Document Detail


Tips for successful outcomes for descending thoracic and thoracoabdominal aortic aneurysm procedures.
MedLine Citation:
PMID:  18342730     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The continuing evolution of endovascular approaches to the repair of descending thoracic and thoracoabdominal aortic aneurysms necessitates careful evaluation of the safety and efficacy of these alternative therapies as they compare to the "gold standard" of open surgical repair. The purpose of this report is to present our approach to conventional open surgical repair of these aneurysms. Routine surgical modalities include use of moderate systemic heparinization, mild permissive hypothermia, and sequential aortic clamping. For extensive thoracoabdominal and select descending aortic procedures, additional modalities are used. The multimodal approach to organ protection during surgical treatment of descending thoracic and thoracoabdominal aneurysms has evolved substantially over the past 20 years. Experienced surgical centers now have much lower mortality and morbidity rates for these operations than previously reported. Current management strategies enable patients to undergo conventional open aneurysm repairs with excellent early survival and acceptable morbidity.
Authors:
Joseph S Coselli; Scott A LeMaire
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Seminars in vascular surgery     Volume:  21     ISSN:  0895-7967     ISO Abbreviation:  Semin Vasc Surg     Publication Date:  2008 Mar 
Date Detail:
Created Date:  2008-03-17     Completed Date:  2008-06-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8809602     Medline TA:  Semin Vasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  13-20     Citation Subset:  IM    
Affiliation:
Division of Cardiothoracic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine and The Texas Heart Institute at St. Luke' Episcopal Hospital, Houston, TX 77030, USA.
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MeSH Terms
Descriptor/Qualifier:
Aortic Aneurysm, Abdominal / surgery*
Aortic Aneurysm, Thoracic / surgery*
Humans
Practice Guidelines as Topic*
Treatment Outcome
Vascular Surgical Procedures / methods*,  standards

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


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