jcm-logo

Journal Browser

Journal Browser

State of the Art in Management of Aortic Aneurysm in Vascular Surgery

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Vascular Medicine".

Deadline for manuscript submissions: 30 December 2025 | Viewed by 596

Special Issue Editors


E-Mail Website
Guest Editor
Department of Cardiothoracic and Vascular Surgery, McGovern Medical School at UTHealth, Houston, TX, USA
Interests: vascular surgery; endovascular surgery; aortic dissection; aortic repair

E-Mail Website
Guest Editor Assistant
Vascular Surgery Department, Corewell Health, Michigan State University, 142 Campau Ave NW, Grand Rapids, MI 49503, USA
Interests: vascular surgery; aortic disease; aortic dissection; aortic repair

Special Issue Information

Dear Colleagues,

Managing vascular aneurysms throughout history is a testament to curiosity, humility, tenacity, and innovation within medicine. Early Egyptian documentation, as far back as 1550 B.C, notes “tumors of the arteries” that are uncurable without “magic”. Tenacious early surgeons, such as Dr. Vorhees in 1952, attempted packing, ligation, wrapping, and eventually interposition grafting. This led us to modern open aneurysm repair and focusing on developing better artificial conduits. The 20th century brought about further innovations with the advent of endovascular aortic aneurysm repair. Again, humility forced early innovators to focus on improving fixation, durability, profile, and, now, disease extent. Incorporating branch vessels through customizable physician-modified and commercially made branched and fenestrated devices has allowed for a whole new range of patients to undergo aneurysm repair with lower morbidity and mortality. Advancements, including 3D imaging, on-table overlay, fusion capabilities, and progressive hybrid devices, continue to leverage the vascular surgeon’s commitment to quality, safety, innovation, and collaboration in the name of patient care.  This Special Issue aims to provide a comprehensive overview of the advances in diagnosing and managing aortic aneurysms. Therefore, researchers are encouraged to submit original articles or reviews to this Special Issue.

Dr. Rana O. Afifi
Guest Editor

Dr. Eanas Yassa
Guest Editor Assistant

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • aortic dissection
  • complex aortic surgery
  • endovascular aortic repair
  • aortic imaging
  • aortic aneurysm

Benefits of Publishing in a Special Issue

  • Ease of navigation: Grouping papers by topic helps scholars navigate broad scope journals more efficiently.
  • Greater discoverability: Special Issues support the reach and impact of scientific research. Articles in Special Issues are more discoverable and cited more frequently.
  • Expansion of research network: Special Issues facilitate connections among authors, fostering scientific collaborations.
  • External promotion: Articles in Special Issues are often promoted through the journal's social media, increasing their visibility.
  • Reprint: MDPI Books provides the opportunity to republish successful Special Issues in book format, both online and in print.

Further information on MDPI's Special Issue policies can be found here.

Published Papers (1 paper)

Order results
Result details
Select all
Export citation of selected articles as:

Research

10 pages, 1265 KB  
Article
Hybrid Repair of Thoraco-Abdominal Aortic Disease with Complex Renal and Hypogastric Anatomy
by Fabrizio Minelli, Simona Sica, Francesco Sposato, Antonino Marzullo, Laura Rascio, Ottavia Borghese, Giovanni Tinelli and Yamume Tshomba
J. Clin. Med. 2025, 14(21), 7525; https://doi.org/10.3390/jcm14217525 - 23 Oct 2025
Viewed by 259
Abstract
Background: The treatment of thoraco-abdominal aortic aneurysms (TAAAs) and chronic type B aortic dissections (TAAD), is technically challenging. Traditional open surgery repair carries high morbidity and mortality rates, while endovascular repair is limited by anatomical constraints. This study investigates the safety and [...] Read more.
Background: The treatment of thoraco-abdominal aortic aneurysms (TAAAs) and chronic type B aortic dissections (TAAD), is technically challenging. Traditional open surgery repair carries high morbidity and mortality rates, while endovascular repair is limited by anatomical constraints. This study investigates the safety and effectiveness of a hybrid approach in high-risk patients with TAA disease and complex renal and hypogastric anatomy. Methods: This was a retrospective single-center study, including all consecutive patients with TAAA and TAAD with complex renal and/or hypogastric artery anatomy treated with a hybrid approach between 2020 and 2024 in a high-volume aortic center. Primary endpoint was technical success. Secondary endpoints were early complications, overall and aortic-related mortality, aortic-related reintervention, the incidence of endoleaks, and the target vessel (TV) patency and TV instability at 30-day and during follow-up. Results: During the study period, a total of 92 patients with TAAA or TAAD were treated at our institution. Five high-risk patients (5.4%) with complex renal/hypogastric artery anatomy underwent open renal debranching and hypogastric revascularization followed by staged endovascular repair with custom-made double fenestrated/branched device. Technical success was achieved in all cases with no intra-operative mortality. No spinal cord ischemia or 30-day mortality occurred. Target vessel patency at 30 days was 90%. At a median follow-up of 38 months (IQR 26–49 months), there were no cases of aortic-related death. Conclusions: Hybrid repair is a feasible and effective option for managing complex TAAA and TAAD in high-risk patients. Larger studies with longer follow-up are needed to better define the clinical role of this approach. Full article
(This article belongs to the Special Issue State of the Art in Management of Aortic Aneurysm in Vascular Surgery)
Show Figures

Figure 1

Back to TopTop