Less invasive cooling strategies for aortic aneurysm surgeries

•Mild-moderate hypothermia is appropriate technique in most of complex surgical aortic procedures.
•Techniques avoiding EKC and hypothermia ensures better clinical outcome in patient with less metabolic disorders.
•Aortic dissections can be operated on mild hypothermia (32C) with preserved cerebral and systemic organ perfusion.
•Thoracic and thoraco-abdominal aneurysms might be operated in mild hypothermia (30C) on extracorporeal circulation (cannulatingplaces: femoral vein and right atrium in a condition with or without cardioplegia.