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Open Access 08-07-2024 | Letter to the Editor

Reply to ‘Revisiting postsurgical aortic pseudoaneurysm mortality and treatment options’

Auteurs: Romy R. M. J. J. Hegeman, Martin J. Swaans, Jurriën M. ten Berg, Patrick Klein

Gepubliceerd in: Netherlands Heart Journal | Uitgave 7-8/2024

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We appreciate Mr Bervoets’ interest [1] in our recent publication in the Netherlands Heart Journal [2]. However, the key point of our study design is overlooked. This is a case series, which is defined by observations made on a series of individuals, who usually all receive the same intervention; there is no control group. We describe our single-centre experience with one potential treatment option, which is not a systematic review of all available treatment options, nor a state-of-the-art review of the ultimate treatment strategy.
To this date, the European Society of Cardiology Guidelines on the diagnosis and treatment of aortic diseases state that in patients with aortic pseudoaneurysms, interventional or open surgical interventions are always indicated if feasible and independently of size [3]. Evidence supporting this conclusion in the guidelines does remain scarce, but we would like to underscore the risk of conservative treatment.
Matsuzawa et al. indeed discuss a mortality rate of 61% for non-surgical treatment owing to a relatively high incidence of rupture [4], but we acknowledge that this originates from a study by Mulder et al. on mortality associated with pseudoaneurysms following aortoiliac and aortofemoral surgery [5]. We therefore consider this a corrigendum to our original article. Although this incidence can theoretically not be generalised to thoracic aortic surgery, the mechanism of potentially fatal rupture remains similar.

Conflict of interest

R.R.M.J.J. Hegeman, M.J. Swaans, J.M. ten Berg and P. Klein declare that they have no competing interests.
Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://​creativecommons.​org/​licenses/​by/​4.​0/​.
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Netherlands Heart Journal

Het Netherlands Heart Journal wordt uitgegeven in samenwerking met de Nederlandse Vereniging voor Cardiologie en de Nederlandse Hartstichting. Het tijdschrift is Engelstalig en wordt gratis beschikbaa ...

Literatuur
2.
go back to reference Hegeman RRMJJ, et al. Transcatheter closure of postsurgical aortic pseudoaneurysms guided by three-dimensional image reconstruction: a single-centre experience. Neth Heart J. 2023;31:383-9.CrossRefPubMedPubMedCentral Hegeman RRMJJ, et al. Transcatheter closure of postsurgical aortic pseudoaneurysms guided by three-dimensional image reconstruction: a single-centre experience. Neth Heart J. 2023;31:383-9.CrossRefPubMedPubMedCentral
3.
go back to reference Erbel R, et al. ESC Guidelines on the diagnosis and treatment of aortic diseases: Document covering acute and chronic aortic diseases of the thoracic and abdominal aorta of the adult. Eur Heart J. 2014;2014. Erbel R, et al. ESC Guidelines on the diagnosis and treatment of aortic diseases: Document covering acute and chronic aortic diseases of the thoracic and abdominal aorta of the adult. Eur Heart J. 2014;2014.
4.
go back to reference Matsuzawa T, et al. Successful endovascular treatment of an ascending aortic pseudoaneurysm using an Amplatzer Vascular Plug II. Gen Thorac Cardiovasc Surg. 2021;69:91-3.CrossRefPubMed Matsuzawa T, et al. Successful endovascular treatment of an ascending aortic pseudoaneurysm using an Amplatzer Vascular Plug II. Gen Thorac Cardiovasc Surg. 2021;69:91-3.CrossRefPubMed
5.
go back to reference Mulder EJ, et al. Morbidity and mortality of reconstructive surgery of noninfected false aneurysms detected long after aortic prosthetic reconstruction. Arch Surg. 1998;133:45-9.CrossRefPubMed Mulder EJ, et al. Morbidity and mortality of reconstructive surgery of noninfected false aneurysms detected long after aortic prosthetic reconstruction. Arch Surg. 1998;133:45-9.CrossRefPubMed
Metagegevens
Titel
Reply to ‘Revisiting postsurgical aortic pseudoaneurysm mortality and treatment options’
Auteurs
Romy R. M. J. J. Hegeman
Martin J. Swaans
Jurriën M. ten Berg
Patrick Klein
Publicatiedatum
08-07-2024
Uitgeverij
BSL Media & Learning
Gepubliceerd in
Netherlands Heart Journal / Uitgave 7-8/2024
Print ISSN: 1568-5888
Elektronisch ISSN: 1876-6250
DOI
https://doi.org/10.1007/s12471-024-01882-8

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