Abstract
Open surgical repair remains the gold standard operation for thoracoabdominal aortic aneurysm (TAAA). Contemporary surgical approaches balance the need to maximize long-term benefit by replacing as much diseased aorta as possible with limiting ischemia-related risk to the spinal cord and other organs. Despite the formidable challenges that extensive aortic replacement entails, excellent outcomes and a durable repair can be achieved at experienced centers. Here, we describe in detail our current approach to open TAAA repair, which includes providing spinal cord and end-organ protection by the use of surgical adjuncts such as cerebrospinal fluid drainage, mild passive hypothermia (32-33°C nasopharyngeal), left heart bypass, sequential aortic cross-clamping, selective visceral artery perfusion and, whenever possible, reimplantation of segmental arteries and use of cold renal perfusion. We illustrate this approach in a case of Crawford extent II TAAA repair with a branched graft.
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callMore From: Operative Techniques in Thoracic and Cardiovascular Surgery
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
