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General Thoracic and Cardiovascular Surgery

, Volume 67, Issue 1, pp 175–179 | Cite as

Thoracoabdominal aortic aneurysm repair: open, endovascular, or hybrid?

  • Joshua M. Rosenblum
  • Edward P. Chen
SPECIAL EDITION Controversies in Surgery for Thoracic Aorta

Abstract

Successful repair of complex thoracoabdominal aortic aneurysms requires careful surgical planning based on anatomic and patient considerations. Not only are surgical considerations key, but also post-operative care, regardless of surgical approach, can dramatically impact both short- and long-term outcomes. While open repair has been the gold standard for decades, the technical challenges associated with operative repair, a specialty approach requisite for good outcomes, and the unique challenges in the post-operative care of these patients have given providers pause when considering operative intervention. The relatively recent development of elegant endovascular and hybrid approaches to this problem has shown improved short-term morbidity and reasonable durability. Here, we discuss these three techniques for correction of complex thoracoabdominal aortic aneurysms to provide some guidance for optimization of outcomes based on individual patient anatomy and comorbid conditions.

Keywords

Thoracoabdominal aneurysm repair Endovascular TAAA repair Hybrid TAAA repair 

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Copyright information

© The Japanese Association for Thoracic Surgery 2017

Authors and Affiliations

  1. 1.Division of Cardiothoracic SurgeryEmory University School of MedicineAtlantaUSA

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