title: Staged procedure to prevent major adverse events in extensive aortic aneurysm repair.
abstract: Surgical management of extensive thoracoabdominal aortic aneurysms is associated with high rates of mortality and morbidity, including spinal cord ischemia. We report a successful three-stage repair combining open and endovascular surgery in a patient presenting with an ascending, arch, and thoracoabdominal aneurysm. Spinal cord protective measures included a staged approach, preserved antegrade flow to the left subclavian and hypogastric arteries, absence of aortic cross-clamping, and aggressive perioperative hemodynamic monitoring.
authors: Vascular and Cardiovascular Surgery Department, Hôpital Cardiologique, CHRU de Lille, Université Lille Nord de France, Lille, France.
authors: Gilles
authors: G
authors: Amr
authors: Jonathan
authors: J
authors: Sobocinski
authors: Mohamad
authors: M
authors: Koussa
authors: Jean-Marc
authors: JM
authors: El Arid
authors: Philippe
authors: P
authors: Nicolini
authors: Stéphan
authors: S
authors: Haulon
mesh_terms: D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D006801:Humans; D007511:Ischemia / Q000209:etiology / Q000517:prevention & control; D008297:Male; D008875:Middle Aged; D013116:Spinal Cord / Q000098:blood supply; D015607:Stents; D014656:Vascular Surgical Procedures / Q000009:adverse effects / Q000379:methods