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Journal-Cardiovascular Surgery
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ISSN: 2147-6535 (Online)
Language: [ English ]  
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  » Volume 2, Issue 3
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  » Volume 2, Issue 1
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Open Access

Original Research



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.

Key words: Aortic aneurysm, thoracic; surgery; treatment outcome



REFERENCES
1)Wong DR, Parenti JL, Green SY, et al. Open repair of thoracoabdominal aortic aneurysm in the modern surgical era: contemporary outcomes in 509 patients. J Am Coll Surg 2011;212:569-579. http://dx.doi.org/10.1016/j.jamcollsurg.2010.12.041   [Pubmed]       
 
2)Cambria RP, Clouse WD, Davison JK et al. Thoracoabdominal aneurysm repair: results with 337 operations performed over a 15-year interval. Ann Surg 2002;236:471-479. http://dx.doi.org/10.1097/00000658-200210000-00010   [Pubmed]          [PMC Free Fulltext]    
 
3)Saritas A, Kucuker Þ, Yurdakok O et al. Descending thoracic aortic aneurysm repair with simple cross-clamp technique. Turkish Journal of Vascular Surgery 2006;15:11-16.
 
4)Koja K, Kuniyoshi Y, Miyagi K, et al. [Spinal cord protection during thoracoabdominal aortic aneurysm repair; efficacy of distal aortic perfusion and segmental aortic clamping]. Kyobu Geka 2004;57:268-273.
 
5)Hsu CC, Kwan GN, van Driel ML et al. Distal aortic perfusion during thoracoabdominal aneurysm repair for prevention of paraplegia. Cochrane Database Syst Rev 2012;3:CD008197.
 
6)David N, Roux N, Clavier E, et al. Open repair of extensive thoracoabdominal and thoracic aneurysm: a preliminary single-center experience with femorofemoral distal aortic perfusion with oxygenator and without cerebrospinal fluid drainage. Ann Vasc Surg 2011;25:583-589. http://dx.doi.org/10.1016/j.avsg.2010.12.005   [Pubmed]       
 
7)Crawford ES, Crawford JL, Safi HJ, et al. Thoracoabdominal aortic aneurysms: preoperative and intraoperative factors determining immediate and long-term results of operations in 605 patients. J Vasc Surg 1986;3:389-404. http://dx.doi.org/10.1067/mva.1986.avs0030389   [Pubmed]       
 
8)Svensson LG, Crawford ES, Hess KR et al. Experience with 1509 patients undergoing thoracoabdominal aortic operations. J Vasc Surg 1993;17:357-368. http://dx.doi.org/10.1016/0741-5214(93)90421-H
 
9)Coselli JS, Bozinovski J, LeMaire SA. Open surgical repair of 2286 thoracoabdominal aortic aneurysms. Ann Thorac Surg 2007;83:S862-864.
 
10)Wong DR, Coselli JS, Amerman K, et al. Delayed spinal cord deficits after thoracoabdominal aortic aneurysm repair. Ann Thorac Surg 2007;83:1345-1355. http://dx.doi.org/10.1016/j.athoracsur.2006.11.035   [Pubmed]       
 
11)Dapunt OE, Galla JD, Sadeghi AM, et al. The natural history of thoracic aortic aneurysms. J Thorac Cardiovasc Surg 1994;107:1323-1332.
 
12)Conrad MF, Crawford RS, Davison JK et al. Thoracoabdominal aneurysm repair: a 20-year perspective. Ann Thorac Surg 2007;83:S856-861.
 
13)Coselli JS, LeMaire SA, Conklin LD et al. Morbidity and mortality after extent II thoracoabdominal aortic aneurysm repair. Ann Thorac Surg 2002;73:1107-1115. http://dx.doi.org/10.1016/S0003-4975(02)03370-2
 
14)Miyamoto K, Ueno A, Wada T et al. A new and simple method of preventing spinal cord damage following temporary occlusion of the thoracic aorta by draining the cerebrospinal fluid. J Cardiovasc Surg (Torino) 1960;1:188-197.
 
15)Plestis KA, Nair DG, Russo M et al. Left atrial femoral bypass and cerebrospinal fluid drainage decreases neurologic complications in repair of descending and thoracoabdominal aortic aneurysms. Ann Vasc Surg 2001;15:49-52. http://dx.doi.org/10.1007/BF02693800   [Pubmed]       
 
16)Khan SN, Stansby G. Cerebrospinal fluid drainage for thoracic and thoracoabdominal aortic aneurysm surgery. Cochrane Database Syst Rev 2012;10:CD003635.
 
17)Leshnower BG, Szeto WY, Pochettino A, et al. Thoracic Endografting Reduces Morbidity and Remodels the Thoracic Aorta in DeBakey III Aneurysms. Ann Thorac Surg 2012 Dec 12. pii: S0003-4975(12)02143-1. doi: 10.1016/j.athoracsur.2012.09.053. [Epub ahead of print] http://dx.doi.org/10.1016/j.athoracsur.2012.09.053
 
18)Qureshi MA, Greenberg RK, Mastracci TM et al. Patients with chronic obstructive pulmonary disease have shorter survival but superior endovascular outcomes after endovascular aneurysm repair. J Vasc Surg 2012;56:911-919. http://dx.doi.org/10.1016/j.jvs.2012.02.055   [Pubmed]       
 
