Vascular Surgery, "Vita-Salute" University, Scientific Institute H. San Raffaele, Milan, Italy.
Ann Cardiothorac Surg. 2012 Sep;1(3):398-403. doi: 10.3978/j.issn.2225-319X.2012.08.07.
Open surgical repair of thoracoabdominal aortic aneurysms has evolved significantly over the last decades thanks to technical improvements, especially in the area of organ protection. However, despite adjunctive strategies, morbidity and mortality rates are still not negligible. Repair of the thoracoabdominal aorta represents a formidable challenge for surgeons, anesthesiologists and patients alike. While operative repair is generally carried out in specialized institutions, knowledge of the state-of-the-art diagnostic, anesthesiologic, surgical and endovascular aspects will certainly be of great value to all physicians involved in the care of these patients at any level. This "How to" video will explain all of these diagnostic, anesthesiologic and surgical aspects in our daily practice.
得益于技术的进步,尤其是在器官保护方面,胸主动脉腹主动脉瘤的开放式外科修复在过去几十年中取得了显著的发展。然而,尽管采用了辅助策略,发病率和死亡率仍然不容忽视。胸主动脉腹主动脉瘤的修复对外科医生、麻醉师和患者来说都是一个巨大的挑战。虽然手术修复通常在专门的机构进行,但了解最新的诊断、麻醉、外科和血管内方面的知识,对于各级参与这些患者治疗的所有医生来说,肯定是非常有价值的。本“如何做”视频将在我们的日常实践中解释所有这些诊断、麻醉和手术方面。