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Update in the Management of Non-traumatic Thoracoabdominal Vascular Emergencies

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Operative Techniques and Recent Advances in Acute Care and Emergency Surgery

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Abstract

The incidence of new thoracoabdominal aortic aneurysms is increasing. Enhanced awareness combined with improved diagnostic imaging modalities has led to an increased diagnosis of thoracoabdominal aneurysms. With the current trend in population aging, more and more elderly patients will be diagnosed, and proper clinical management will be required. Patients with TAAA have a high prevalence of significant comorbid conditions which may decrease their long-term survival and increase their perioperative mortality and morbidity. Thus, it is important to know the natural history of TAAA in order to make the proper decision on operative indications. Further problems come from the complications of endovascular treatment in dissected patients. Very often it happens that patients with type B dissection are treated with thoracic endografting. The late expansion of the aorta can lead to an urgent situation for the onset of thoracic pain in the reperfused false lumen of the aorta is difficult to manage.

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Author information

Authors and Affiliations

  1. Chief Unit of Vascular Surgery, Cardiothoracovascular Department, Asst Mantova, Ospedale Carlo Poma, Mantova, Italy

    Stefano Pirrelli

  2. Cardiac Surgery, IRCCS Multimedica Sesto S. Giovanni, Milano, Italy

    Alessandro Mazzola

  3. Department of Anesthesia and Intensive Care Unit, Foundation IRCCS Policlinico S. Matteo, Pavia, Italy

    Giulia Ticozzelli & Isabella Maria Bianchi

  4. Department of Anesthesia and Intensive Care Unit, University of Pavia, Pavia, Italy

    Maria di Matteo

  5. Chief Interventional Radiology Unit, Foundation IRCCS Policlinico S. Matteo, Pavia, Italy

    Pietro Quaretti

Authors
  1. Stefano Pirrelli
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  2. Alessandro Mazzola
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  3. Giulia Ticozzelli
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  4. Isabella Maria Bianchi
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  5. Maria di Matteo
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  6. Pietro Quaretti
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Corresponding author

Correspondence to Stefano Pirrelli .

Editor information

Editors and Affiliations

  1. Dipartimento di Emergenza Urgenza, ASST Grande Ospedale Metropolitano Niguarda, Milan, Milano, Italy

    Paolo Aseni

  2. School of Medicine, University of Milano-Bicocca, Niguarda Hospital, Milan, Milano, Italy

    Luciano De Carlis

  3. Department of Cardiac Surgery, IRCCS MultiMedica, Milan, Milano, Italy

    Alessandro Mazzola

  4. Department of Cardiac Surgery, IRCCS Fondazione Policlinico San Matteo, Pavia, Italy

    Antonino M. Grande

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Pirrelli, S., Mazzola, A., Ticozzelli, G., Bianchi, I.M., di Matteo, M., Quaretti, P. (2019). Update in the Management of Non-traumatic Thoracoabdominal Vascular Emergencies. In: Aseni, P., De Carlis, L., Mazzola, A., Grande, A.M. (eds) Operative Techniques and Recent Advances in Acute Care and Emergency Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-95114-0_35

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  • DOI: https://doi.org/10.1007/978-3-319-95114-0_35

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-95113-3

  • Online ISBN: 978-3-319-95114-0

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