Specifičnosti anestezije za rekonstruktivnu hirurgiju torakalne aorte

Abstract

According to statistics of mortality in European countries, cardiovascular diseases are the leading cause of death in most developed countries and in developing countries around the world. Thanks to the use of newer diagnostic methods, such as transesophageal echocardiography (TEE), magnetic resonance (MRI), computerized tomography (CT), which is widely used in the last ten years, enabled better and earlier diagnostic of aorta diseases even in emergencies. These new imaging techniques have contributed to the change of approach in the way of treating patients, for faster diagnosis and decision making for further treatment. Dissection of aorta is the most common form of aorta lesions. Represents layering of the aortic wall resulting with cleft of intimae of aortic wall and the formatting of a hematoma in the media of the aortic wall, which spreads through the cleft communicating with the lumen of the aorta. Clinical manifestations of aortic dissection are usually sudden and searing pain in the chest. With a spreading of dissection pain migrates with a clinical signs that arises due to difficulties in the flow through the aortic limb. Sudden death with clinical signs of tamponade is a consequence of the aneurism rupture at the pericardium or pleura. Aim: To present the specifics of anaesthesia and specific protocols at IKVD 'Dedinje', Belgrade for this type of surgery.