Key result
Setting up an aortic service presents significant challenges, including a learning curve for surgeons and high costs for patients, based on the Iranian experience.
Why the study?
Novel aortic surgical and endovascular modalities are not readily available in every center and impose a learning curve for surgeons and high costs for patients.
This review highlights the challenges, learning curves, and high costs associated with establishing an aortic service and implementing novel surgical and endovascular techniques, based on the Iranian experience.
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.
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Hosseini et al. (2020) conducted a review in Aortic pathologies. Setting up an aortic service was evaluated. Setting up an aortic service presents significant challenges, including a learning curve for surgeons and high costs for patients, based on the Iranian experience.
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