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Ann Thorac Surg 2006;81:909
© 2006 The Society of Thoracic Surgeons

Original article: Cardiovascular

Invited commentary

Peter Haan, MD, PhD

Department of Anesthesiology, Onze Lieve Vrouwe Gasthuis, PO Box 95500, Amsterdam, 1090 HM, the Netherlands

(Email: p.dehaan@olvg.nl).

The first 20% of the full text of this article appears below.

Lower limb neurologic deficits are a devastating complication of thoracoabdominal aortic aneurysm (TAAA) repair, and result from a prolonged or permanent interruption of blood supply to the spinal cord. Protective measures try to preserve spinal cord perfusion (ie, cerebrospinal fluid drainage, reattachment of intercostals arteries, distal aortic perfusion, and maintaining adequate proximal and distal pressures, in combination with monitoring spinal cord function with motor evoked potentials. However, if a period of spinal cord ischemia can not be avoided, it would be advantageous if adjuncts were available that enhance neuronal tolerance and improve neuronal survival after . . . [Full Text of this Article]






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