PDF herunterladen
CC BY 4.0 · Aorta (Stamford) 2022; 10(04): 155-161
DOI: 10.1055/s-0042-1750098
Special Feature Article

Thoracic Aortic Aneurysm Surgery: DON'T QUIT—JUST DO IT

Vicente Orozco-Sevilla
1   Division of Cardiothoracic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas
2   Department of Cardiovascular Surgery, Texas Heart Institute, Houston, Texas
3   Department of Cardiovascular Surgery, CHI St. Luke's Health—Baylor St. Luke's Medical Center, Houston, Texas
,
Ginger Etheridge
1   Division of Cardiothoracic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas
,
Joseph S. Coselli 
1   Division of Cardiothoracic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas
2   Department of Cardiovascular Surgery, Texas Heart Institute, Houston, Texas
3   Department of Cardiovascular Surgery, CHI St. Luke's Health—Baylor St. Luke's Medical Center, Houston, Texas
› Institutsangaben Funding None.
› Weitere Informationen
Auch verfügbar auf
   Lizenzen und Reprints

Abstract

Surgical aortic repair has progressed from aneurysm ligation to homografts to Dacron grafts to totally endovascular interventions. These fields will continue to evolve, and new endovascular technology will be used in virtually every part of the aorta, eventually dominating this field of surgery. However, as surgeons, we must be cautious and not let go of our open-surgery skills, as they will always be the ultimate bailout solution.

Keywords

aortic surgery - arch aneurysm - thoracoabdominal aneurysm surgery

Prepared for the Aorta Special Issue: based on the presentation from the 9th International Aortic Summit, Chennai, India, December 2020.




Publikationsverlauf

Eingereicht: 03. September 2021

Angenommen: 12. April 2022

Artikel online veröffentlicht:
15. Dezember 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 

