Annals of Cardiac Anaesthesia
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Browsing Annals of Cardiac Anaesthesia by Subject "Abdominal aortic aneurysm"
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Item Anesthetic considerations for endovascular abdominal aortic aneurysm repair.(2016-01) Kothandan, Harikrishnan; Chieh, Geoffrey Liew Haw; Khan, Shariq Ali; Karthekeyan, Ranjith Baskar; Sharad, Shah ShitalkumarAneurysm is defined as a localized and permanent dilatation with an increase in normal diameter by more than 50%. It is more common in males and can affect up to 8% of elderly men. Smoking is the greatest risk factor for abdominal aortic aneurysm (AAA) and other risk factors include hypertension, hyperlipidemia, family history of aneurysms, inflammatory vasculitis, and trauma. Endovascular Aneurysm Repair [EVAR] is a common procedure performed for AAA, because of its minimal invasiveness as compared with open surgical repair. Patients undergoing EVAR have a greater incidence of major co‑morbidities and should undergo comprehensive preoperative assessment and optimization within the multidisciplinary settings. In majority of cases, EVAR is extremely well‑tolerated. The aim of this article is to outline the Anesthetic considerations related to EVAR.Item Open surgical repair of abdominal aortic aneurysm: Proximal aortic control by endoaortic balloon - A novel approach.(2012-07) Soundaravalli, Balakrishnan; Palaniappan, M; Sundar, Rajani; Chandrasekar, PPatients with infrarenal abdominal aortic aneurysm with unfavorable anatomy for endovascular aneurysm repair have to undergo open surgical repair. Open surgery has its own morbidity in terms of proximal clamping and declamping, bleeding and prolonged hospital stay and mortality. We present two such patients with juxtarenal abdominal aortic aneurysm who underwent open surgical repair. The proximal aortic control during open surgical repair of the aneurysm was achieved by endoaortic balloon occlusion technique.