Endovascular Repair Of Blunt Thoracic Aortic Trauma Is Associated With Increased Left Ventricular Mass, Hypertension, And Off-target Aortic Remodeling

This activity was presented at 2020 VRIC as part of Abstract Session 3: Aortopathies and Novel Vascular Devices. 

Knowledge Strategy
Trauma TEVAR is associated with LV mass increase, development of hypertension, and off-target accelerated expansile ascending aortic remodeling. Our findings call for better follow-up of young patients receiving stent-grafts and for improved endovascular devices capable of preserving optimal ventricular-arterial coupling.

Professional Practice Gap
Thoracic endovascular aortic repair (TEVAR) is first-line therapy for blunt thoracic aortic trauma, but its effects on the left ventricle (LV) and off-target aortic zones are poorly understood. We have measured changes in LV mass, LV mass index, and diameters and lengths of the ascending thoracic aorta in trauma TEVAR patients, and compared these patients with similarly-aged control subjects without aortic repair evaluated at similar follow-ups.

Learning Objectives

To create a virtual environment for the exchange of basic and translational vascular science that stimulates thoughtful discussion and motivates participants to discover solutions to important problems affecting vascular patients.


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