thoracoabdominal aortic aneurysms
نویسندگان
چکیده
over the last 50 years, significant progress has been made in the surgical repair of thoracoabdominal aortic aneurysms (taaa). improvements in perioperative care and surgical techniques have resulted in reductions in complication and mortality rates. adjunctive use of distal aortic perfusion and cerebrospinal fluid drainage has been especially helpful, reducing the incidence of neurological deficits to 2.4%. current research is aimed at improving organ preservation. this review focuses on the current diagnosis and management of taaa.
منابع مشابه
Management of thoracoabdominal aortic aneurysms
Conventional treatment of thoracoabdominal aortic aneurysms (TAAAs) consists of graft replacement with reattachment of the main aortic branches. Over the past 20 years a multimodal approach has gradually evolved to reduce the trauma of surgery by maximizing organ protection, allowing experienced surgical Centers to have better outcomes than previously reported. However, mortality and morbidity ...
متن کاملOpen reconstruction of thoracoabdominal aortic aneurysms.
Technical details of our strategy for reconstructing the thoracoabdominal aorta are presented. Between October 1999 and June 2012, 152 patients underwent surgery for thoracoabdominal aortic aneurysms (Crawford classification type I =21, type II =43, type III =73, type IV =15). Mean age was 64.6±13.9 years. Sixty-three (41.4%) patients had aortic dissection, including acute type B dissection in ...
متن کاملDescending thoracic and thoracoabdominal aortic aneurysms.
Correspondence and requests for reprints to James I. Fann, MD, Department of Cardiothoracic Surgery, Falk Cardiovascular Research Center, Stanford University Medical School, Stanford, California 94305-5247, USA. Tel: þ1 650 858 3917; fax: þ1 650 723 7110; e-mail: [email protected] Introduction Since the incidence of thoracic aortic aneurysms are over five cases per 100 000 person-years, patien...
متن کاملOpen surgical repair of thoracoabdominal aortic aneurysms.
Despite much advancement in preoperative evaluation and perioperative care of patients with thoracoabdominal aortic aneurysms (TAAA), open surgical repair of TAAAs remains a formidable challenge for the vascular surgeon. It requires extensive dissection and mobilization of the aorta and its branches, as well as cross-clamping of the aorta above intercostal and visceral arteries. Over the past d...
متن کامل[Correction of thoracic and thoracoabdominal aortic aneurysms. Central cannulation technique].
OBJECTIVE To demonstrate the viability of the use of extracorporeal circulation established between the left atrium and ascending aorta to induce deep hypothermia for correcting thoracic and thoracoabdominal aortic aneurysms. METHODS From January 1994 to July 2001, 38 patients (mean age, 54.6 +/- 12.7 years) were operated on as follows: 12 (31.6%) patients underwent repair of thoracoabdominal...
متن کاملOpen repair of ruptured descending thoracic and thoracoabdominal aortic aneurysms.
OBJECTIVE To evaluate the results of the open repair of ruptured thoracic and thoracoabdominal aortic aneurysms. METHODS From January 1997, a total of 100 consecutive open repairs of ruptured thoracic or thoracoabdominal aortic aneurysms were performed (43 thoracic and 57 thoracoabdominal). These patients were compared with contemporary cases that underwent repair of corresponding intact aneu...
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عنوان ژورنال:
the journal of tehran university heart centerجلد ۳، شماره ۳، صفحات ۱۳۱-۱۴۰
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