TY  - JOUR
T1  - REcent experience with thoracoabdominal aneurysm repair
AU  - Cambria RP, Brewster DC, Moncure AC, et al
Y1  - 1989/05/01
N1  - 10.1001/archsurg.1989.01410050110021
JO  - Archives of Surgery
SP  - 620
EP  - 624
VL  - 124
IS  - 5
N2  - • Thoracoabdominal aneurysm repair was carried out in 55 patients during the period from January 1978 to June 1988. Considering the volume of experience and application of a routine for preoperative and intraoperative management, the experience was divided as follows: group 1 1978 to 1985 (26 patients) and group 2 1985 to 1988 (29 patients). Clinical features of the two groups differed only in the incidence of emergency operations (group 1 [6/18, 30%] vs group 2 [2/29, 8%]). Operative mortality in elective operations improved substantially in recent experience (group 1 [50%] vs group 2 [7.4%]). Significant reductions in total operative time, operative blood loss, and total aortic cross-clamping times paralleled and, in part, explained the improvement in overall surgical results seen in group 2 patients. Spinal cord injury occurred in 7.2% of the entire cohort. Nonfatal but major complications occurred in 25% of group 2 patients, with the most common being prolonged ventilatory assistance (12%). Current results with thoracoabdominal aneurysm repair both establish its safety and help to provide guidelines in selecting patients for elective repair.(Arch Surg. 1989;124:620-624)
SN  - 0004-0010
M3  - doi: 10.1001/archsurg.1989.01410050110021
UR  - http://dx.doi.org/10.1001/archsurg.1989.01410050110021
ER  -