By Joseph S. Coselli MD, Scott A. LeMaire MD
Focusing solely at the surgical administration of aortic arch affliction in adults, this concise reference presents authoritative assistance on either ordinary and replacement techniques from the world over well-known experts.
- general ideas of aortic diseases
- imaging techniques
- intraoperative management
- neurologic security strategies
- options for aortic repair
- surgical remedy of particular problems
Abundant illustrations exhibit major imaging research findings and depict key ideas and strategies.
With its targeted descriptions and thorough motives of a wide selection of techniques to imaging, mind security and tracking, and aortic reconstruction, Aortic Arch surgical procedure: rules, suggestions and results supplies working towards and potential thoracic and cardiovascular surgeons entry to the complete armamentarium of administration thoughts. Anesthesiologists, perfusionists, neurologists, radiologists, and others who've a unique curiosity in treating sufferers with thoracic aortic ailment also will locate this e-book a useful resource of accountable details.
Chapter 1 ancient point of view – the Evolution of Aortic Arch surgical procedure (pages 1–11): Denton A. Cooley
Chapter 2 Surgical Anatomy (pages 12–18): Thoralf M. Sundt and Carl G. Clingman
Chapter three ordinary background: Evidence?Based symptoms for Operation (pages 19–27): John A. Elefteriades
Chapter four Aortography (pages 29–38): Charles Trinh, Mark Skolkin and Richard Fisher
Chapter five Computed Tomography (pages 39–57): Salvatore G. Viscomi, Alejandra Duran?Mendicuti, Frank J. Rybicki and Stephen Ledbetter
Chapter 6 Magnetic Resonance Imaging (pages 58–72): Amgad N. Makaryus and Lawrence M. Boxt
Chapter 7 Echocardiography (pages 73–88): Benjamin A. Kohl, John G. Augoustides and Albert T. Cheung
Chapter eight Anesthetic administration (pages 89–97): John R. Cooper
Chapter nine ideas for publicity: From minimum entry to overall Aortic substitute (pages 98–113): Lars G. Svensson
Chapter 10 tracking the mind: Near?Infrared Spectroscopy (pages 114–124): Marc A.A.M. Schepens and Frans G.J. Waanders
Chapter eleven tracking the mind: Jugular Venous Oxygen Saturation (pages 125–127): Jock N. McCullough
Chapter 12 tracking the mind: Transcranial Doppler (pages 128–134): Harvey L. Edmonds, Mary H. Thomas, Brian L. Ganzel and Erle H. Austin
Chapter thirteen Hypothermic Circulatory Arrest (pages 135–152): M. Arisan Ergin
Chapter 14 Direct Antegrade Cerebral Perfusion (pages 153–158): Teruhisa Kazui
Chapter 15 Antegrade Cerebral Perfusion through the Axillary Artery (pages 159–166): Hitoshi Ogino
Chapter sixteen Retrograde Cerebral Perfusion (pages 167–176): Robert S. Bonser and Deborah okay. Harrington
Chapter 17 Perfusion suggestions for mind safety: purpose for a Selective process (pages 177–184): Lars G. Svensson
Chapter 18 Distal Anastomosis First: the conventional strategy (pages 185–198): Jean E. Bachet
Chapter 19 replacement techniques: The Arch?First procedure (pages 199–207): Nicholas T. Kouchoukos and Paolo Masetti
Chapter 20 replacement techniques: The Proximal?First approach (pages 208–215): Ryuji Tominaga
Chapter 21 replacement methods: Trifurcated Graft approach (pages 216–224): David Spielvogel, James C. Halstead and Randall B. Griepp
Chapter 22 replacement ways: Intraluminal Aortic Ring (pages 225–234): Rodrigo de Castro Bernardes
Chapter 23 substitute methods: Endovascular Stent?Grafts (pages 235–240): Martin Czerny and Martin Grabenwoger
Chapter 24 Surgical Adhesives (pages 241–246): Scott A. LeMaire, Stacey A. Carter and Joseph S. Coselli
Chapter 25 Congenital Anomalies in Adults (pages 247–257): Lars G. Svensson
Chapter 26 Acute Dissection (pages 258–265): John A. Elefteriades
Chapter 27 continual Dissection (pages 266–282): Stephen Westaby and Gabriele Bertoni
Chapter 28 Degenerative Aneurysms (pages 283–296): John Bozinovski, Scott A. LeMaire and Joseph S. Coselli
Chapter 29 Trauma (pages 297–306): Matthew J. Wall, sunrise E. Jaroszewski and Kenneth L. Mattox
Chapter 30 Atherosclerotic Occlusive illness (pages 307–321): Geza Mozes, Peter Gloviczki and Ying Huang
Chapter 31 Inflammatory illnesses (pages 322–327): Motomi Ando
Chapter 32 Resection for Malignancy (pages 328–334): Clemens Aigner, Marek Ehrlich, Walter Klepetko and Ernst Wolner
Chapter 33 Pathophysiology (pages 335–342): Christopher J. Barreiro and William A. Baumgartner
Chapter 34 review and administration (pages 343–349): Eugene C. Lai
Chapter 35 results size: Neuropsychological trying out (pages 350–370): Robert A. Baker, John Murkin and David A. Stump
Chapter 36 results size: Biochemical Markers (pages 371–379): in keeping with Johnsson
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Extra resources for Aortic Arch Surgery: Principles, Strategies and Outcomes
Pathologically, the integrity of all layers of the aortic wall is maintained in true aneurysms, while there is disruption of one or more of these layers in false aneurysms. On aortography, injected contrast usually discloses a dilated lumen; however, dilation of the opacified lumen may be absent in those instances where mural thrombus is present. Secondary signs of mural thrombus include a smooth aortic wall and calcification peripheral to the opacified lumen. Diagnostic aortography for the evaluation of aneurysmal disease has largely been replaced by new generation CT scans which are capable of volumetric acquisitions and exquisite three-dimensional (3D) reconstructions, as well as MRI and its direct multiplanar imaging capabilities.
Pathologic variants of thoracic aortic dissections. Penetrating atherosclerotic ulcers and intramural hematomas. Cardiol Clin 1999; 17: 637−657. 18. Shores J, Berger K, Murphy EA, Pyeritz PE. Progression of aortic dilatation and the benefit of long-term beta-adrenergic blockade in Marfan’s syndrome. N Engl J Med 1994; 330: 1335−1341. 19. Fuster V, Andrews P. Medical treatment of the aorta I. Cardiol Clin 1999; 17: 697−715. 20. Propanolol Aneurysm Trial Investigators. Propanolol for small abdominal aortic aneurysms: results of a randomized trial.
9). We use the dictum: ‘no flap, no dissection’. That is to say, an aortic dissection is characterized by a flap running obliquely across the aortic lumen. In intramural hematoma, there is no such oblique flap. 9 The spectrum of acute dissecting aortic phenomena. Typical aortic dissection, penetrating aortic ulcer, and intramural hematoma are depicted. Note that a flap going transversely across the aortic lumen is a prerequisite for a typical dissection. The other two entities are non-flap phenomena.