Surgery for thoracoabdominal aorta actually began before the era of cardiopulmonary bypass. In the mid-1950s, Ellis et al., Etheredge et al., and DeBakey et al. opened a field of surgery for throacoabdominal aorta using allograft. In 1965, DeBakey reported their results as 26% mortality in 42 patients with thoracoabdominal aortic aneurysms who underwent the extra-anatomical reconstruction of th...

Thoracoabdominal foregut duplications account for less than 2% of all gastrointestinal duplications. Here, we report a case of thoracoabdominal duplication cyst in an eight-month old boy who presented with both respiratory and abdominal complaints. Excision of both thoracic and abdominal extensions of the thoracoabdominal duplications in the same session is an appropriate and safe option to pre...

1. Be able to identify patients undergoing thoracoabdominal aortic procedures who are at high risk of spinal cord ischemia. 2. Learn intraoperative management strategies and techniques to decrease the risk of spinal cord ischemia in patients undergoing thoracoabdominal aortic procedures. 3. Learn the indications for lumbar cerebral spinal fluid drainage in patients undergoing thoracoabdominal a...

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 d...

PURPOSE Endovascular surgery data are confirming the paramount role of modern endovascular tools for a safe and sure exclusion of thoracoabdominal lesions. CASE REPORT A 57-year-old female presented with severe comorbidity affected by a 58 mm thoracoabdominal aortic aneurysm (TAAA). After patient-informed consent and local Ethical Committee and Italian Public Health Ministry authorization, th...

Type II chronic dissecting thoracoabdominal aortic aneurysms are a surgically challenging disease. The conventional thoracoabdominal aortic aneurysm repair technique using cardiopulmonary bypass is a high-risk procedure. However, a recently developed endovascular technique may be an alternative treatment for the disease, but faces the obstacle of lesional restriction. This new technique uses a ...

INTRODUCTION Occurrence of dynamic hyperinflation during upper-limbs exercises in chronic obstructive pulmonary disease (COPD) patients it is not well established. We hypothesized that dynamic hyperinflation and thoracoabdominal asynchrony occurs in COPD patients accomplishing arms exercises. We assessed the occurrence and association of dynamic hyperinflation and thoracoabdominal asynchrony in...

BACKGROUND patients with mitral valve disease can progress to having pulmonary congestion, which increases the work the respiratory muscles. This overload can change the breathing pattern with a predominance of rib cage displacement or presence of paradoxical movements. OBJECTIVE a) to study the breathing pattern and thoracoabdominal movement of patients with mitral valve disease; b) to study...

Sheinbaum R, Doerr HK, Maulsby R, Rivera VM: Neurologic deficit in patients at high risk with thoracoabdominal aortic aneurysms: The role of cerebral spinal fluid drainage and distal aortic perfusion. J Vasc Surg 1994; 20:434 – 43; discussion 442–3 6. Keyhani K, Miller CC 3rd, Estrera AL, Wegryn T, Sheinbaum R, Safi HJ: Analysis of motor and somatosensory evoked potentials during thoracic and t...

INTRODUCTION Thoracoabdominal aortic aneurysms usually present in elderly patients with serious renal, pulmonary, cerebral, or cardiac comorbidities that pose a great challenge to the attending surgeon. Endovascular techniques for the treatment of thoracoabdominal aneurysms are not yet widely used due to limitations associated with them, such as spinal and visceral ischemia. CASE PRESENTATION...