Anesthetic consideration for descending thoracic aortic aneurysm repair

Ronald A. Kahn, Marc E. Stone, David M. Moskowitz

Research output: Contribution to journalReview articlepeer-review

34 Scopus citations

Abstract

Anesthesia for surgery of the aorta poses some of the most difficult challenges for anesthesiologists. Major hemodynamic and physiologic stresses and sophisticated techniques of extracorporeal support are superimposed on patients with complex medical disease states. In this review, etiologies, natural history, and surgical techniques of thoracic aortic aneurysm are presented. Anesthetic considerations are discussed in detail, including the management of distal perfusion using partial cardiopulmonary bypass. Considerations of spinal cord protection, including management of proximal hypertension, cerebral spinal fluid drainage, and pharmacological therapies, are presented.

Original languageEnglish
Pages (from-to)205-223
Number of pages19
JournalSeminars in Cardiothoracic and Vascular Anesthesia
Volume11
Issue number3
DOIs
StatePublished - Sep 2007

Keywords

  • Anesthetic management
  • Aorta
  • Cerebral spinal fluid drainage
  • Partial cardiopulmonary bypass
  • Surgery
  • Thoracic thoracoabdominal aneurysms

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