Thoracic Aortic Disease

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Author(s): Berhane Worku (New York Methodist Hospital, USA & New York Presbyterian Hospital, USA & Weil Cornell Medical College, USA)and Leonard Girardi (New York Presbyterian Hospital, USA & Weil Cornell Medical College, USA)
Copyright: 2015
Pages: 28
Source title: Modern Concepts and Practices in Cardiothoracic Critical Care
Source Author(s)/Editor(s): Adam S. Evans (Icahn School of Medicine at Mount Sinai, USA), Gregory E. Kerr (Weill Cornell Medical College, USA), Insung Chung (Icahn School of Medicine at Mount Sinai, USA)and Robin Varghese (Icahn School of Medicine at Mount Sinai, USA)
DOI: 10.4018/978-1-4666-8603-8.ch025

Keywords: Cardiovascular Medicine / Medical Diagnosis and Practice / Medical Information Science Reference / Medicine & Healthcare

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Abstract

Thoracic aortic disease most commonly presents in the form of aneurysmal dilation or dissection of the ascending or descending thoracic aorta, most commonly secondary to degenerative disease and hypertension. Several genetic connective tissue disorders are commonly associated as well. Treatment is focused on blood pressure control and surgical repair. Surgical repair of thoracic aortic disease presents unique risks, including neurologic injury involving the brain or spinal cord, and several adjuncts are available to mitigate against this risk. This chapter discusses commonly associated risk factors, preoperative testing, surgical repair, and postoperative management of thoracic aortic disease along with strategies for minimizing neurologic injury.

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