: There are various options in the technique of branch vessel reimplantation during thoracabdominal aortic replacement. The choice may affect conduct operation and even surgical outcome especially case low-volume surgeons. This report describes procedural details thoracoabdominal replacement performed a 42-year-old female Marfan patient who had Crawford type II aneurysm caused by chronic B diss...

PURPOSE To evaluate the effectiveness of selective visceral perfusion during repair of an thoracoabdominal aortic aneurysm (TAAA), we compared the postoperative renal and hepatic functions (blood urea nitrogen, serum creatinine, total bilirubin, glutamate pyruvate transaminase) between the two groups with and without perfusion. PATIENTS AND METHODS We operated on 52 patients with TAAA. Among ...

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 manageme...

Thoracoabdominal aneurysm surgery carries an approximate 10% risk of intraoperative paraplegia. Abrupt cord ischemia and the confounding effects of systemic alterations and limb or cerebral ischemia challenges neurophysiologic spinal cord monitoring. This investigation sought a rapid differential monitoring approach to predict or help prevent paraplegia. Thirty-one patients were monitored with ...

OBJECTIVE Whether or not selective visceral and renal perfusion during thoracoabdominal aortic aneurysm (TAAA) repair has a protective effect on visceral and renal function remains unknown. The aim of this study was to clarify if selective perfusion has such an effect. METHODS From May 1982 to December 1997, 82 consecutive patients underwent TAAA repair. Patients receiving hypothermic circula...

POSTOPERATIVE paraplegia resulting from spinal cord ischemia is a devastating complication of thoracic aneurysm (TA) or thoracoabdominal aortic aneurysm (TAAA) surgery. Permanent neurologic deficits are a major cause of morbidity and may shorten long-term survival. Factors that are associated with the development of paraplegia are previous aortic surgery, preoperative renal function, age, aorti...

OBJECTIVES Postoperative chylothorax in patients with a thoracic aneurysm is generally infrequent. We report a mode of surgery to reduce the incidence of paraplegia. We review our experience with chylothorax after resection of an aneurysm to find its cause and to evaluate the success of management. PATIENTS AND METHODS For descending thoracic aneurysms, intercostal arteries in the aneurysm we...

BACKGROUND Endovascular aortic repair was first performed nearly two decades ago and has become a well-established alternative therapy for many thoracoabdominal aortic diseases. Early survival results with the endovascular aortic repair were impressive, but it also brought many complications. Aortoesophageal fistula is little-known and may be underestimated because it is an unusual complication...

Despite higher standards of perioperative care and refinements in operative techniques, conventional open repair of thoracoabdominal aneurysms (TAAAs) is still associated with remarkable morbidity and mortality rates. Hybrid procedures as an option to traditional surgical procedures are still debated, especially in elderly patients with severe comorbidities. We report the experience of our inst...