The most common complication necessitating reoperation after coarctation repair was aneurysm formation (68%) and re-stenosis (16%). The average time between initial repair and reoperation was 26.3 ± 9.9 years. Technical success was achieved in all the operations, while recurrent nerve damage (24%) and bleeding requiring rethoracotomy (20%) were identified as the most common perioperative complications. The one-year mortality was 0% and the overall long-term survival was 88% at 15 years. Conclusions: Open surgical descending aorta replacement can be performed safely and with excellent survival outcomes even in the challenging subgroup of patients after previous coarctation repair. Thus, reoperation should be considered a feasible approach for patients who are unsuitable for endovascular therapies. Nonetheless, concomitant cardiovascular anomalies and frequent preoperations may complicate the redo operation in this patient population. Full article
(This article belongs to the Special Issue Evolution of Aortic Surgery: Advancements, Challenges, and Patient Benefits)
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7 pages, 6183 KiB  
Case Report
Omentoplasty for Cervical Lymphocele after Aortic Arch Replacement
by Nora Hertel, Khaled Dastagir, Moritz Schmelzle, Linda Feldbrügge, Florian Helms, Peter M. Vogt, Arjang Ruhparwar and Aron-Frederik Popov
J. Clin. Med. 2024, 13(16), 4737; https://doi.org/10.3390/jcm13164737 - 12 Aug 2024
Viewed by 455
Abstract
Lymphocele formation is a rare complication after surgical procedures involving the mediastinum. While uncomplicated lymphoceles show high rates of spontaneous closure and are usually treated conservatively, surgical treatment might be required in cases with persistent or recurrent lymphoceles. We present the case of [...] Read more.
Lymphocele formation is a rare complication after surgical procedures involving the mediastinum. While uncomplicated lymphoceles show high rates of spontaneous closure and are usually treated conservatively, surgical treatment might be required in cases with persistent or recurrent lymphoceles. We present the case of a 53-year-old male with reoccurring cervical swelling after two surgeries of the thoracic aorta. After 1.5 years, the swelling occurred for the first time and appeared for the next 2 years repeatedly without clinical or laboratory signs of infection. A cervical lymphocele was suspected, and the decision for surgical revision was made. Fibrin glue was applied to the potential leakage of the thoracic duct, and the cavity was filled with a free omental flap. This resulted in a complete regression of the swelling. Full article
(This article belongs to the Special Issue Evolution of Aortic Surgery: Advancements, Challenges, and Patient Benefits)
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Planned Papers

The below list represents only planned manuscripts. Some of these manuscripts have not been received by the Editorial Office yet. Papers submitted to MDPI journals are subject to peer-review.

Title: The Fate of the Aorta after Coarctation Repair: Open Surgical Replacement of Descending Aorta in a High Volume Unit
Authors: Ezin Deniz; Dmitry Bobylev; Heike Krüger; Jawad Salman; Alina Zubarevich; Andreas Martens; Tim Kaufeld; Bastian Schmack; Alexander Weymann; Arjang Ruhparwar; Aron-Frederik Popov; Florian Helms
Affiliation: Hannover Medical School
Abstract: Objectives: Complications after aortic coarctation repair are associated with high mortality and require surgical or endovascular reintervention. For patients unsuitable for endovascular therapies, reoperation remains the only therapeutic option. However, surgical experience and up-to-date follow-up data concerning this overall rare entity in the spectrum of aortic re-operations is still highly limited. Methods: We present a retrospective single-center analysis of 25 patients who underwent open descending aorta replacement after initial coarctation repair. The surgical history, concomitant cardiovascular malformations, and preoperative characteristics as well as postoperative complications and long-term survival were analyzed. Results: The most common complication necessitating reoperation after coarctation repair was aneurysm formation (68%) and re-stenosis (16%). The average time between initial repair and re-operation was 26.3 ± 9.9 years. Technical success was achieved in all operations, while recurrent nerve damage (24%) and bleeding requiring rethoracotomy (20%) were identified as the most common perioperative complications. One-year mortality was 0% and overall long-term survival was 88% at 15 years. Conclusions: Open surgical descending aorta replacement can be performed safely and with excellent survival outcome even in the challenging subgroup of patients after previous coarctation repair. Thus, reoperation should be considered a feasible approach for patients which are unsuitable for endovascular therapies. Nonetheless, concomitant cardiovascular anomalies and frequent preoperations may complicate the redo operation in this patient population.

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