Key result
Thoracic endovascular aortic repair (TEVAR) was associated with higher afterload assessed by exercise echocardiography compared with patients who did not undergo TEVAR.
Why the study?
Does thoracic endovascular aortic repair (TEVAR) increase afterload in patients with life-threatening aneurysms?
Does thoracic endovascular aortic repair (TEVAR) increase afterload in patients with life-threatening aneurysms?
TEVAR may increase aortic stiffness and afterload, which could potentially lead to decompensated heart failure in vulnerable patients.
Thoracic endovascular aortic repair (TEVAR) has been extensively applied to those patients with a life-threatening aneurysm who have inferior tolerance to open surgery, such as those with chronic heart failure. However, TEVAR has been shown to increase aortic stiffness in animal models1,2 and can potentially lead to decompensated heart failure. By means of exercise echocardiography, Hiraoka and colleagues3 found higher afterload in patients following TEVAR compared with patients who did not undergo TEVAR.
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Kazumasa Orihashi (2020) conducted an editorial in Life-threatening aneurysm. Thoracic endovascular aortic repair (TEVAR) vs. Patients who did not undergo TEVAR was evaluated on Afterload assessed by exercise echocardiography. Thoracic endovascular aortic repair (TEVAR) was associated with higher afterload assessed by exercise echocardiography compared with patients who did not undergo TEVAR.
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