Document Detail


Thoracoabdominal aneurysm repair: a case report.
MedLine Citation:
PMID:  17471882     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Aneurysms that extend from the descending thoracic aorta into the abdomen, which can also involve the visceral segments of the upper abdominal aorta, are traditionally classified as thoracoabdominal. Thoracoabdominal aortic aneurysm reconstruction is very complex vascular surgery associated with high postoperative morbidity and mortality and related postoperative complications. In addition to the surgical complexity associated with repair of these aneurysms, the temporary interruption of blood flow distal to the clamp introduces multiple considerations for the anesthetic practitioner to consider for the reduction of potential complications. This case report involves an 80-year-old female presenting for elective repair of a type IV thoracoabdominal aortic aneurysm, with utilization of standard invasive hemodynamic monitoring and cerebrospinal perfusion pressure monitoring as a neuroprotective measure. Hemodynamic stability was maintained via vasoactive agents, as well as compensatory vascular repletion guided by invasive monitoring. A definitive anesthetic plan based on thorough preoperative assessment, insistent intraoperative management techniques to minimize potential complications, and postoperative management of this patient allowed for successful vascular reconstruction, resulting in a positive patient outcome.
Authors:
Lisa Adams; Cara Malcotti; Eric Petrunak
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  AANA journal     Volume:  75     ISSN:  0094-6354     ISO Abbreviation:  AANA J     Publication Date:  2007 Apr 
Date Detail:
Created Date:  2007-05-02     Completed Date:  2007-06-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0431420     Medline TA:  AANA J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  117-21     Citation Subset:  N    
Affiliation:
University of Pittsburgh's Nurse Anesthesia Program, PA, USA. ladams@verizon.net
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MeSH Terms
Descriptor/Qualifier:
Aged, 80 and over
Aortic Aneurysm, Abdominal / surgery*
Aortic Aneurysm, Thoracic / surgery*
Female
Humans
Intraoperative Complications / prevention & control*
Nurse Anesthetists*
Spinal Cord / blood supply

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


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