{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T17:11:43Z","timestamp":1760202703600},"reference-count":23,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2015,10,9]],"date-time":"2015-10-09T00:00:00Z","timestamp":1444348800000},"content-version":"vor","delay-in-days":8,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Cardiology"],"published-print":{"date-parts":[[2015,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>For patients with complicated acute thoracic aortic syndromes, endovascular treatment, when feasible, is preferred over open surgery. However, there are limited data on the long\u2010term benefits of endovascular treatment in complicated acute aortic syndromes affecting the descending thoracic aorta.<\/jats:p><\/jats:sec><jats:sec><jats:title>Hypothesis<\/jats:title><jats:p>The endovascular treatment is expected to have more favorable long\u2010term mortality and fewer late reintervention  in complicated acute thoracic aortic syndromes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Of 155 consecutive patients with acute aortic syndromes, 94 met the inclusion criteria of the study; 63 underwent endovascular repair (group 1) and 31 underwent open repair (group 2). Patients with a diagnosis of acute aortic syndrome localized in the descending thoracic aorta distal to the emergence of the left subclavian artery, complicated by rupture, malperfusion syndrome, and\/or acute aortic expansion, were included. Indications for repair of the descending thoracic aorta included impending rupture in 70.2%, malperfusion syndrome in 29.8%, and persistence of pain with aortic expansion (aortic diameter &gt;40 mm) in 2 patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>During the follow\u2010up period (63.0 \u00b1 24.6 months), the cumulative survival free from cardiovascular death rates at 5 years was 92.0% and 51.4% in group 1 and 2, respectively (log rank <jats:italic>P<\/jats:italic> = 0.0001). Late mortality related to the aorta was 1.6% with thoracic endovascular aortic repair and 0% with surgical treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Endovascular treatment in patients with complicated acute thoracic aortic syndromes localized at the descending thoracic aorta is feasible and safe, with a lower rate of early complications and similar long\u2010term benefits when compared with surgical treatment.<\/jats:p><\/jats:sec>","DOI":"10.1002\/clc.22449","type":"journal-article","created":{"date-parts":[[2015,10,9]],"date-time":"2015-10-09T13:04:43Z","timestamp":1444395883000},"page":"585-589","source":"Crossref","is-referenced-by-count":3,"title":["Complicated Acute Aortic Syndromes Affecting the Descending Thoracic Aorta: Endovascular Treatment Compared With Open Repair"],"prefix":"10.1002","volume":"38","author":[{"given":"Guering","family":"Eid\u2010Lidt","sequence":"first","affiliation":[{"name":"Department of Interventional 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Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samuel","family":"Ram\u00edrez Marroqu\u00edn","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery National Institute of Cardiology \u201cIgnacio Ch\u00e1vez,\u201d  Mexico City Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Valent\u00edn","family":"Herrera Alarcon","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery National Institute of Cardiology \u201cIgnacio Ch\u00e1vez,\u201d  Mexico City Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jorge","family":"Cervantes Salazar","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery National Institute of Cardiology \u201cIgnacio Ch\u00e1vez,\u201d  Mexico City 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