Open Thoracoabdominal Aortic Aneurysm Repair.

Tanaka, Akiko; Safi, Hazim J; Estrera, Anthony L · Ann Thorac Surg · 2025

review · Level V

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Abstract

Operative techniques and perioperative management for thoracoabdominal aortic aneurysm (TAAA) have been modified and refined, but the morbidity and mortality remain high. Major challenges in open TAAA repair are prevention of ischemic insults to multiple organs, especially the spinal cord, and minimizing bleeding. The purpose of this narrative review is to provide currently available techniques and management strategies for open TAAA repair that optimize outcomes.

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