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Related Concept Videos

Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
Aneurysm II: Clinical Manifestations and Diagnostic Studies01:21

Aneurysm II: Clinical Manifestations and Diagnostic Studies

Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
Aortic Regurgitation III: Medical Management01:25

Aortic Regurgitation III: Medical Management

Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...
Cardiomyopathy VII: Pre and Post Operative Nursing Management01:28

Cardiomyopathy VII: Pre and Post Operative Nursing Management

Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
Tracheostomy Decannulation01:21

Tracheostomy Decannulation

Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
Description of the Procedure
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Related Experiment Video

Updated: May 16, 2026

Reproducable Paraplegia by Thoracic Aortic Occlusion in a Murine Model of Spinal Cord Ischemia-reperfusion
05:59

Reproducable Paraplegia by Thoracic Aortic Occlusion in a Murine Model of Spinal Cord Ischemia-reperfusion

Published on: March 3, 2014

Vocal cord paralysis after aortic surgery.

Ralph P DiLisio1, Michael A Mazzeffi, Carol A Bodian

  • 1Department of Anesthesiology, The Mount Sinai Medical Center, New York, NY 10029, USA. ralph.dilisio@mountsinai.org

Journal of Cardiothoracic and Vascular Anesthesia
|November 28, 2012
PubMed
Summary

Longer cardiopulmonary bypass times increase vocal cord paralysis risk in aortic surgery patients. Descending aortic aneurysms and tracheostomy are also associated with vocal cord paralysis, leading to longer hospital stays.

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Reproducable Paraplegia by Thoracic Aortic Occlusion in a Murine Model of Spinal Cord Ischemia-reperfusion
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Published on: July 22, 2017

Area of Science:

  • Cardiovascular Surgery
  • Thoracic Surgery
  • Neurosurgery

Background:

  • Vocal cord paralysis is a potential complication of complex aortic procedures.
  • Identifying associated risk factors is crucial for patient management and outcomes.

Purpose of the Study:

  • To investigate variables associated with vocal cord paralysis in patients undergoing complex aortic procedures.
  • To analyze risk factors and outcomes related to vocal cord paralysis in different aortic segments.

Main Methods:

  • Retrospective review of 498 patients undergoing aortic surgery between 2002 and 2007 at a tertiary care center.
  • Patients were divided into two groups: Group A (aortic root/ascending aorta procedures) and Group B (aortic arch/descending aorta procedures).

Main Results:

  • Vocal cord paralysis incidence was significantly higher in Group B (7.26%) compared to Group A (0.8%).
  • Increased cardiopulmonary bypass time was associated with higher risk of vocal cord paralysis and death in both groups.
  • Descending aortic aneurysms were an independent risk factor for vocal cord paralysis in Group B.

Conclusions:

  • Prolonged cardiopulmonary bypass time is a significant risk factor for vocal cord paralysis in aortic surgery.
  • Descending aortic aneurysms are independently associated with vocal cord paralysis.
  • Vocal cord paralysis correlates with increased length of stay and tracheostomy in affected patients.