Contemporary results of open surgical repair of descending thoracic aortic aneurysms

James H. Black, Richard P. Cambria

Research output: Contribution to journalArticlepeer-review

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.

Original languageEnglish (US)
Pages (from-to)11-17
Number of pages7
JournalSeminars in vascular surgery
Volume19
Issue number1
DOIs
StatePublished - Mar 2006

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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