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Understanding Open Repair of the Descending Thoracic and Thoracoabdominal Aorta

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Anesthesia and Perioperative Care for Aortic Surgery

Abstract

Although substantial innovation has characterized the field of aortic surgery during the last 50 years, successful repair remains a formidable challenge. Aortic repair has grown to encompass adjuncts designed to ameliorate specific surgical morbidities, such as spinal cord and renal ischemia, while the strategy of repair remains largely dictated by the extent of repair. Repair of the distal aorta, namely the descending thoracic and thoracoabdominal aorta, poses different risks than proximal aortic repair; thus, operative strategy and expected outcomes vary tremendously with the extent of aorta that requires replacement. An accurate understanding of the extent of aortic involvement is critical to planning appropriate management.

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Acknowledgments

The authors express gratitude to Stephen N. Palmer, PhD, ELS, and Angela T. Odensky, MA, of the Texas Heart Institute, as well as Susan Y. Green, MPH, for editorial assistance, and Scott A. Weldon, MA, CMI, and Carol P. Larson, CMI, for creating the illustrations and assisting with image selection.

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Authors and Affiliations

  1. Division of Cardiac Surgery, Department of Cardiothoracic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA

    Jay K. Bhama

Authors
  1. Jay K. Bhama
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  2. Scott A. LeMaire
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  3. John R. Cooper
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  4. Joseph S. Coselli
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Corresponding author

Correspondence to Jay K. Bhama .

Editor information

Editors and Affiliations

  1. University of Pittsburgh Medical Center, Presbyterian Hospital, Clinical Assistant Professor, Pittsburgh, 15213-2582, Pennsylvania, USA

    Kathirvel Subramaniam

  2. Physician Director of Perioperative Serv, Professor of Clinical Anesthesia and of, Associate Vice President, Columbus, 43210, Ohio, USA

    Kyung W. Park

  3. Harvard Medical School, Director, Division of Cardiovascular Ane, Assistant Professor in Anesthesia, Boston, 02215, Massachusetts, USA

    Balachundhar Subramaniam

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Bhama, J.K., LeMaire, S.A., Cooper, J.R., Coselli, J.S. (2011). Understanding Open Repair of the Descending Thoracic and Thoracoabdominal Aorta. In: Subramaniam, K., Park, K., Subramaniam, B. (eds) Anesthesia and Perioperative Care for Aortic Surgery. Springer, New York, NY. https://doi.org/10.1007/978-0-387-85922-4_9

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  • DOI: https://doi.org/10.1007/978-0-387-85922-4_9

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-85921-7

  • Online ISBN: 978-0-387-85922-4

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