Challenges and experience of setting up an aortic service. (September 2021)

• Record Type: Journal Article
• Authors: Hosseini, Saeid; Rezaei, Yousef; Alizadeh Ghavidel, Alireza
• Other Names: Idhrees Mohammed guest-editor.; Bashir Mohamad guest-editor.
• Is Part Of: Asian cardiovascular & thoracic annals. Volume 29:Number 7(2021)
• Page Start: 669
• Page End: 676
• Publication Date: 2021-09
• Subjects: Aortic diseases -- cardiovascular surgical procedures -- delivery of health care -- endovascular procedures -- Iran; Heart -- Diseases -- Asia -- Periodicals; Heart -- Diseases -- Pacific Area -- Periodicals; Heart -- Diseases -- Periodicals; Heart -- Surgery -- Asia -- Periodicals; Heart -- Surgery -- Pacific Area -- Periodicals; Heart -- Surgery -- Periodicals; Chest -- Surgery -- Asia -- Periodicals; Chest -- Surgery -- Pacific Area -- Periodicals; Chest -- Surgery -- Periodicals; 617.412
• DOI: 10.1177/0218492320930841
• Languages: English
• ISSNs: 0218-4923

Abstract

Aortic surgery is a complex procedure posing high risks in comparison to other adult cardiac surgeries. Novel surgical approaches including minimally invasive procedures, sutureless aortic valve replacement, and transcatheter aortic valve implantation have been found to be acceptable alternatives to conventional surgeries. In addition, novel endovascular repair techniques and hybrid procedures have been introduced for the management of patients with thoracoabdominal aortic pathologies. However, these modalities are not readily available in every center, and such novel procedures impose a learning curve for surgeons and high costs for affected patients. In this review, we discuss the challenges of setting up an aortic service, having regard to the Iranian experience.