19)Fulton JJ, Farber MA, Marston WA et al. Endovascular stent-graft repair of pararenal and type IV thoracoabdominal aortic aneurysms with adjunctive visceral reconstruction. J Vasc Surg 2005;41:191-198. http://dx.doi.org/10.1016/j.jvs.2004.10.049   [Pubmed]       
 
20)Yamaguchi D, Jordan WD. Hybrid thoracoabdominal aortic aneurysm repair: current perspectives. Semin Vasc Surg 2012;25:203-207. http://dx.doi.org/10.1053/j.semvascsurg.2012.09.004   [Pubmed]       
 
21)Janczak D, Garcarek J, Bogdanik R et al. Eight-Year Follow-Up of a High-Risk Patient Treated for Crawford Type II Thoracoabdominal Aortic Aneurysm (TAAA) with a Multistage Hybrid Open-Endovascular Repair. Ann Thorac Cardiovasc Surg 2012 Aug 20. doi: 10.5761/atcs.cr.12.01924 [Epub ahead of print] http://dx.doi.org/10.5761/atcs.cr.12.01924
 
22)Mannacio V, Mottola M, Ruggiero D, et al. Treatment of a rapidly expanding thoracoabdominal aortic aneurysm after endovascular repair of descending thoracic aortic aneurysm in an old patient. BMC Surg 2012;12 Suppl 1:S26.
 
23)Weng SH, Weng CF, Chen WY, et al. Reintervention for distal stent graft-induced new entry after endovascular repair with a stainless steel-based device in aortic dissection. J Vasc Surg 2013;57:64-71. http://dx.doi.org/10.1016/j.jvs.2012.07.006   [Pubmed]       
 
24)Geisbusch P, Hoffmann S, Kotelis D, Able T, Hyhlik-Durr A, Bockler D. Reinterventions during midterm follow-up after endovascular treatment of thoracic aortic disease. J Vasc Surg 2011;53:1528-1533. http://dx.doi.org/10.1016/j.jvs.2011.01.066   [Pubmed]       
 

How to Cite this Article
Pubmed Style

Sarıtaş A, Ünal EU, Özen A, Tak S, Başar V, Kubat E, Çalışkan A, Türkcan BS. Open Surgical Repair of Thoracoabdominal Aortic Aneurysms. Journal-CVS. 2013; 1(1): 8-12. doi:10.5455/jcvs.2013113



Web Style

Sarıtaş A, Ünal EU, Özen A, Tak S, Başar V, Kubat E, Çalışkan A, Türkcan BS. Open Surgical Repair of Thoracoabdominal Aortic Aneurysms. www.scopemed.org/?mno=32941 [Access: September 01, 2014]. doi:10.5455/jcvs.2013113



AMA (American Medical Association) Style

Sarıtaş A, Ünal EU, Özen A, Tak S, Başar V, Kubat E, Çalışkan A, Türkcan BS. Open Surgical Repair of Thoracoabdominal Aortic Aneurysms. Journal-CVS. 2013; 1(1): 8-12. doi:10.5455/jcvs.2013113



Vancouver/ICMJE Style

Sarıtaş A, Ünal EU, Özen A, Tak S, Başar V, Kubat E, Çalışkan A, Türkcan BS. Open Surgical Repair of Thoracoabdominal Aortic Aneurysms. Journal-CVS. (2013), [cited September 01, 2014]; 1(1): 8-12. doi:10.5455/jcvs.2013113



Harvard Style

Sarıtaş, A., Ünal, E. U., Özen, A., Tak, S., Başar, V., Kubat, E., Çalışkan, A. & Türkcan, B. S. (2013) Open Surgical Repair of Thoracoabdominal Aortic Aneurysms. Journal-CVS, 1 (1), 8-12. doi:10.5455/jcvs.2013113



Turabian Style

Sarıtaş, Ahmet, Ertekin Utku Ünal, Anıl Özen, Sercan Tak, Veysel Başar, Emre Kubat, Aytaç Çalışkan, and Başak Soran Türkcan. 2013. Open Surgical Repair of Thoracoabdominal Aortic Aneurysms. Journal-Cardiovascular Surgery, 1 (1), 8-12. doi:10.5455/jcvs.2013113



Chicago Style

Sarıtaş, Ahmet, Ertekin Utku Ünal, Anıl Özen, Sercan Tak, Veysel Başar, Emre Kubat, Aytaç Çalışkan, and Başak Soran Türkcan. "Open Surgical Repair of Thoracoabdominal Aortic Aneurysms." Journal-Cardiovascular Surgery 1 (2013), 8-12. doi:10.5455/jcvs.2013113



MLA (The Modern Language Association) Style

Sarıtaş, Ahmet, Ertekin Utku Ünal, Anıl Özen, Sercan Tak, Veysel Başar, Emre Kubat, Aytaç Çalışkan, and Başak Soran Türkcan. "Open Surgical Repair of Thoracoabdominal Aortic Aneurysms." Journal-Cardiovascular Surgery 1.1 (2013), 8-12. Print. doi:10.5455/jcvs.2013113



APA (American Psychological Association) Style

Sarıtaş, A., Ünal, E. U., Özen, A., Tak, S., Başar, V., Kubat, E., Çalışkan, A. & Türkcan, B. S. (2013) Open Surgical Repair of Thoracoabdominal Aortic Aneurysms. Journal-Cardiovascular Surgery, 1 (1), 8-12. doi:10.5455/jcvs.2013113



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