Why the study?
Thoracoabdominal aortic aneurysm repair requires complex surgical techniques and entails serious complications including paraplegia, gastrointestinal complications, and acute kidney injury.
Demonstrates a successful surgical technique and organ protection strategy for repairing a giant thoracoabdominal aortic aneurysm.
Single successful case leaves open the need for comparative trials on normothermic sequential clamping for TAAA organ protection.
The repair of thoracoabdominal aortic aneurysm (TAAA) require a range of surgical techniques and is associated with serious complications such as paraplegia, gastrointestinal complications and acute kidney injury. In this report, we present a case of successful giant TAAA repair. Repair was performed from proximal to distal by sequential aortic cross clamp-and-sew under normothermia in this case. To prevent visceral, renal and spinal cord ischemia, organ protection was supplemented with cerebrospinal fluid drainage, renal perfusion and selective visceral perfusion in this case.
No takes yet. Share an insight, caveat, or question.
Dun et al. (2020) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: