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REVIEW  VASCULAR SECTION 

The Journal of Cardiovascular Surgery 2022 October;63(5):587-96

DOI: 10.23736/S0021-9509.22.12359-1

Copyright © 2022 EDIZIONI MINERVA MEDICA

language: English

Postoperative management in patients with complex aortic aneurysms

Marina DIAS-NETO, Emanuel R. TENORIO, Guilherme BAUMGARDT BARBOSA LIMA, Aidin BAGHBANI-OSKOUEI, Gustavo S. ODERICH

McGovern Medical School, Department of Cardiothoracic and Vascular Surgery, Health Science Center at Houston, University of Texas, Houston, TX, USA



Patients with complex aortic aneurysms (CAA) are often high risk due to advanced age and widespread atherosclerosis affecting numerous vascular territories. Therefore, a thorough perioperative evaluation is needed prior to performing in any type of aortic repair, regardless of whether an endovascular or open surgical approach is selected. Because these operations are technically demanding and often result in end organ ischemia, it is not surprising that complex aortic repair carries significant risk of morbidity and mortality. Disabling complications such as dialysis, major stroke and paraplegia constitute the main limitation of complex aortic repair. The aim of this article was to review postoperative management to mitigate complications after CAA repair.


KEY WORDS: Aortic aneurysm, thoracic; Endovascular procedures; Postoperative care

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