Table 1.
Patient demographics and outcomes
| Patient | Age, y | Sex | Malperfusion symptoms | Occlusion/compression of the true lumen | Preoperative |
ET | IVUS findings | Additional interventions | Ex Lap | Outcomes | |
|---|---|---|---|---|---|---|---|---|---|---|---|
| eGFR, mL/min/1.73 m2 | Lactic acid, mg/dL | ||||||||||
| #1 | 64 | M | None | R renal | 22 | 5.3 | – | Expanded true lumen of descending aorta, patent visceral branches | None | – | Discharged home |
| #2 | 48 | M | Abdominal pain | R renal | 59 | 3.7 | – | Expanded true lumen of descending aorta, patent visceral branches | None | – | Discharged home |
| #3 | 39 | M | Abdominal pain, diminished distal pulses | Celiac, SMA L renal | 77 | 6.5 | – | Expanded true lumen of descending aorta, patent visceral branches | None | – | Discharged home |
| #4 | 50 | M | Paraplegia with palpable femoral pulses | Descending aorta | 54 | 7.2 | – | Compressed true lumen at the level of the abdominal aorta, patent visceral branches | Ax-biFem bypass | – | Discharged to hospice care |
| #5 | 71 | F | Metabolic acidosis, diminished distal pulses | Descending aorta | 33 | >12 | – | Compressed true lumen in the visceral portion of abdominal aorta, compressed visceral branches | TEVAR | – | Death due to cardiogenic shock on POD 1 |
| #6 | 44 | M | Abdominal and left leg pain | Lower extremities | 52 | >12 | – | Compressed true lumen of left common iliac artery, patent visceral branches | TEVAR + iliac stents + fasciotomy | + | Discharged home |
| #7 | 50 | F | Abdominal and right leg pain | Celiac | 58 | 3.6 | – | Expanded true lumen of descending aorta, patent visceral branches | None | – | Discharged home |
| #8 | 86 | M | Abdominal pain | Celiac | 25 | 8.5 | – | Expanded true lumen of descending aorta, patent visceral branches | None | – | Discharged home |
| #9 | 71 | M | Abdominal pain | SMA, L renal | 28 | 6.8 | – | Expanded true lumen of descending aorta, patent visceral branches | Left colectomy | + | Death from MOF on POD#13 |
| #10 | 62 | M | Abdominal pain | Celiac, L renal | 64 | 5 | + | Expanded true lumen of descending aorta, patent visceral branches | None | – | Discharged home |
| #11 | 64 | M | Abdominal pain | Celiac | 90 | 7.8 | – | Expanded true lumen of descending aorta, patent visceral branches | None | – | Discharged home |
| #12 | 57 | M | Abdominal pain | L renal | 74 | 6.2 | + | Expanded true lumen of descending aorta, patent visceral branches | None | – | Discharged home |
| #13 | 58 | M | Abdominal pain | Celiac | 83 | 3.2 | – | Expanded true lumen of descending aorta, patent visceral branches | None | – | Discharged home |
| #14 | 65 | M | None | L renal | 72 | 3.2 | – | Expanded true lumen of descending aorta, patent visceral branches | None | – | Discharged home |
| #15 | 57 | M | Abdominal pain, numbness in left leg | Celiac, SMA | 50 | 8.2 | – | Compressed true lumen in the visceral portion of abdominal aorta, compressed visceral branches | TEVAR | – | Discharged home |
eGFR, Estimated glomerular filtration rate; ET, conventional elephant trunk; IVUS, intravascular ultrasound; Ex Lap, exploratory laparotomy; M, male; R, right; SMA, superior mesenteric artery; L, left; Ax-biFem, axillary–bifemoral bypass; F, female; TEVAR, thoracic endovascular aortic repair; POD, postoperative day; MOF, multiorgan function.