McGovern Medical School at UTHealth Houston, Houston, Texas, US.
Methodist Debakey Cardiovasc J. 2023 Mar 7;19(2):49-58. doi: 10.14797/mdcvj.1178. eCollection 2023.
Thoracoabdominal aortic aneurysms (TAAA) represent a unique pathology that is associated with considerable mortality if untreated. While the advent of endovascular technologies has introduced new modalities for consideration, the mainstay of TAAA treatment remains open surgical repair. However, the optimal conduct of open TAAA repair requires careful consideration of patient risk factors and a collaborative team effort to mitigate the risk of perioperative complications. In this chapter, we briefly outline the history of treating TAAA, preoperative preparation and postoperative care, and our operative techniques for treatment.
胸主动脉腹主动脉瘤(TAAA)是一种独特的病理,如不治疗,死亡率相当高。虽然血管内技术的出现为治疗提供了新的选择,但 TAAA 的主要治疗方法仍然是开放手术修复。然而,要想安全地进行开放 TAAA 修复,就需要仔细考虑患者的风险因素,并通过协作的团队努力来降低围手术期并发症的风险。在本章中,我们简要概述了治疗 TAAA 的历史、术前准备和术后护理,以及我们的手术治疗技术。