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Anesthesia for descending thoracic aortic surgery

Authors
Ferenc Puskas, MD, PhD
Nathan Clendenen, MD
Section Editor
Peter D Slinger, MD, FRCPC
Deputy Editor
Nancy A Nussmeier, MD, FAHA

INTRODUCTION

Open surgical repair of the descending thoracic aorta is used to manage thoracic aortic pathology such as aneurysm, dissection, or injury in selected patients. Despite advances in surgical, perfusion, and anesthetic techniques, mortality and significant morbidity may occur during open repair due to spinal cord, kidney, and mesenteric ischemia. Although an endovascular surgical approach (ie, thoracic endovascular aortic repair [TEVAR]) is often preferred due to a lower incidence of complications, open repair or a hybrid open/endovascular procedure is necessary in some cases. (See "Overview of open surgical repair of the thoracic aorta", section on 'Descending aorta' and "Endovascular repair of the thoracic aorta".)

This topic will review anesthetic management for patients undergoing open surgical repair of the descending thoracic aorta. Separate topics review anesthetic management of patients undergoing endovascular aortic procedures or open surgical repair of other aortic segments (eg, the abdominal aorta, ascending aorta, aortic arch):

(See "Anesthesia for endovascular aortic repair".)

(See "Anesthesia for open abdominal aortic surgery".)

(See "Anesthesia for aortic surgery requiring deep hypothermia".)

                                    

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Literature review current through: Jul 2017. | This topic last updated: Jun 16, 2017.
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