CTSN- Aortic Aneurym Refs

CTSN - Aortic Aneurysm Selected References Aortic Aneurysm References Selected Articles
Crawford ES and Coselli JS. Thoracoabdominal aneurysm surgery. Seminars in Thoracic and Cardiovascular Surgery 1991 3(4):300-22.

This excellent article is exhaustive in its scope, with plenty of angiograms and accompanying illustrations of how to perform the various operations. This issue of Seminars is the second in a two-part series on aortic surgery, and has articles on proximal aortic surgery, descending aortic surgery, and trauma, among others.

Heinemann MK, Buehner B, Jurmann MJ, Borst HG. Use of the "elephant trunk" technique in aortic surgery. Annals of Thoracic Surgery 1995 60(1):2-6.

This technique was used in 72 patients mostly for aortic aneurysm and chronic dissection. Distal repair was completed in a staged fashion; there is discussion of several technical modifications and results.

Coselli JS, Buket S, Djukanovic B. Aortic arch operation: current treatment and results. Annals of Thoracic Surgery 1995 59(1):19-26.

An impressive series of 227 patients, most of which had arch aneurysm or chronic dissection. A variety of techniques were used, including elephant trunk, arch graft replacement, and patch repairs; all patients had circulatory arrest during transverse arch repair.

Ergin MA, Galla JD, Lansman SL, Quintana C, Bodian C, Griepp RB. Hypothermic circulatory arrest in operations on the thoracic aorta.

Determinants of operative mortality and neurologic outcome. Journal of Thoracic and Cardiovascular Surgery 1994 107(3):788-97. Another large series of patients (200) which reveals a temporary neurologic dysfunction of about 20% and a stroke rate of 11%. Neurologic events were correlated with advanced age and atheromatous aorta but not with circulatory arrest (if less than 60 minutes).

Stone CD, Greene PS, Gott VL, Frank S, Williams GM. Single-stage repair of distal aortic arch and thoracoabdominal dissecting aneurysms using aortic tailoring and circulatory arrest. Annals of Thoracic Surgery 1994 57(3):580-7.

This approach involves graft replacement of the proximal descending and infrarenal portions of the aorta. The midportion of the descending aorta is retained, longitudinally incised, and primarily repaired.

Sources for further reading
Textbook Chapters
Chapter 33, Part IV:Thoracic Aortic Aneurysms and Aortic Dissection. Surgery of the Chest (Sabiston and Spencer), 5th ed., 1182-1209.

Chapter 55: Chronic Thoracic and Thoracoabdominal Aneurysm. Cardiac Surgery (Kirklin and Barratt-Boyes), 2nd ed., 1749-1777.

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