Descending thoracic aortic aneurysm

Authors

  • Sonthakit Leelahanon
  • Kittichai Luengtaviboon

Abstract

               การรักษา descending thoracic aortic aneurysm ด้วยวิธีการทางศัลยกรรมนี้ เพิ่งมีวิวัฒนาการมาได้ไม่ถึง 50 ปี โดยในปี 1951 Gross et al รายงานถึงความสำเร็จใน การทำ replacement of descending aortic aneurysm ด้วย aortic homograft และในปีเดียวกันนั้นเอง Lam and Aram รายงานถึงการทำ replacement of descending aortic aneurysm ด้วย aortic homograft แต่พบว่า ผู้ป่วยเกิด postoperative paraplegia, empyema และ เสียชีวิตหลังผ่าตัด 6 อาทิตย์ ต่อมาในปี 1953 Bahnson รายงานถึงความสำเร็จในการ repair saccular aneurysm ของ thoracic aorta ด้วยวิธี lateral resection and aortorrhaphy และในปีเดียวกันนั้นเอง DeBakey and Colley ก็ได้รายงานถึงความสำเร็จในการ replacement descending thoracic aortic aneurysm ด้วย prosthetic จนถึงปัจจุบันนี้การผ่าตัด descending thoracic aortic aneurysm ได้มีวิวัฒนาการมากขึ้น มีเทคนิคและวัสดุอุปกรณ์ มากขึ้น แต่ก็ยังพบว่ามีข้อขัดแย้งอยู่โดยเฉพาะเกี่ยวกับการใช้ เทคนิค bypass หรือ shunt เพื่อนำเลือดไปเลี้ยงส่วนล่าง ของร่างกาย

References

1. Crawford ES, Crawford JL. Diseases of the aorta including an atlas of angiographic pathology and surgical technique. Philadelphia : W.B. Saunder, 1984.61-77

2. Bickerstaff LK, Pairolero PC, Hollier LH, Melton LJ, Van Peenen HJ, Cherry KJ, et al. Thoracic aortic aneurysm: A population-based study. Surgery 1982; 92:1103-8

3. Pressler V, McNamara JJ. Thoracic aortic aneurysm: Natural history and treatment. J Thorac Cardiovasc Surg 1980; 79: 489-98

4. Perko MJ, Norgaard M, Herzog TM, Olsen PS, Schroeder TV, Pettersson G. Unoperated aortic aneurysm: A survey of 170 patients. Ann Thorac Surg 1995; 59:1204-9

5. Johansson G, Markstrom U, Swedenborg J. Rupture thoracic aortic aneurysm: A study of incidence and mortality rates. J Vasc Surg 1995; 21: 985-8

6. Rose DM, Laschinger JC, Cunningham JN Jr. Descending thoracic aortic aneurysm. In: Baue AE, Geha AS, Hammond GL, Laks H, Naunheim KS. Glenn's thoracic and cardiovascular surgery. Philadelphia : W.B. Saunder, 1991.1943-54

7. Cohn LH. Thoracic aortic aneurysm and aortic dissection. In: Sabiston DC jr, Spencer FC. Surgery of the Chest. 5th ed. Philadelphia : W.B. Saunders,1990.1182-210

8. Coselli JS, Buket S, Crawford ES. Thoracic aortic aneurysm. In Haimovici H, Ascer E, Hollier LH, Strandness DE Jr, Towne JB. Haimovicis vascular surgery. 4th ed. USA. : Blackwell Science. 1996. 759-85

9. Piccione W Jr, Delaria GA, Najafi H. Descending thoracic aneurysm. In: Bergan JJ, James ST. Aortic surgery. Philadelphia : W.B. Saunders, 1989. 247-66

10. Dinsmore RE, Liberthson RR, Wismer GL, Miller SW, Liu P, Thompson R, et al. Magnetic resonance imaging ot thoracic aortic aneurysm: comparison with other imaging method. AJR 1986; 146: 309-14

11. Glazer HS, Gutierrez FR, Levitt RG, Lee JKT, Murphy WA. The thoracic aorta studied by MR imaging. Rodiology 1985; 157: 149-55

12. Hollier LH. Pathophysiology of spinal cord ischemia. In: White RA. Hollier LH. Vascular surgery : basic science and clinical correlations, 1994. Philadelphia : JB Lippincott, 1994.347-58

13. Kieffer E, Koskas F, Walden R, Godet G, Blevec DL, Bahnini A, et al. Hypothermic circulatory arrest for thoracic aneurysmectomy through left side thoracotomy. J Vasc Surg 1994; 19:457-64

