Abstract
Simultaneous total aortic replacement that involves the aortic root, ascending aorta, aortic arch, descending thoracic aorta, and abdominal aorta is the most complex surgical procedure in the field of aortic surgery. Due to involvement of multiple vital organ systems, total replacement of the entire aorta is associated with substantial operative mortality and morbidity rates. By rational protection of the vital organ, simplified surgical manipulation, shortened operative time, and reduced surgical trauma, satisfactory operative results and postoperative outcomes have been obtained. With improvement in surgical technique and advances in organ protection, it has become feasible to perform this technique in selected patients with diffuse involvement of the entire aorta. Meanwhile, rupture of the distal aorta during the interval between two procedures has been eliminated. However, postoperative bleeding and pulmonary complications associated with this technique are still intractable problems.
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Sun, L., Zhu, J., Qi, R. (2011). Surgical Replacement of the Entire Aorta. In: Chiesa, R., Melissano, G., Zangrillo, A. (eds) Thoraco-Abdominal Aorta. Springer, Milano. https://doi.org/10.1007/978-88-470-1857-0_29
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DOI: https://doi.org/10.1007/978-88-470-1857-0_29
Publisher Name: Springer, Milano
Print ISBN: 978-88-470-1856-3
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