  • References

  • 1 Green SY, Safi HJ, Coselli JS. A history of open thoracoabdominal aortic aneurysm repair: perspective from Houston. J Cardiovasc Surg (Torino) 2021; 62 (03) 191-202
    PubMedGoogle Scholar
  • 2 Beall AC, Henly WS, Morris GC, Crawford ES, Cooley DA, Debakey ME. Translumbar aortography: a simple, safe, technic. Ann Surg 1963; 157 (06) 882-891
    CrossrefPubMedGoogle Scholar
  • 3 Axelbaum SP, Schellinger D, Gomes MN, Ferris RA, Hakkal HG. Computed tomographic evaluation of aortic aneurysms. AJR Am J Roentgenol 1976; 127 (01) 75-78
    CrossrefPubMedGoogle Scholar
  • 4 Ancalmo N, Ochsner J. Experience with a new woven prosthesis. J La State Med Soc 1992; 144 (09) 423-424 , 427–428
    PubMedGoogle Scholar
  • 5 Livesay JJ, Cooley DA, Reul GJ. et al. Resection of aortic arch aneurysms: a comparison of hypothermic techniques in 60 patients. Ann Thorac Surg 1983; 36 (01) 19-28
    CrossrefPubMedGoogle Scholar
  • 6 DeBakey ME, Crawford ES, Cooley DA, Morris Jr GC. Successful resection of fusiform aneurysm of aortic arch with replacement by homograft. Surg Gynecol Obstet 1957; 105 (06) 657-664
    PubMedGoogle Scholar
  • 7 Bigelow WG, Callaghan JC, Hopps JA. General hypothermia for experimental intracardiac surgery; the use of electrophrenic respirations, an artificial pacemaker for cardiac standstill and radio-frequency rewarming in general hypothermia. Ann Surg 1950; 132 (03) 531-539
    CrossrefPubMedGoogle Scholar
  • 8 Griepp RB, Stinson EB, Hollingsworth JF, Buehler D. Prosthetic replacement of the aortic arch. J Thorac Cardiovasc Surg 1975; 70 (06) 1051-1063
    CrossrefPubMedGoogle Scholar
  • 9 Svensson LG, Crawford ES, Hess KR. et al. Deep hypothermia with circulatory arrest. Determinants of stroke and early mortality in 656 patients. J Thorac Cardiovasc Surg 1993; 106 (01) 19-28 , discussion 28–31
    CrossrefPubMedGoogle Scholar
  • 10 McCullough JN, Zhang N, Reich DL. et al. Cerebral metabolic suppression during hypothermic circulatory arrest in humans. Ann Thorac Surg 1999; 67 (06) 1895-1899 , discussion 1919–1921
    CrossrefPubMedGoogle Scholar
  • 11 Ueda Y, Miki S, Kusuhara K. et al. [Surgical treatment of the aneurysm or dissection involving the ascending aorta and aortic arch using circulatory arrest and retrograde perfusion]. Nihon Kyobu Geka Gakkai Zasshi 1988; 36 (02) 161-166
    PubMedGoogle Scholar
  • 12 Kazui T, Inoue N, Yamada O, Komatsu S. Selective cerebral perfusion during operation for aneurysms of the aortic arch: a reassessment. Ann Thorac Surg 1992; 53 (01) 109-114
    CrossrefPubMedGoogle Scholar
  • 13 Bachet J, Guilmet D, Goudot B. et al. Cold cerebroplegia. A new technique of cerebral protection during operations on the transverse aortic arch. J Thorac Cardiovasc Surg 1991; 102 (01) 85-93 , discussion 93–94
    PubMedGoogle Scholar
  • 14 Tian DH, Weller J, Hasmat S. et al. Temperature selection in antegrade cerebral perfusion for aortic arch surgery: a meta-analysis. Ann Thorac Surg 2019; 108 (01) 283-291
    CrossrefPubMedGoogle Scholar
  • 15 Sabik JF, Lytle BW, McCarthy PM, Cosgrove DM. Axillary artery: an alternative site of arterial cannulation for patients with extensive aortic and peripheral vascular disease. J Thorac Cardiovasc Surg 1995; 109 (05) 885-890 , discussion 890–891
    CrossrefPubMedGoogle Scholar
  • 16 Borst HG, Walterbusch G, Schaps D. Extensive aortic replacement using “elephant trunk” prosthesis. Thorac Cardiovasc Surg 1983; 31 (01) 37-40
    Artikel in Thieme ConnectPubMedGoogle Scholar
  • 17 Kato M, Ohnishi K, Kaneko M. et al. New graft-implanting method for thoracic aortic aneurysm or dissection with a stented graft. Circulation 1996; 94 (9, Suppl): II188-II193
    PubMedGoogle Scholar
  • 18 DeBakey ME, Cooley DA. Successful resection of aneurysm of thoracic aorta and replacement by graft. J Am Med Assoc 1953; 152 (08) 673-676
    CrossrefPubMedGoogle Scholar
  • 19 Svensson LG, Crawford ES, Hess KR, Coselli JS, Safi HJ. Variables predictive of outcome in 832 patients undergoing repairs of the descending thoracic aorta. Chest 1993; 104 (04) 1248-1253
    CrossrefPubMedGoogle Scholar
  • 20 Coselli JS, LeMaire SA, Conklin LD, Adams GJ. Left heart bypass during descending thoracic aortic aneurysm repair does not reduce the incidence of paraplegia. Ann Thorac Surg 2004; 77 (04) 1298-1303 , discussion 1303
    CrossrefPubMedGoogle Scholar
  • 21 Etheredge SN, Yee J, Smith JV, Schonberger S, Goldman MJ. Successful resection of a large aneurysm of the upper abdominal aorta and replacement with homograft. Surgery 1955; 38 (06) 1071-1081
    PubMedGoogle Scholar
  • 22 Debakey ME, Creech Jr O, Morris Jr GC. Aneurysm of thoracoabdominal aorta involving the celiac, superior mesenteric, and renal arteries; report of four cases treated by resection and homograft replacement. Ann Surg 1956; 144 (04) 549-573
    CrossrefPubMedGoogle Scholar
  • 23 DeBakey ME, Crawford ES, Garrett HE, Beall Jr AC, Howell JF. Surgical considerations in the treatment of aneurysms of the thoraco-abdominal aorta. Ann Surg 1965; 162 (04) 650-662
    CrossrefPubMedGoogle Scholar
  • 24 Crawford ES. Thoraco-abdominal and abdominal aortic aneurysms involving renal, superior mesenteric, celiac arteries. Ann Surg 1974; 179 (05) 763-772
    CrossrefPubMedGoogle Scholar
  • 25 Svensson LG, Crawford ES, Hess KR, Coselli JS, Safi HJ. Experience with 1509 patients undergoing thoracoabdominal aortic operations. J Vasc Surg 1993; 17 (02) 357-368 , discussion 368–370
    CrossrefPubMedGoogle Scholar
  • 26 Coselli JS, LeMaire SA, Köksoy C, Schmittling ZC, Curling PE. Cerebrospinal fluid drainage reduces paraplegia after thoracoabdominal aortic aneurysm repair: results of a randomized clinical trial. J Vasc Surg 2002; 35 (04) 631-639
    CrossrefPubMedGoogle Scholar
  • 27 Coselli JS, LeMaire SA. Left heart bypass reduces paraplegia rates after thoracoabdominal aortic aneurysm repair. Ann Thorac Surg 1999; 67 (06) 1931-1934 , discussion 1953–1958
    CrossrefPubMedGoogle Scholar
  • 28 Coselli JS, LeMaire SA, Preventza O. et al. Outcomes of 3309 thoracoabdominal aortic aneurysm repairs. J Thorac Cardiovasc Surg 2016; 151 (05) 1323-1337
    CrossrefPubMedGoogle Scholar
  • 29 Köksoy C, LeMaire SA, Curling PE. et al. Renal perfusion during thoracoabdominal aortic operations: cold crystalloid is superior to normothermic blood. Ann Thorac Surg 2002; 73 (03) 730-738
    CrossrefPubMedGoogle Scholar
  • 30 LeMaire SA, Jones MM, Conklin LD. et al. Randomized comparison of cold blood and cold crystalloid renal perfusion for renal protection during thoracoabdominal aortic aneurysm repair. J Vasc Surg 2009; 49 (01) 11-19 , discussion 19
    CrossrefPubMedGoogle Scholar