Open Surgical Repair of Thoracoabdominal Aortic Aneurysms
Ahmet Sarıtaş, Ertekin Utku Ünal, Anıl Özen, Sercan Tak, Veysel Başar, Emre Kubat, Aytaç Çalışkan, Başak Soran Türkcan.
Abstract Objectives: Thoracoabdominal aortic aneurysm (TAAA) surgery possesses high morbidity and mortality rates and is in the high-risk surgery category. We present the results of patients who underwent surgery for thoracoabdominal aortic aneurysm repair in a two-year period.
Materials and Methods: Twelve patients underwent thoracoabdominal aortic aneurysm repair in our clinic between March 2010 and June 2012. The mean age of the patients was 50.2 ± 14.4 years. There were ten male patients. According to the modified Crawford classification, four patients underwent surgery for type 1; 2 for type 3; 3 for type 4 and 3 for type 5 thoracoabdominal aortic aneurysm. Distal femoral bypass was performed in 10 patients. Catheterization was performed for the drainage of cerebrospinal fluid.
Results: Three of the patients presented with rupture and underwent emergency surgery. Two of the patients had type 1 and one had type 4 thoracoabdominal aortic aneurysm. Mortality occurred in three patients, two of which had undergone surgery due to rupture. One patient developed paraparesis in the postoperative period. Conclusions: Thoracoabdominal aortic aneurysm repair is a high-risk procedure requiring good surgical experience, a multidisciplinary approach, good anesthetic management and a cautious intensive care follow up.