Is Open Repair of Descending Thoracic and Thoracoabdominal Aortic Emergencies a Viable Option in an Era of Endovascular Therapy?

In this presentation, Dr. Leonard N. Girardi, Professor of Cardiothoracic Surgery at the Weill Cornell Medical Center, discusses recent trends in the repair of descending thoracic and thoracoabdominal aortic aneurysms. He compares the traditional method of performing an open repair with the newer method of performing a thoracic endovascular aneurysm repair (TEVAR), and the role of the two methods in current practice. Dr. Girardi also discusses the benefits and drawbacks of both methods of repair in specific settings, such as in mycotic thoracic aneurysms and acute complicated type B aneurysms. 

CME Information

CME Credit Available

You may claim CME credit after watching this activity.

Needs Statement

General, plastic, thoracic, vascular, cardiothoracic, and abdominal surgery physicians, residents, fellows and medical students need to be regularly updated on advances in surgical care and clinical practices that will aid them in performing a variety of surgical procedures to increase the patient care experience and improve practice efficiency.


At the conclusion of the session, the participants should be able to:

  • Identify and evaluate patients presenting with acute descending and thoracoabdominal aortic emergencies.
  • Determine the appropriate therapy for patients presenting with these emergencies.
  • Recognize the short-and long-term outcomes expected with each form of therapy.

Target Audience

  • Physicians
  • Medical Students
  • Fellows
  • Residents
  • Nurses
  • Other Health Professionals

Accreditation/Credit Designation

Baylor College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Baylor College of Medicine designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Program Director

S. Rob Todd, M.D.
Department of Surgery, Division of General Surgery
Baylor College of Medicine
Houston, Texas
Disclosure: Nothing to disclose.

Term of Approval

February 1, 2020 to February 28, 2022. Original release date: February 1, 2020.

Disclosure Policy

The Office of Continuing Medical Education (OCME) makes every effort to develop CME activities that are scientifically based, accurate, current, and objectively presented. In accordance with the Accreditation Council for Continuing Medical Education Standards for Commercial SupportSM, Baylor College of Medicine (BCM) has implemented a mechanism requiring everyone in a position to control the content of an educational activity (e.g., directors, planning committee members, contributors, peer reviewers) to disclose any relevant financial relationships with commercial interests (drug/device companies) and manage/resolve any conflicts of interest prior to the activity. Individuals must disclose to participants the existence or non-existence of financial relationships: 1) at the time of the activity or within 12 months prior; and 2) of their spouses/partners.

Baylor College of Medicine does not view the existence of interests or relationships with commercial entities as implying bias or decreasing the value of a presentation. It is up to the participants to determine whether the interests or relationships influence the presenter with regard to exposition or conclusions.

If at any time during this activity you feel that there has been commercial or promotional bias, please inform us by using the commercial bias comments box in the evaluation form. Please answer the questions about balance in the CME activity evaluation candidly.


The following individual(s) has/have reported financial or other relationship(s) with commercial entities whose products/services may relate to the educational content of this activity:


  1. Leonard N. Girardi, M.D.

    Leonard N. Girardi, M.D.

    Weill Cornell Medical Center


    Nothing to disclose.