Transverse Arch Aneurysm Loeys-Deitz Syndrome

Author: Jamil Borgi, MD; Edward Verrier, MD
Institution: University of Washington
Date Reviewed: January 2014
Learning Domain: Adult Cardiac Surgery
Learning Objective: Surgical Approaches to Transverse Arch Aneurysm
PowerPoint File: Transverse Arch Aneurysm Loeys-Deitz Syndrome

Discussion Points for Conference

• Indications for TA Replacement with connective tissue diseases
• Cannulation strategies
• Cerebral protection strategies
• What is nodule had been lung cancer?
• Need to bypass left subclavian?
• What if patient had Marfan’s syndrome?
• Technical Operative Steps
• Endovascular approaches? 
• Surveillance
• Complications 

Learning Points

• Many new options available for transverse arch aneurysm surgery
• Cerebral protection important
• Close surveillance critical in connective tissue conditions
• Loeys-Deitz syndrome  can be problematic