Open descending thoracic or thoracoabdominal aortic approaches for complications of endovascular aortic procedures: 19-year experience Konstantinos Spiliotopoulos,

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Open descending thoracic or thoracoabdominal aortic approaches for complications of endovascular aortic procedures: 19-year experience Konstantinos Spiliotopoulos, MD, PhD, FETCS, Ourania Preventza, MD, Susan Y. Green, MPH, Matt D. Price, MS, RHIA, Hiruni S. Amarasekara, MS, Brittany M. Davis, BS, Kim I. de la Cruz, MD, Scott A. LeMaire, MD, Joseph S. Coselli, MD The Journal of Thoracic and Cardiovascular Surgery Volume 155, Issue 1, Pages 10-18 (January 2018) DOI: 10.1016/j.jtcvs.2017.08.023 Copyright © 2017 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Number of patients with complications after EAR who were treated with open distal aortic repair via a lateral thoracotomy or thoracoabdominal incision between November 1996 and November 2015 (n = 67). The previous EAR was performed at an outside institution in the majority of patients (n = 56, 84%). The Journal of Thoracic and Cardiovascular Surgery 2018 155, 10-18DOI: (10.1016/j.jtcvs.2017.08.023) Copyright © 2017 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Kaplan–Meier curve showing late survival estimates for 67 patients after open repair for complications of previous EAR. Confidence intervals are indicated by the shaded bands. The Journal of Thoracic and Cardiovascular Surgery 2018 155, 10-18DOI: (10.1016/j.jtcvs.2017.08.023) Copyright © 2017 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Kaplan–Meier curve showing freedom from death, repair failure, or distal aortic reintervention (ie, additional open or endovascular repair of the descending thoracic, thoracoabdominal, or abdominal aorta because of repair failure or progression of aortic disease) for 67 patients after open repair for complications of previous EAR. Confidence intervals are indicated by the shaded bands. The Journal of Thoracic and Cardiovascular Surgery 2018 155, 10-18DOI: (10.1016/j.jtcvs.2017.08.023) Copyright © 2017 The American Association for Thoracic Surgery Terms and Conditions

Increase in the number of open repairs of previous EAR complications from 1996 to 2015. The Journal of Thoracic and Cardiovascular Surgery 2018 155, 10-18DOI: (10.1016/j.jtcvs.2017.08.023) Copyright © 2017 The American Association for Thoracic Surgery Terms and Conditions

Video 1 Removal of an infected aortic stent-graft and in situ thoracoabdominal aortic reconstruction in a 65-year-old man. This patient underwent extent IV thoracoabdominal aortic aneurysm repair and had an unremarkable recovery. He remains well and without the need for further aortic intervention more than 7 years after the operation. Used with the permission of Baylor College of Medicine. Video available at: http://www.jtcvsonline.org/article/S0022-5223(17)31783-X/fulltext. The Journal of Thoracic and Cardiovascular Surgery 2018 155, 10-18DOI: (10.1016/j.jtcvs.2017.08.023) Copyright © 2017 The American Association for Thoracic Surgery Terms and Conditions