Thoracoabdominal Aortic Aneurysm - The Branch First Technique

George Matalanis; Stephanie L Ch'ng

doi:10.1053/j.semtcvs.2019.03.013

Thoracoabdominal Aortic Aneurysm - The Branch First Technique

Semin Thorac Cardiovasc Surg. 2019;31(4):708-712. doi: 10.1053/j.semtcvs.2019.03.013. Epub 2019 Apr 11.

Authors

George Matalanis¹, Stephanie L Ch'ng²

Affiliations

¹ Department of Cardiac Surgery, Austin Health, Heidelberg, Victoria, Australia.
² Department of Cardiac Surgery, Austin Health, Heidelberg, Victoria, Australia. Electronic address: zlt.chng@gmail.com.

PMID: 30980929
DOI: 10.1053/j.semtcvs.2019.03.013

Abstract

Surgical management of thoracoabdominal aortic aneurysms is complex. In particular, maintaining adequate spinal cord and reno-visceral protection during the operation can be challenging. We describe here a branch-first technique developed at our institution, endeavoring to minimized renal and visceral organ ischemic time, decrease risk of spinal cord injury, and provide a controlled and uncluttered field in which the surgeon can operate.

Keywords: Branch-first; Debranching; Thoracoabdominal aortic aneurysm.

MeSH terms

Adult
Aged
Aorta / diagnostic imaging
Aorta / physiopathology
Aorta / surgery*
Aortic Aneurysm, Thoracic / diagnostic imaging
Aortic Aneurysm, Thoracic / mortality
Aortic Aneurysm, Thoracic / physiopathology
Aortic Aneurysm, Thoracic / surgery*
Blood Vessel Prosthesis
Blood Vessel Prosthesis Implantation / adverse effects
Blood Vessel Prosthesis Implantation / instrumentation
Blood Vessel Prosthesis Implantation / methods*
Blood Vessel Prosthesis Implantation / mortality
Humans
Male
Middle Aged
Prosthesis Design
Risk Factors
Spinal Cord Ischemia / etiology
Spinal Cord Ischemia / physiopathology
Spinal Cord Ischemia / prevention & control
Treatment Outcome