Valencia Olivia M, Powell Thomas, Khalifa Ali, Orozco-Sevilla Vicente, Tolpin Daniel A
Division of Cardiovascular Anesthesiology, Texas Heart Institute, Baylor College of Medicine, Houston, TX, USA.
Division of Cardiothoracic Surgery, Texas Heart Institute, Baylor College of Medicine, Houston, TX, USA.
Semin Cardiothorac Vasc Anesth. 2025 Mar;29(1):49-63. doi: 10.1177/10892532241297608. Epub 2024 Nov 1.
Thoracic aorta pathologies, especially those of the ascending aorta and aortic arch, were traditionally approached via open surgical repair. This carries risk of ischemic end-organ damage and other complications. Endovascular repair of ascending aorta and aortic arch pathologies is becoming more successful and widespread, thereby posing numerous challenges to the anesthesiologist. This article reviews the anesthesia-pertinent pathophysiology, repair techniques, preoperative evaluation, intraoperative management, and postoperative care of patients presenting for endovascular repair of thoracic aorta pathologies.
胸主动脉病变，尤其是升主动脉和主动脉弓病变，传统上通过开放手术修复。这存在缺血性终末器官损伤和其他并发症的风险。升主动脉和主动脉弓病变的血管内修复正变得越来越成功且广泛应用，从而给麻醉医生带来了诸多挑战。本文综述了接受胸主动脉病变血管内修复患者的麻醉相关病理生理学、修复技术、术前评估、术中管理及术后护理。
