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Aortic disease review series
Surgical management of thoracoabdominal aneurysms
  1. Bulat A Ziganshin1,2,
  2. John A Elefteriades1
  1. 1Aortic Institute at Yale-New Haven Hospital, Yale University School of Medicine, New Haven, Connecticut, USA
  2. 2Department of Surgical Diseases # 2, Kazan State Medical University, Kazan, Russia
  1. Correspondence to Professor John A Elefteriades, Aortic Institute at Yale-New Haven Hospital, Yale University School of Medicine, 330 Cedar Street, Boardman Building 204, New Haven, CT 06510, USA; john.elefteriades{at}


Thoracoabdominal aneurysm of the aorta (TAAA) is a morbid condition, the treatment of which can be associated with high mortality and complication rates, as well as prolonged length of hospital stay. Currently, three approaches to treatment of TAAAs exist: open, endovascular and hybrid repair. Over the past three decades, a significant decrease in postoperative mortality and paraplegia rates has been achieved due to effective application of such treatment adjuncts as left heart bypass, cerebrospinal fluid drainage, application of hypothermia and neuromonitoring, thereby making surgical treatment of TAAAs increasingly safer for the patient. In this report, we review indications and current approaches to surgical management of TAAAs, as well as the factors that influence the efficacy of this type of treatment.


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