Descending thoracic aortic aneurysm: surgical approach and treatment using the adjuncts cerebrospinal fluid drainage and distal aortic perfusion Anthony.

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Presentation transcript:

Descending thoracic aortic aneurysm: surgical approach and treatment using the adjuncts cerebrospinal fluid drainage and distal aortic perfusion Anthony L Estrera, MD, Forrest S Rubenstein, MD, Charles C Miller, PhD, Tam T.T Huynh, MD, George V Letsou, MD, Hazim J Safi, MD The Annals of Thoracic Surgery Volume 72, Issue 2, Pages 481-486 (August 2001) DOI: 10.1016/S0003-4975(01)02679-0

Fig 1 Cerebrospinal fluid catheter insertion. Cerebrospinal pressure was maintained at less than 10 mm Hg. The Annals of Thoracic Surgery 2001 72, 481-486DOI: (10.1016/S0003-4975(01)02679-0)

Fig 2 Distal aortic perfusion through the left common femoral artery and left superior pulmonary vein. The Annals of Thoracic Surgery 2001 72, 481-486DOI: (10.1016/S0003-4975(01)02679-0)

Fig 3 Descending thoracic aortic aneurysms are classified as type A, left subclavian artery to T6 (A); type B, T6 to the diaphragm (B); or type C, left subclavian artery to the diaphragm (C). The Annals of Thoracic Surgery 2001 72, 481-486DOI: (10.1016/S0003-4975(01)02679-0)

Fig 4 (A) Dynamics of aortic cross-clamp: cerebrospinal fluid (CSF) pressure increases and distal aortic (DAo) pressure decreases. (B) Dynamics of aortic cross-clamp with adjuncts: CSF pressure decreases and DAo pressure increases, thus increasing perfusion pressure of the spinal cord. The Annals of Thoracic Surgery 2001 72, 481-486DOI: (10.1016/S0003-4975(01)02679-0)