title: Brain and spinal cord protection during aortic surgery.
abstract: In our experience, single-stage open repair of descending thoracic or thoracoabdominal aortic aneurysms with concurrent aortic arch disease is technically feasible via a high left thoracotomy or a thoracolaparotomy. Distal aortic and antegrade brain perfusion, in combination with brain and spinal cord protection, seems to contribute to adequate surgical and neurological outcome.
authors.affiliation: Department of Surgery, Maastricht University Medical Center, Maastricht 6202 AZ, The Netherlands. m.jacobs@mumc.nl
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Jacobs
mesh_terms: D000784:Aortic Dissection / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D002545:Brain Ischemia / Q000209:etiology / Q000517:prevention & control*; D005112:Extracorporeal Circulation; D006801:Humans; D010477:Perfusion; D020760:Spinal Cord Ischemia / Q000209:etiology / Q000517:prevention & control*; D013908:Thoracotomy; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000009:adverse effects