OBJECTIVES Spinal cord deficits are devastating complications after surgery for thoracic and thoracoabdominal aortic aneurysms. We developed a regional spinal cord cooling system using an epidural catheter containing cold saline within an isolated counter-current lumen to prevent such complications and reviewed the clinical results. METHODS We enrolled 37 patients with thoracic (n = 13) and t...

BACKGROUND To reduce some problems of traditional graft, we devise a modified multiple branched graft for repair of Crawford extent II and III thoracoabdominal aortic aneurysm (TAAA). CASE PRESENTATION We described a modified multiple branched graft for Crawford extent II and III thoracoabdominal aortic aneurysm (TAAA) repair in 8 patients, Which comprised a main graft and three branches, and...

This study investigated the effects of one year of regular wheelchair rugby training on thoracoabdominal mobility of subjects with tetraplegia. Seven male subjects, tetraplegic level C5-C7 were analyzed before and after a year of training in wheelchair rugby the three-dimensional kinematic analysis of thoracoabdominal mobility of four regions: superior thorax (ST), inferior thorax (IT),superior...

conclusions anesthetic and surgical management was difficult due to the inability to position in supine and rapidly progressing hemorrhagic shock. surgical management for extraction of this iron bar and intensive monitoring and resuscitation resulted in an uneventful successful outcome. introduction penetrating thoracoabdominal injuries are potentially life threatening due to the associated hem...

BACKGROUND Trauma is the fifth leading cause of death worldwide, and in people younger than 40 years of age, it is the leading cause of death. During the resuscitation of trauma patients at the emergency department, there are two different commonly used diagnostic strategies. Conventionally, there is the use of physical examination and conventional diagnostic imaging, potentially followed by se...

Thoracoabdominal aneurysms account for roughly 3% of identified aneurysms annually in the United States. Advancements in endovascular techniques and devices have broadened their application to these complex surgical problems. This paper will focus on the current state of endovascular thoracoabdominal aneurysm repair, including specific considerations in patient selection, operative planning, an...

OBJECTIVE To evaluate the results of a thoracoabdominal hepatectomy and a transdiaphragmatic hepatectomy for hepatocellular carcinoma in patients with impaired liver function. DESIGN Retrospective study. SETTING A university hospital in Japan. PATIENTS Twenty-seven patients who from 1991 to 1996 underwent a thoracoabdominal hepatectomy for hepatocellular carcinoma located mainly in the su...

OBJECTIVE Since the pioneering era of E. Stanley Crawford, our multimodal strategy for thoracoabdominal aortic aneurysm repair has evolved. We describe our approximately 3-decade single-practice experience regarding 3309 thoracoabdominal aortic aneurysm repairs and identify predictors of early death and other adverse postoperative outcomes. METHODS We analyzed retrospective (1986-2006) and pr...

Thoracoabdominal aortic aneurysm accompanied by Leriche syndrome is an extremely rare combination of aortic diseases, the surgical management of which has not been described to date. We report the successful treatment of one such case through open surgical repair of the thoracoabdominal aorta.