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Aortic Arch Pathology: Surgical Options for the Aortic Arch Replacement
Giorgio Zanotti1, Thomas Brett Reece1, Muhammad Aftab1
1Division of Cardiothoracic Surgery, Department of Surgery, Anschutz Medical Campus, University of Colorado, 12631 East 17th Avenue, Room 6602, Mail Stop C310, Aurora, CO 80045, USA.
Cardiology Clinics
|July 8, 2017
Summary
Aortic arch surgery is complex, requiring protection for the heart, brain, and spinal cord. Advances in surgical techniques and perfusion strategies have improved safety and outcomes for this challenging procedure.
Area of Science:
- Cardiovascular Surgery
- Thoracic Surgery
- Vascular Surgery
Background:
- Aortic arch surgery is a highly complex cardiac procedure.
- It necessitates meticulous attention to protecting vital organs like the brain and spinal cord, alongside myocardial protection.
- Historically, it posed significant risks due to its technical demands.
Purpose of the Study:
- To review advancements in aortic arch repair techniques.
- To highlight improvements in brain and end-organ protection strategies.
- To discuss the evolving landscape of open and endovascular approaches in aortic surgery.
Main Methods:
- Review of novel surgical approaches for aortic arch repair.
- Analysis of refined brain and end-organ protection strategies.
- Evaluation of the role of antegrade cerebral perfusion and moderate hypothermia.
Main Results:
- Modern techniques, including antegrade cerebral perfusion and moderate hypothermia, have enhanced the safety of aortic arch repair.
- Surgical refinements have led to better protection of the brain and other end organs during the procedure.
Conclusions:
- Continued learning and integration of evolving endovascular and open surgical techniques are crucial for aortic surgeons.
- Adoption of new methods is essential for improving patient outcomes in aortic arch surgery.
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