Postoperative management in patients with complex aortic aneurysms

Autores da FMUP

• Marina Felicidade Dias Neto

  Autor

Participantes de fora da FMUP

• TENORIO, ER
• BAUMGARDT BARBOSA LIMA, G
• BAGHBANI-OSKOUEI, A
• ODERICH, GS

Unidades de investigação

• Cirurgia e Fisiologia

• Laboratório Associado RISE- Rede de Investigação em Saúde

  

  Investigador

  Fernando Carlos De Landér Schmitt

• RISE-Health

  

  Investigador

  Fernando Carlos De Landér Schmitt

Abstract

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.

Keywords

• Aortic aneurysm; thoracic; Endovascular procedures; Postoperative care