By Joseph S. Coselli MD, Scott A. LeMaire MD
Focusing completely at the surgical administration of aortic arch ailment in adults, this concise reference offers authoritative information on either normal and substitute techniques from across the world famous experts.
general ideas of aortic diseases
neurologic security strategies
options for aortic repair
surgical therapy of particular problems
Abundant illustrations show major imaging examine findings and depict key options and strategies.
With its specific descriptions and thorough causes of a large choice of ways to imaging, mind safeguard and tracking, and aortic reconstruction, Aortic Arch surgical procedure: ideas, concepts and results supplies working towards and potential thoracic and cardiovascular surgeons entry to the complete armamentarium of administration suggestions. Anesthesiologists, perfusionists, neurologists, radiologists, and others who've a unique curiosity in treating sufferers with thoracic aortic ailment also will locate this ebook a useful resource of liable info.
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Extra resources for Aortic Surgery
A. Circumferential tear with widening of aortic root and separation of aortic cusps. B. Displacement of one aortic cusp substantially below the level of the others by the pressure of the dissecting hematoma. C. Actual disruption of the annular leaflet support leading to a flail cusp. (Reproduced with permission from Slater EE. Aortic dissection: presentation and diagnosis. In: Doroghazi RM, Slater EE, eds. Aortic Dissection. ) Classically, acute dissection is associated with severe, lancinating chest or interscapular pain with craniad or cephalad migration.
In contrast to conventional type B aortic dissection, where the intimal defect is typically located immediately distal to the left subclavian artery, dissection due to a penetrating atherosclerotic ulcer usually originates in the mid or distal descending thoracic aorta. Aortic dissection is more common in men than women with a ratio of 3 to 1. , hypertension) that accelerate the degeneration of medial components, such as elastic tissue and smooth muscle cells, may lead to development of aortic dissection.
54. 55. 56. 57. 58. 59. 60. 61. 62. 63. 64. 65. 66. 67. 68. 69. 70. 35 Smith FCT, Grimshaw GM, Paterson IS et al. Ultrasonic screening for abdominal aortic aneurysm in an urban community. Br J Surg 1993; 80:1406-9. Strachan DP. Predictors of death from aortic aneurysm among middle-aged men: The Whitehall Study. Br J Surg 1991; 78:401-404. Spittell JA. Hypertension and arterial aneurysm. J Am Coll Cardiol 1983; 1:533-40. Twomey A, Twomey E, Wilkins RA et al. Unrecognized aneurysmal disease in male hypertensive patients.