Contemporary results of open surgical repair of descending thoracic aortic aneurysms

Seminars in Vascular Surgery
James H Black, R P Cambria

Abstract

Considerable progress has been made in the refinement of operative strategies to repair descending thoracic aortic aneurysms (TAA). While no single strategy has totally eliminated the postoperative morbidities of renovisceral and spinal cord ischemic complications, contemporary reports from centers of excellence detail admirable rates of overall risk in the 5-10% range. Balancing these risks represents a clinical dilemma for the aortic surgeon and a thoughtful, logical risk analysis of the individual patient presentation is clearly warranted before TAA repair. In this article, we review surgical approaches to TAA and adjunctive methods, examine the reports from centers of excellence, and elucidate the challenges yet to be overcome in the management of patients with aneurysms of the descending thoracic aorta.

References

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Feb 4, 2003·Journal of Vascular Surgery·W Darrin ClouseRichard P Cambria
Jan 8, 2004·Seminars in Thoracic and Cardiovascular Surgery·James H BlackRichard P Cambria
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Citations

Aug 23, 2007·ILAR Journal·Stephen M OniferStephen W Scheff
Mar 18, 2008·Seminars in Vascular Surgery·Edward B Diethrich
Dec 6, 2006·Journal of Vascular Surgery·David H StoneRichard P Cambria
Jun 22, 2014·Vascular and Endovascular Surgery·Kakra HughesOurania Preventza
Feb 15, 2019·Circulation Research·Nicholas J SwerdlowMarc L Schermerhorn
Oct 27, 2006·Expert Review of Medical Devices·Edward B Diethrich
Feb 22, 2007·Dimensions of Critical Care Nursing : DCCN·Angela Smith Collins, David Dinsmore

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