Reoperations for Thoracic and Thoracoabdominal Aneurysms
Reoperation upon the thoracic and thoracoabdominal aorta deserves special consideration for two reasons: (1) because such procedures are often more difficult and can be associated with a higher morbidity and mortality, since the patients are often older with more advanced disease; and (2) because the techniques required to obtain exposure, control circulation and reconstruct often distorted anatomy are complex and technically challenging. Importantly, a clear understanding of the pathology and natural course involved in the development of conditions requiring reoperation is essential for planning surgical therapy. A critical analysis of primary operative procedures provides the opportunity to avert many secondary ones.
KeywordsAortic Valve False Lumen False Aneurysm Graft Replacement True Lumen
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