14. Livesay JJ, Cooley DA, Ventemiglia RA, Montero CG, Warrian RK, Brown DM, et al. Surgical experience in descending thoracic aneurysmectomy with an without adjuncts to avoid ischemia. Ann Thorac Surg 1985; 39: 37-46

15. Crawford ES, Walker HS, Saleh SA, Normann NA. Graft replacement of aneurysm in descending thoracic aorta: result without bypass or shunting. Surgery 1981; 89:73-85

16. Kart NM, Blackstone EH, Kirklin JW, Karp RB. Increment risk factors for spinal cord injury following operation for acute traumatic aortic transection. J Thorac Cardiovasc Surg 1981; 81: 669-74

17. Segesser LK, Killer I, Jenni R, Lutz U, Turina MI. Improved distal circulation support for repair of descending thoracic aortic aneurysm. Ann Thorac Surg 1993;56: 1373-80

18. Culliford AT, Ayvaliotis B, Shemin R, Colvin SB, Isom W, Spencer FC. Aneurysm of the descending aorta: surgical experience in 48 patients. J Thorac Cardiovasc Surg 1983; 85: 98-104

19. Verdant A, Cossette R, Page A, Baillot R, Dontigny L, Page P. Aneurysm of the descending thoracic aorta: three hundred sixty-six consecutive cases resected without paraplegia. J Vasc Surg 1995; 21: 385-91

20. Moore KL. Spinal cord and meninges. In: Moore KL. Clinically oriented anatomy 3rd ed. Philadelphia : Williams & Wilkins. 1992:359-71

21. Williams GM, Perler BA, Burdick JF, Osterman FA, Mitchell S, Merine D, et al. Angiographic localization of spinal cord blood supply and its relationship to postoperative paraplegia. J Vasc Surg 1991; 13:23-35

22. Yamamoto N, Takano H, Kitagawa H, Kawaguchi Y, Tsuji H, Uozaki Y. Monitering for spinal cord ischemia by use of evoked spinal cord potentials during aortic aneurysm surgery. J Vasc Surg 1994; 20:826-33

23. Laschinger JC, Owen J, Rosenbloom M, Cox JL, Kouchoukos NT. Direct noninvasive monitoring of spinal cord motor function during thoracic aortic occlusion: use of motor evoked potentials. J Vasc Surg 1988; 7: 161-71

24. Wisselink W, Becker MO, Nguyen JH, Money SR, Hollier LH. Protecting the ischemic spinal cord during aortic cross clamping: the influence of selective hypothermia and spinal cord perfusion pressure. J Vasc Surg 1994; 19: 788-96

25. McCullough JL, Hollier LH, Nugent M. Paraplegia after thoracic aortic occlusion: influence of cerebrospinal fluid drainage. J Vasc Surg 1988; 7:153-60

26. Crawford ES, Svensson LG, Hess KR, Shenaq SS, Coselli JS, Safi HJ, et al. A prospective randomized study of cerebrospinal fluid drainage to prevent paraplegia after high-risk surgery on the thoracoabdominal aorta. J Vasc Surg 1991; 13: 36-46

27. Svensson LG, Stewart RW, Cosgrove DM 3d, Lytle BW, Antunes MD, BEven EG, et al. Intrathecal papaverine for the prevention of papaplegia after operation on the thoracic or thoracoabdominal arota. J Thorac Cardiovasc Surg 1988; 96: 823-9

28. Acher CW, Wnn MM, Hoch JR, Popic P, Archibald J, Turnipseed WD. Combined use of cerebral spinal fluid drainage and naloxone reduces the risk of paraplegia in thoracoabdominal aneurysm repair. J Vasc Surg 1994; 19: 236-48

29. Laschinger JC, Cunningham JN, Cooper MM, Krieger K, Nathan IM, Spencer FC. Prevention of ischemia spinal cord injury following aortic cross-clamping: use of corticosteroids. Ann Thorac Surg 1984;38:500-7

30. Gelbfish JS, Phillips T, Rose DM, Wait R, Cunningham JN Jr. Acute spinal cord ischemia: prevention paraplegia with verapamil. Circulation 1986; 74 ( suppl l ): l5-l10.

31. Lim KH, Connolly M, Rose D, Siegman F, Jacobowitz 1, Acinapura A. Prevention of reperfusion injury
of the ischemic spinal cord: use of recombinant superoxide dismutase. Ann Thorac Surg 1986; 42: 282-6

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Published

1996-12-30

How to Cite

1.
Leelahanon S, Luengtaviboon K. Descending thoracic aortic aneurysm. Thai J Surg [Internet]. 1996 Dec. 30 [cited 2024 Jul. 18];17(4):184-98. Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/250116

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Section

Review Articles