الفهرس 
Early morbidity and mortality after second step of staged management of extensive aortic disease
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Abstract
Background: Extensive aortic diseases, occupying the ascending to the thoracoabdominal aorta, present a technical challenge to surgeons. The anatomy and orientation of the aorta make it extremely difficult to expose entirely through a single-incision approach 84. Methods: Our study is a descriptive both retrospective and prospective non randomized study over 30 patients with extensive aortic disease underwent first stage repair of the aorta and to whom second stage of repair is done using surgical approach or endovascular stenting (TEVAR/ EVAR). The study is carried out during the period from October 2014 till October 2016. Results: The mean age was 46.6±16 years, 24 males (80%) and 6 females. Nineteen patients had surgical intevension in the 2nd stage compared to 11 had endovascular repair. Surgeries were replacement of DTA Surgeries done in the second stage were replacement of DTA in 10 cases, 3 cases of thoracoabdominal replacement for dissection, 2 cases of supracoronary conduit and hemiarch replacement , 2 cases of total arch replacement, 1 case of patch repair of the arch for hypoplastic arch and 1 case of infrarenal aortic replacement. While endovascular group were 10 cases of TEVAR and one case of EVAR. Mortality cases were 20% of all cases (6 cases), 5 from the surgical group while only one case from the endovascular group of patiepatients. Renal complications were 16.7%, neurological complications were 13.3% and respiratory complications were 6.7% of all cases