[Surgical treatment of thoracoabdominal aortic aneurysm]. 1989

H Goto, and Y Miyauchi

Graft replacement for thoracoabdomital aortic aneurysm was performed in 8 patients between 1982 and 1989. Five patients in our series underwent reattachment of the branch vessels to openings made in the graft. Partial bypass or external shunt was used in 6 patients during aortic cross-clamping. Selective blood perfusion to the branch vessels was performed in 5 patients intraoperatively. Neither hospital death nor postoperative paraplegia was found in our series. One patient without selective perfusion of abdominal branch vessels during reattachment to the graft developed an acute jaundice postoperatively, but 4 of the 5 patients receiving selective perfusion of branch vessels developed no complication related to abdominal ischemia. These results suggest that intraoperative blood perfusion of aortic branch might be useful for prevention of anoxic complication of the abdominal organs after surgery of thoracoabdominal aortic aneurysm.

UI MeSH Term Description Entries
D008297 Male Males
D008722 Methods A series of steps taken in order to conduct research. Techniques,Methodological Studies,Methodological Study,Procedures,Studies, Methodological,Study, Methodological,Method,Procedure,Technique
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D011183 Postoperative Complications Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery. Complication, Postoperative,Complications, Postoperative,Postoperative Complication
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly
D017544 Aortic Aneurysm, Abdominal An abnormal balloon- or sac-like dilatation in the wall of the ABDOMINAL AORTA which gives rise to the visceral, the parietal, and the terminal (iliac) branches below the aortic hiatus at the diaphragm. Abdominal Aorta Aneurysm,Aneurysm, Abdominal Aorta,Abdominal Aortic Aneurysm,Aneurysm, Abdominal Aortic,Abdominal Aorta Aneurysms,Abdominal Aortic Aneurysms,Aorta Aneurysm, Abdominal
D017545 Aortic Aneurysm, Thoracic An abnormal balloon- or sac-like dilatation in the wall of the THORACIC AORTA. This proximal descending portion of aorta gives rise to the visceral and the parietal branches above the aortic hiatus at the diaphragm. Aneurysm, Thoracic Aorta,Thoracic Aorta Aneurysm,Thoracic Aortic Aneurysm,Aneurysm, Thoracic Aortic,Aorta Aneurysm, Thoracic,Thoracic Aorta Aneurysms,Thoracic Aortic Aneurysms

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