Document Detail


Anaesthesia for surgical repair of thoracoabdominal aortic aneurysms.
MedLine Citation:
PMID:  17486924     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Thoracoabdominal aortic aneurysms are one of the most challenging surgeries for the anaesthetists. They account for 10% of aneurysms of the aorta. A thorough understanding of pathophysiology, anatomy, and surgical interventions including extracorporeal circulation are essential to achieve a good outcome. Crawford classified them accorting to their their extent and location in 4 types. Patients with Crawford type II aneurysms are at greatest risk for paraplegia and renal failure from ischemia to the spinal cord and kidneys during cross-clamp. Neurologic and renal complications are significant for the most extensive forms of aneurysms. Mortality has improved over time as a consequence of either increased surgical experience, the adoption of a protocolized strategy for repair, or secular improvements in anaesthetic and intensive care treatment. Long-term survival after elective TAAA repair is excellent.
Authors:
M Hashem; C S Cinà
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Acta anaesthesiologica Belgica     Volume:  58     ISSN:  0001-5164     ISO Abbreviation:  Acta Anaesthesiol Belg     Publication Date:  2007  
Date Detail:
Created Date:  2007-05-09     Completed Date:  2007-07-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0421022     Medline TA:  Acta Anaesthesiol Belg     Country:  Belgium    
Other Details:
Languages:  eng     Pagination:  45-54     Citation Subset:  IM    
Affiliation:
Senior Specialist Registrar, Singleton Hospital, Swansea, UK. mahashem63@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Anesthesia*
Aortic Aneurysm, Abdominal / classification,  mortality,  surgery*
Aortic Aneurysm, Thoracic / classification,  mortality,  surgery*
Humans
Intraoperative Complications / prevention & control
Postoperative Complications / prevention & control
Preoperative Care / methods

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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