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

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Presentation on theme: "Descending thoracic aortic aneurysm: surgical approach and treatment using the adjuncts cerebrospinal fluid drainage and distal aortic perfusion  Anthony."— Presentation transcript:

1 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 (August 2001) DOI: /S (01)

2 Fig 1 Cerebrospinal fluid catheter insertion. Cerebrospinal pressure was maintained at less than 10 mm Hg. The Annals of Thoracic Surgery  , DOI: ( /S (01) )

3 Fig 2 Distal aortic perfusion through the left common femoral artery and left superior pulmonary vein. The Annals of Thoracic Surgery  , DOI: ( /S (01) )

4 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  , DOI: ( /S (01) )

5 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  , DOI: ( /S (01) )


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