Thoracoabdominal Aortic Aneurysm Repair: What Should the Anaesthetist Know? [Turk J Anaesthesiol Reanim]
Turk J Anaesthesiol Reanim. 2019; 47(1): 1-11 | DOI: 10.5152/TJAR.2018.39129  

Thoracoabdominal Aortic Aneurysm Repair: What Should the Anaesthetist Know?

Nitika Goel1, Divya Jain1, Ajay Savlania2, Ashwani Bansal3
1Department of Anaesthesia, Postgraduate Institute of Medical Education and Research, Chandigarh, India
2Department of Vascular Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India
3Department of Cardiothoracic and Vascular Surgery, Max Hospital, Chandigarh, India

The surgical repair of descending thoracic aortic (DTA) and thoracoabdominal aortic aneurysms (TAAAs) presents one of the greatest challenges for anaesthesiologists. The challenge comes from the fine balance of complex medical issues in the setting of altered physiology that occurs during the perioperative period. Patients presenting for TAAA repair usually have multiple pre-existing comorbid conditions involving their cardiac, pulmonary and renal systems; and aneurysm repair poses a direct and immediate threat to these systems in addition to that to the gastrointestinal and neurologic systems. Operative mortality in thoracoabdominal aortic surgery is quite high to the extent of 5%-12% with a 5-year survival rate of 70%-79% for DTA aneurysm and 59% for thoracoabdominal aortic aneurysm surgeries. Complex haemodynamic changes associated with the clamping and declamping of aorta requires thorough knowledge and expertise for the management of TAAA. We present a brief review on the anaesthetic management and possible complications that anaesthetists should be aware of during TAAA repair.

Keywords: One-lung ventilation, renal protection, spinal cord protection, thoracoabdominal aortic aneurysm


Nitika Goel, Divya Jain, Ajay Savlania, Ashwani Bansal. Thoracoabdominal Aortic Aneurysm Repair: What Should the Anaesthetist Know?. Turk J Anaesthesiol Reanim. 2019; 47(1): 1-11

Corresponding Author: Nitika Goel, India


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