Skip to main content
  • 2243 Accesses

Auszug

Ein Aneurysma ist die umschriebene Erweiterung einer Arterie, bedingt durch Veränderungen der Gefäßwand. Unterschieden werden (⊡ Abb. 13-1):

  • Aneurysma verum (echtes Aneurysma): lokale Ausbuchtung aller Schichten der sonst erhaltenen Arterienwand.

  • Aneurysma dissecans: intramurale Wühlblutung durch einen Riss in der Intima.

  • Aneurysma spurium (falsches Aneurysma): perivaskulärer Blutaustritt über eine Verletzung der Gefäßwand.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 74.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  • Berendes JN, Bredee JJ, Schipperheyn JJ et al. (1982) Mechanisms of spinal cord injury after cross-clamping of descending thoracic aorta. Circulation 66: 11–12

    Google Scholar 

  • Casthely PA, Fyman PN, Abrams LM et al. (1985) Anesthesia for aortic arch aneurysm repair: Experience with 17 patients. Can Anaesth Soc J 32: 73

    Article  PubMed  CAS  Google Scholar 

  • Chemelli-Steingruber I, Chemelli A, Strasak A et al. (2008) Endovascular repair or medical treatment of acute type B aortic dissection? A comparison. Eur J Radiol 15 (6): 375–382

    Google Scholar 

  • Coselli JS, Lemaire SA, Koksoy C, Schnittling ZC, Curling PE (2002) Cerebrospinal fluid drainage reduces paraplegia after throracoabdominal aortic aneurysm respair: results of a randomized clinical trial

    Google Scholar 

  • Costello TH, Fisher A (1983) Neurological complications following aortic surgery. Anaesthesia 38: 230

    PubMed  CAS  Google Scholar 

  • Deutsche Gesellschaft für Gefäßchirurgie (1998) Leitlinie zu thorako-abdominellen Aortenaneurysmen Deutscher Ärzteverlag, Köln

    Google Scholar 

  • Deutsche Gesellschaft für Gefäßchirurgie (1998) Leitlinie zur thorakalen Aor tendissektion. Deutscher Ärzteverlag, Köln

    Google Scholar 

  • Eggebrecht H, Nienaber CA, Neuhauser M et al. (2006) Endovascular stent-graft placement in aortic dissection: a meta-analysis. Eur Heart J 27: 489–498

    Article  PubMed  Google Scholar 

  • Erbel R, Alfonso F, Boileau C et al. (2001) Task force report. Diagnosis and management of aortic dissection Eur Heart J 22 (18): 1642–1681

    Article  PubMed  CAS  Google Scholar 

  • Estrera AL, Miller 3rd CC, Lee et al. (2008) Ascending and transverse aortic arch repair: the impact of retrograde cerebral perfusion. Circulation 118 (14 Suppl): S160–166

    Article  Google Scholar 

  • Estrera AL, Miller CC, Safi HJ et al. (2006) Outcomes of medical management of acute type B aortic dissection. Circulation 114: 1384

    Article  Google Scholar 

  • Gelman S (1995) The pathophysiology of aortic cross-clamping and unclamping. Anesthesiology 82: 1026

    Article  PubMed  CAS  Google Scholar 

  • Halstedt JC, Meier M, Etz C et al. (2007) The fate of the distal aorta after repair of acute type A aortic dissection. J Thorac Cardiovasc Surg 133: 127

    Article  Google Scholar 

  • Isselbacher EM (2007) Dissection of the descending thoracic aorta: looking into the future. J Am Coll Cardiol 50: 805

    Article  PubMed  Google Scholar 

  • Kidher ES, Chukwuemeka A (2008) Surgery of the thoracic aorta. Surgery 26 (12), 510–512

    Google Scholar 

  • Kieffer E, Chiche L, Godet G et al. (2008) Type IV Thoracoabdominal Aneurysm Repair: Predictors of Postoperative Mortality, Spinal Cord Injury, and Acute Intestinal Ischemia. Ann Vasc Surg 22 (6): 822–828

    Article  PubMed  Google Scholar 

  • Kodama K, Nishigami K, Sakamoto T et al. (2008) Tight heart rate control reduces secondary adverse events in patients with type B acute aortic dissection. Circulation 118 (14 Suppl): S167–170

    Article  Google Scholar 

  • Liehn M, Middelanis-Neumann I, Steinmüller L, Döhler JR (Hrsg) (2007) OP-Handbuch. Grundlagen, Instrumentarium, 4. Aufl. Springer, Berlin Heidelberg New York

    Google Scholar 

  • Trimarchie S, Nienaber CA, Rampoldi V et al. (2006) Role and results of surgery in acute type B asortic dissection: insights from the International Registry of Acute Aortic Dissection (IRAD). Circulation 114: 1357

    Google Scholar 

  • Tsai TT, Evangelista A, Nienaber CA et al. (2006) Long-term survival in patients presenting with type A acute aortic dissection: insights from the International Registry of Acute Aortic Dissections (IRAD). Circulation 114: 1350

    Article  Google Scholar 

  • Tsai TT, Nienaber CA, Eagle KA (2005) Acute aortic syndromes. Circulation 112: 3802

    Article  PubMed  Google Scholar 

  • Weigand E, Nienaber CA, Rehders T et al. (2008) Management von Patienten mit Aortendissektionen. Dtsch Ärztebl 105 (38): 639–645

    Google Scholar 

Download references

Rights and permissions

Reprints and permissions

Copyright information

© 2009 Springer Medizin Verlag Heidelberg

About this chapter

Cite this chapter

(2009). Thorakale Aortenaneurysmen. In: Anästhesie und Intensivmedizin in Herz-, Thorax- und Gefäßchirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-88795-9_13

Download citation

  • DOI: https://doi.org/10.1007/978-3-540-88795-9_13

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-88794-2

  • Online ISBN: 978-3-540-88795-9

  • eBook Packages: Medicine (German Language)

Publish with us

Policies and ethics