How I do it: thoracoabdominal aortic aneurysm graft replacement

A technique of aortic graft replacement in thoracoabdominal aortic aneurysm repair is described. The author's experience with the surgical adjuncts of cerebrospinal fluid drainage and distal aortic perfusion, and the evolutio n and rationale of thoracoabdominal aortic aneurysm classification are disc ussed. Interpretation of the large amount of data that the author has accum ulated would have been impossible without such a system. (C) 1999 The inter national Society for Cardiovascular Surgery. Published by Elsevier Science Ltd. All rights reserved.