Key result
This review outlines anesthetic considerations for descending thoracic aortic aneurysm repair, detailing distal perfusion management, spinal cord protection, and pharmacological therapies.
This review outlines the complex anesthetic considerations for descending thoracic aortic aneurysm repair, including hemodynamic management, distal perfusion, and spinal cord protection.
Supports anesthetic strategies for thoracic aortic repair; leaves open need for prospective trials on optimal perfusion techniques.
Anesthesia for surgery of the aorta poses some of the most difficult challenges for anesthesiologists. Major hemodynamic and physiologic stresses and sophisticated techniques of extracorporeal support are superimposed on patients with complex medical disease states. In this review, etiologies, natural history, and surgical techniques of thoracic aortic aneurysm are presented. Anesthetic considerations are discussed in detail, including the management of distal perfusion using partial cardiopulmonary bypass. Considerations of spinal cord protection, including management of proximal hypertension, cerebral spinal fluid drainage, and pharmacological therapies, are presented.
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Kahn et al. (2007) conducted a review in Thoracic aortic aneurysm. Anesthetic management was evaluated. This review outlines anesthetic considerations for descending thoracic aortic aneurysm repair, detailing distal perfusion management, spinal cord protection, and pharmacological therapies.
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