Temporary aneurysm sac perfusion following hybrid thoracic abdominal aortic aneurysm repair and literature review

Abstract

Extensive thoracoabdominal aortic aneurysm (TAAA) repair is associated with paraplegia secondary to spinal cord ischemia (SCI), with rates reaching up to 37.5 %. Physiological preventive measures include cerebrospinal fluid (CSF) drainage, hypothermia, and permissive hypertension following TAAA repair. Temporary aneurysm sac perfusion (TASP) can be added as an adjunct procedure to facilitate spinal collateral network development in the post-operative period through an endoleak with subsequent seal. We report of a 70-year-old female patient, who underwent a hybrid TAAA repair using TASP.