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. 2011 May;25(3):220-3.
doi: 10.1016/S1674-8301(11)60029-8.

Surgical repair of thoracoabdominal aortic aneurysms using the critical artery reattachment technique

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Surgical repair of thoracoabdominal aortic aneurysms using the critical artery reattachment technique

Yulong Hou et al. J Biomed Res. 2011 May.

Abstract

In the study, we sought to retrospectively analyze the effectiveness and safety of surgical repair of thoracoabdominal aortic aneurysm using the critical artery reattachment technique. Twenty-three consecutive thoracoabdominal aortic aneurysm patients were treated using the technique of sequential aortic clamping and critical artery reattachment. The entire procedure was technically successful in all patients. One died of renal failure and the overall hospital mortality was 4.35%. The total incidence of complications was 21.74%. At a median follow-up of 33 months, all patients were alive. We found that the application of critical artery reattachment technique in the management of thoracoabdominal aortic aneurysm provides excellent short- and mid-term results in most patients. It could markedly increase the curing rate and reduce the morbidity of postoperative complications including paraplegia, ischemia of abdominal viscera, and renal failure.

Keywords: thoracoabdominal aortic aneurysm; vascular graft replacement.

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Conflict of interest statement

The authors reported no conflict of interests.

Figures

Fig.1
Fig.1. CT angiography image of thoracoabdominal aortic aneurysm.
A: The diameter of the aneurysms was 11.0 cm (arrow). B: The lesion involves the celiac artery.

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