[Surgical treatment for thoracoabdominal aortic aneurysm].

Despite improvements of the results of aortic aneurysm repair, technical difficulty and a high incidence of perioperative morbidity still remains in the thoracoabdominal aortic aneurysm surgery. In this paper, we reported 19 cases of operation for thoracoabdominal aortic aneurysm and retrospectively studied surgical technique, early results and late results after operation. Graft inclusion technique with direct vessel reattachment was mainly employed for aortic reconstruction, and for 2 cases of inflammatory aneurysm. Hardy's operation and extraanatomic bypass were performed. Mortality was 16% with a 13% mortality for elective repair and paraplegia occurred in 2 cases (10%). Current results with thoracoabdominal aortic aneurysm repair established its safety, but to prevent postoperative paraplegia completely, the consideration for operative adjuncts and mechanisms of paraplegia needs to be continued.