For the first time in southern Italy, at the San Giuseppe Hospital Moscati in Avellino, a totally endovascular intervention was performed to exclude an aortic arch aneurysm using an endoprosthesis.
"The endovascular stent is a small cylinder that acts as a metal scaffold and, once implanted, provides the necessary support to the area weakened by the aneurysm.
The patient had a dilation of approximately 70 mm, which was thus repaired and, to complete the procedure, stents were also placed inside the supra-aortic trunks", explains the director of the Vascular Surgery Unit, Loris Flora.
In the operating room he was assisted by young vascular surgeons Danilo Barbarisi, Antonio Peluso, and Luciano Maria Rizzo, anesthetist Maria Marra, cardiologist Riccardo Granata, and a team of operating room nurses and radiology technicians.
The patient who benefited from this procedure, which significantly reduces the high risk of mortality and offers a rapid postoperative recovery, was a 77-year-old from the province of Benevento, who met all the requirements to benefit from this innovative technique.
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The alternative would have been traditional open surgery, which involves a direct incision in the chest and exposure of the aorta. Before undergoing the procedure, Flora obtained authorization from the implant manufacturer, a necessary requirement and granted only after adequate training and specific experience.
A thoracic aortic aneurysm is a blood-filled bulge in a portion of the aorta, the largest blood vessel in the human body, which carries blood from the heart to the lower extremities. Dilation in the thoracic region is very dangerous because the aortic wall can weaken and rupture, causing internal bleeding with a high risk of death.
After 48 hours of observation in the Cardiac Anesthesia Unit for intensive post-operative monitoring, the 77-year-old was transferred to the inpatient ward and was finally discharged just 5 days after surgery, without any notable complications.
"The credit for having performed this complex operation," Flora concludes, "is due to the perfect integration between the specialists who work in the Department of Heart and Vessels.
Without the collaboration and expertise of our colleagues in Cardiology, directed by Emilio Di Lorenzo, Cardiac Anesthesia, directed by Arianna Pagano, and Cardiac Surgery, directed by Brenno Fiorani, and without the great understanding with the vascular surgeons and the department's staff at all levels, we would not have been able to achieve this extraordinary milestone.
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