Level A Evidence
4 Treatment Options Available

Aortic Disease

Aortic Aneurysm & Dissection: Surgery & Endovascular Repair

Aortic disease is life-threatening and requires specialized care. Whether it is an aneurysm (enlargement) or dissection (tear), timely intervention is crucial. Our partner centers are specialized aortic centers performing complex arch surgeries, total arch replacement with frozen elephant trunk, and endovascular repairs (TEVAR/EVAR) with excellent outcomes.

Condition Overview

Conditions We Treat

Ascending Aortic AneurysmAortic Arch AneurysmThoracic Aortic AneurysmAortic DissectionAbdominal Aortic Aneurysm

Core Technologies

Total arch replacement | Frozen elephant trunk (FET) | TEVAR/EVAR | Aortic root replacement (Bentall) | Hybrid aortic procedures

ผู้สมัครที่เหมาะสม

  • •Ascending aortic aneurysm >5.5cm
  • •Aortic arch aneurysm requiring total arch replacement
  • •Acute aortic dissection (emergency)
  • •Connective tissue disorders (Marfan, Loeys-Dietz)
  • •Redo aortic surgery

Specialized aortic centers with 24/7 emergency capability

พิจารณาทางเลือกในประเทศ

  • •Stable abdominal aortic aneurysm <5cm (surveillance)
  • •Standard EVAR for infrarenal AAA
  • •Chronic aortic dissection on medical therapy
  • •Cases with established local aortic team

Stable cases with experienced local cardiovascular surgeon

Evidence: Partner centers >200 aortic surgeries/year; <3% mortality for elective ascending aorta; 24/7 emergency dissection repair capability.

Treatment Options

Aortic Root Replacement (Bentall Procedure)

ศัลยกรรม
เหมาะสำหรับ:Aortic root aneurysm, aortic valve disease, Marfan syndrome
เทคโนโลยี:Valved conduit replacing root and ascending aorta, coronary reimplantation
ข้อดี:Definitive treatment for root disease
10-14 daysFrom $18,000
Specialized aortic surgery centers

Total Arch Replacement with Frozen Elephant Trunk

ศัลยกรรม
เหมาะสำหรับ:Aortic arch aneurysm, extensive aortic disease
เทคโนโลยี:Open arch replacement with stented graft into descending aorta
ข้อดี:Single-stage repair of arch and proximal descending
14-21 daysFrom $30,000
High-volume aortic centers

Thoracic Endovascular Aortic Repair (TEVAR)

การผ่าตัดสอดแทรก
เหมาะสำหรับ:Descending thoracic aneurysm, type B dissection
เทคโนโลยี:Stent graft delivery via femoral artery, minimally invasive
ข้อดี:No chest incision, 2-3 day stay, quick recovery
2-3 daysFrom $15,000
Specialized endovascular centers

Aortic Dissection Repair (Emergency)

ศัลยกรรม
เหมาะสำหรับ:Acute Type A aortic dissection (emergency)
เทคโนโลยี:Ascending aorta replacement, hemiarch or total arch
ข้อดี:Life-saving emergency procedure
14-21 daysFrom $35,000
24/7 emergency aortic surgery capability

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การเปรียบเทียบค่าใช้จ่าย

Ascending Aortic Replacement (Bentall Procedure)

US Hospital$95,000
UK Private$72,000
MediLink China$22,000

Save 77% vs US • Includes: surgery, valve conduit, 10-14 day ICU and ward stay

คำนวณต้นทุน

ขั้นตอนการรักษา

1
Evaluation• Week 1
  • CT angiography of entire aorta
  • Echocardiography for aortic valve
  • Genetic testing if indicated (Marfan, etc.)
  • Surgical planning and sizing
2
Intervention• Week 2-3
  • Surgical repair or TEVAR
  • ICU monitoring (3-5 days for surgery)
  • Blood pressure management
  • Imaging confirmation of repair
3
Long-term Surveillance• Years 1-Lifetime
  • CT/MRI surveillance of entire aorta
  • Strict blood pressure control
  • Activity restrictions
  • Family screening if genetic

Clinical Outcomes

Elective Surgery Mortality
<3%
ascending aorta
Emergency Dissection Survival
85%
Type A dissection
TEVAR Technical Success
>95%
suitable anatomy
5-Year Freedom from Reoperation
88%
after arch repair

คำถามที่พบบ่อย

When does an aortic aneurysm need surgery?
Generally: ascending aorta >5.5cm (or >5cm with risk factors), descending thoracic >6cm, abdominal >5.5cm. Patients with connective tissue disorders (Marfan) need earlier intervention. Rapid growth (>0.5cm/year) is also an indication.
What is acute aortic dissection?
A tear in the inner layer of the aorta allowing blood to flow between layers. Type A (involving ascending) requires emergency surgery. Type B (descending only) can often be managed with TEVAR or medications. This is a surgical emergency with high mortality if untreated.
What is frozen elephant trunk?
A hybrid procedure combining open surgical arch replacement with deployment of a stented graft into the descending aorta. Allows single-stage treatment of extensive aortic disease involving arch and descending segments.
Can TEVAR be used for all thoracic aneurysms?
No. TEVAR requires suitable landing zones (at least 2cm of healthy aorta above and below). Arch aneurysms often require open surgery or hybrid procedures. Proximal descending aneurysms are ideal for TEVAR.

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