Thoraco Abdominal Aneurism Repair is a conventional surgical approach in the treatment of thoracoabdominal aortic aneurysms (TAAAs).
Some facts about Thoraco Abdominal Aneurism Repair:
The diseased section of aorta can be replaced by this procedure to prevent aortic rupture or dissection.
The dilated part of the aorta will be replaced with a tube-shaped Gortex graft by the surgeon during this operation.
Blood flow to the spinal cord and other vital organs supplied by the aorta is maintained at the same time.
Many steps, such as draining spinal fluid can be taken by your surgeon during surgery to prevent damage to the spinal cord.
Surgery is recommended by your surgeon based on different factors. These include:
The diameter of the aorta, that is, how much it has stretched beyond normal size?
If you have underlying connective tissue disease such as Loeys-Dietz Syndrome, Marfan's Syndrome or Ehlers-Danlos Syndrome.
How well your aortic valve is working and how fast the aorta is growing?
Preparation for Thoraco Abdominal Aneurism Repair:
All the risks of open TAAA repair surgery will be reviewed before surgery.
Your medical history and health or social factors relevant to treatment will be reviewed by your doctor before surgery
The procedure and its risks and benefits will be described by your surgeon, giving you time to ask questions
Pre-operation tests, such as lab work and imaging scans will be performed.
Inform your doctor provider if you are allergic to any medicines before giving general anesthesia.
Also inform about any loose teeth, crowns, bridges or other types of dental work, if you have.
You need to inform about all the medication you are taking, including both over-the-counter and prescription medicines as well as vitamins, herbs, and other supplements.
Procedure for Thoraco Abdominal Aneurism Repair:
An IV and general anesthesia will be given to you so that you will sleep through the procedure.
A lumbar drain will be placed into your spinal column, which drains fluid around the spinal cord during surgery.
You may need this lumbar drain for 1 to 3 days after surgery to protect your spine.
A heart-lung machine will be connected to do the work of your heart and lungs, which also allows your surgeon stop blood flow to the surgical site so they can work in a still, bloodless field.
An incision will be made between your ribs on the left side of the chest.
The length of the incision depends on how much of the aorta needs repaired.
The diseased part of the aorta will be removed and replaced with a tube-shaped woven fabric graft.
Blood vessels that branch off of the aorta may also need to be repaired. A piece of vein from your leg will be used to do this.
The incision will be closed with stitches under the skin by your surgeon once the repair is complete.
Medicine will be given by your care team to help you manage post-operative pain.
You may also have to use a device to learn breathing exercises to keep your lungs clear and prevent pneumonia.