Skip to main content

Abstract

This chapter will briefly outline the etiology, pathophysiology and natural history of aneurysm, dissection, atherosclerotic ulcers, intramural hematoma, and traumatic injury of the descending aorta. The primary diagnostic modalities and principles of management will be described. Lastly, clinical outcomes of the respective conditions will be summarized.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 219.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Erbel R, Aboyans V, Boileau C, et al. 2014 ESC Guidelines on the diagnosis and treatment of aortic diseases. Eur Heart J. 2014;35:2873–926.

    Article  PubMed  Google Scholar 

  2. Clouse WD, Hallett JW Jr, Schaff HV, et al. Improved prognosis of thoracic aortic aneurysms: a population-based study. JAMA. 1998;280:1926–9.

    Article  CAS  PubMed  Google Scholar 

  3. Shennan T. Dissecting aneurysms. Medical Research Council, Special Report Series, No. 193. London: His Majesty’s Stationery Office; 1934.

    Google Scholar 

  4. Tatou E, Steinmetz E, Jazveri S, et al. Surgical outcomes of traumatic rupture of the thoracic aorta. Ann Thorac Surg. 2000;69:70–3.

    Article  CAS  PubMed  Google Scholar 

  5. Vignon P, Gueret P, Vedrinne J, et al. Role of transesophageal echocardiography in the diagnosis and management of traumatic aortic disruption. Circulation. 1995;92:2959–68.

    Article  CAS  PubMed  Google Scholar 

  6. Fattori R, Tsai TT, Myrmel T, et al. Complicated acute type B dissection: is surgery still the best option? A report from the International Registry of Acute Aortic Dissection. JACC Cardiovasc Interv. 2008;1:395–402.

    Article  PubMed  Google Scholar 

  7. Wong DR, Coselli JS, Amerman K, et al. Delayed spinal cord deficits after thoracoabdominal aortic aneurysm repair. Ann Thorac Surg. 2007;83:1345–55.

    Google Scholar 

  8. Turina MI, Shennib H, Dunning J, et al. EACTS/ESCVS Best practice guidelines for reporting treatment results in the thoracic aorta. Eur J Cardiothorac Surg. 2009;35:927–30.

    Article  PubMed  Google Scholar 

  9. Cohn LH, Adams DH, editors. Cardiac surgery in the adult. New York: McGraw-Hill; 2018.

    Google Scholar 

  10. Lansman SL, Hagl C, Fink D, et al. Acute type B aortic dissection: surgical therapy. Ann Thorac Surg. 2002;74:S1833–5.

    Article  PubMed  Google Scholar 

  11. Kouchoukos NT, Dugenis D. Surgery of the thoracic aorta. N Engl J Med. 1997;336:1876–87.

    Article  CAS  Google Scholar 

  12. von Kodolitsch Y, Csosz SK, Koschyk DH, et al. Intramural hematoma of the aorta: predictors of progression to dissection and rupture. Circulation. 2003;107:1158–63.

    Article  Google Scholar 

  13. Murad MH, Rizvi AZ, Malgor R, et al. Comparative effectiveness of the treatments for thoracic aortic transection. J Vasc Surg. 2011;53:p193–9.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Michael A. Borger .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2021 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Misfeld, M., Jawad, K., Borger, M.A. (2021). Surgery of Descending Thoracic Aorta. In: Cheng, D.C., Martin, J., David, T. (eds) Evidence-Based Practice in Perioperative Cardiac Anesthesia and Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-47887-2_43

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-47887-2_43

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-47886-5

  • Online ISBN: 978-3-030-47887-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics