Case scenario: anesthetic considerations for thoracoabdominal aortic aneurysm repair.

نویسندگان

  • Stephen B Vaughn
  • Scott A LeMaire
  • Charles D Collard
چکیده

T HORACOABDOMINAL aortic aneurysm (TAAA) repair presents a challenging and complex task for both the surgeon and anesthesiologist. Historically, morbidity and mortality for TAAA repair has been high, and is both surgeonand institution-dependent. However, the TAAA complication rate has improved significantly in the past decade via research, improved surgical technique, and perioperative management. An update on the perioperative management of the patient undergoing open TAAA repair is presented.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Thoracoabdominal aneurysm repair: a case report.

Aneurysms that extend from the descending thoracic aorta into the abdomen, which can also involve the visceral segments of the upper abdominal aorta, are traditionally classified as thoracoabdominal. Thoracoabdominal aortic aneurysm reconstruction is very complex vascular surgery associated with high postoperative morbidity and mortality and related postoperative complications. In addition to t...

متن کامل

Spinal cord protection during thoracoabdominal aortic aneurysm surgery

Introduction Postoperative paraplegia including paraparesis is a devastating complication after descending thoracic aortic aneurysm (DTAA) and thoracoabdominal aortic aneurysm (TAAA) repair surgery. This lecture will be focused on the pathophysiological mechanisms for the development of postoperative paraplegia, the strategies to prevent the development of postoperative paraplegia, and anesthet...

متن کامل

Thoracoabdominal aortic aneurysm repair: current endovascular perspectives

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...

متن کامل

A modified multiple branched graft for thoracoabdominal aortic aneurysm repair

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...

متن کامل

Motor and somatosensory evoked potentials: their role in predicting spinal cord ischemia in patients undergoing thoracoabdominal aortic aneurysm repair with regional lumbar epidural cooling.

BACKGROUND Paraplegia is a devastating complication for patients undergoing repair of thoracoabdominal aortic aneurysms. A monitor to detect spinal cord ischemia is necessary if anesthesiologists are to intervene to protect the spinal cord during aortic aneurysm clamping. METHODS The medical records of 60 patients who underwent thoracoabdominal aortic aneurysm repair with regional lumbar epid...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Anesthesiology

دوره 115 5  شماره 

صفحات  -

تاریخ انتشار 2011