E-VITA Jotec open hybrid stent graft system for the treatment of complex thoracic aortic aneurysm and dissection: a four year experience

Abstract

Introduction: The management of complex aortic aneurysms and dissections involving both the aortic arch and descending aorta include operations associated with significant risks of mortality and morbidity [1]. The advent of hybrid systems such as the E-VITA Jotec open hybrid stent graft system (E-VITA) provides the advantage of single stage repair with follow up repair of any remaining downstream aneurysm and dissection being easier to manage. Methods: Herein we report a series of seven cases utilising E-VITA over a four year period. Results: The average patient age was 66.9 years of age (range: 55–78 years). The average cardiopulmonary bypass and circulatory arrest times were 237.14 min and 47.83 min. There was one operative mortality. Follow up as far as three years revealed good results with few complications. Conclusion: The E-VITA is a feasible management option in the treatment of complex aortic aneurismal disease and dissections. It allows treatment of patients that may have previously not been considered suitable for two-stage surgical procedure.