Aneurysmal disease of aorta accounts for 1–2% deaths in India. 40% of patients are asymptomatic. Open repair of the descending thoracic aorta and thoracoabdominal aorta remains a challenging procedure. In our center, we had performed 15 descending thoracic aortic aneurysm repair in the last 1 year. Challenges related to perfusion support of descending thoracic aortic repair includes maintenance of distal aortic perfusion, rapidity of fluid resuscitation, avoidance of hypothermia and hemodilution. So, we had chosen ON PUMP BEATING heart procedure with normal temperature range for most of the procedures. This technique required oxygenators and heparinization. Clearing the problematic knots of perfusion will help to decrease the morbidity and mortality rate of descending thoracic aortic aneurysm repair.
Crawford classification, descending thoracic aortic aneurysm surgeries, distal perfusion technique, hemodynamic management
