Renal protection in thoracoabdominal aortic aneurysm surgery.

Abstract

It is indisputable that open thoracoabdominal aortic aneurysm (TAAA) repair remains a highly complex and sophisticated surgical intervention. Despite advancements in the imaging modality, evolution of our understanding of the pathology afflicting the aorta, intraoperative brain and spinal cord monitoring, intraoperative organ protection, postoperative critical care and organ support, monitoring and the close follow-up of affected patients, this type of surgery remains a challenge to the surgeon and the patient. In this review, we will illustrate the recent evidence on renal protection and prediction during TAAA.