Cardiovascular Surgery and Interventions 2024, Vol 11, Num 1 Page(s): 064-069
Transthoracic echocardiographic evaluation of cardiac remodeling after thoracic endovascular aortic repair

Sabir Hasanzade1, Serkan Mola2, Ayla Ece Çelikten3, Murat Gevrek2, Baran Karadeniz2, Görkem Yiğit3, Hakkı Zafer İşcan2

1Department of Cardiovascular Surgery, Memorial Ankara Hospital, Ankara, Türkiye
2Department of Cardiovascular Surgery, Ankara Bilkent City Hospital, Ankara, Türkiye
3Department of Cardiovascular Surgery, Hitit University Erol Olçok Training and Research Hospital, Çorum, Türkiye

Keywords: Aorta, endovascular aneurysm repair, left ventricular remodeling, thoracic aortic aneurysm, transthoracic echocardiography
Objectives: This study aimed to evaluate post-thoracic endovascular aortic repair (TEVAR) cardiac remodeling with transthoracic echocardiography.

Patients and methods: Thirty-two patients (27 males, 5 females; mean age: 61±12.8 years; range, 27 to 85 years) who underwent TEVAR, with an Ishimura zone 3 proximal landing zone, due to thoracic aortic aneurysm were retrospectively evaluated between January 2019 and January 2023. Pre- and postprocedural transthoracic echocardiography data of the patients were compared. Measurements of left ventricular end-diastolic diameter, left ventricular ejection fraction, interventricular septum, and ascending aorta were performed.

Results: The mean follow-up period was 23.7±8.4 months. There was a significant increase in interventricular septum measurements (p=0.041). In addition, a significant decrement was observed in the comparison of left ventricular ejection fraction values (p=0.01). There was no difference found at the pre- and post-TEVAR ascending aortic diameters or valvular regurgitation in aortic valves.

Conclusion: Despite our evaluation being conducted in a limited patient population, our findings suggest that the stiffening of the aortic structure after TEVAR has a negative impact on cardiac remodeling. Consequently, it is imperative to explore new and more flexible designs for thoracic endograft structures.

DOI : 10.5606/e-cvsi.2024.1595