By Joseph S. Coselli MD, Scott A. LeMaire MD
Focusing solely at the surgical administration of aortic arch sickness in adults, this concise reference offers authoritative assistance on either normal and replacement methods from the world over well-known experts.
- general ideas of aortic diseases
- imaging techniques
- intraoperative management
- neurologic defense strategies
- options for aortic repair
- surgical therapy of particular problems
Abundant illustrations exhibit major imaging research findings and depict key innovations and strategies.
With its precise descriptions and thorough causes of a large choice of methods to imaging, mind security and tracking, and aortic reconstruction, Aortic Arch surgical procedure: ideas, recommendations and results provides working towards and potential thoracic and cardiovascular surgeons entry to the total armamentarium of administration techniques. Anesthesiologists, perfusionists, neurologists, radiologists, and others who've a different curiosity in treating sufferers with thoracic aortic ailment also will locate this publication a useful resource of in charge info.
Chapter 1 old standpoint – 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 normal 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 recommendations 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 ok. Harrington
Chapter 17 Perfusion thoughts for mind defense: purpose for a Selective process (pages 177–184): Lars G. Svensson
Chapter 18 Distal Anastomosis First: the normal technique (pages 185–198): Jean E. Bachet
Chapter 19 substitute ways: The Arch?First strategy (pages 199–207): Nicholas T. Kouchoukos and Paolo Masetti
Chapter 20 replacement methods: The Proximal?First process (pages 208–215): Ryuji Tominaga
Chapter 21 replacement methods: Trifurcated Graft strategy (pages 216–224): David Spielvogel, James C. Halstead and Randall B. Griepp
Chapter 22 substitute techniques: 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 power 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 ailment (pages 307–321): Geza Mozes, Peter Gloviczki and Ying Huang
Chapter 31 Inflammatory ailments (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 evaluate and administration (pages 343–349): Eugene C. Lai
Chapter 35 results dimension: Neuropsychological checking out (pages 350–370): Robert A. Baker, John Murkin and David A. Stump
Chapter 36 results dimension: Biochemical Markers (pages 371–379): in step with Johnsson
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Extra resources for Aortic Arch Surgery: Principles, Strategies and Outcomes
Type IIa + descending thoracic aorta) Descending thoracic aorta and abdominal aorta Only abdominal aorta and its branches aneurysms of the ascending or descending thoracic aorta may also be present. The corrugated irregular configuration of the intima related to scarring and termed ‘tree barking’ is diﬃcult to visualize on angiography. Syphilitic aortic aneurysms have become exceedingly rare following the introduction of eﬀective antibiotic therapy. Traumatic injuries to the aorta or great vessels may be related to penetrating or blunt insults and result in false aneurysms confined by periaortic soft tissues.
In fact, the appropriateness of beta-blockade has been questioned, based on experimental studies suggesting that beta-blockers have deleterious mechanical eﬀects on the aorta . Also, randomized studies of beta-blockers in abdominal aortic aneurysm have yielded equivocal results [20−21]. indd 25 6/7/2008 11:14:07 AM PA RT I General principles (a) Ascending dissection Intramural hematoma Penetrating ulcer Number of patients 25 20 15 10 5 0 20 30 40 50 Ages 60 70 80 (b) Number of patients 25 Descending dissection possibility of applying drugs that inhibit MMPs in the treatment of thoracic aortic aneurysms.
We apply the ascending or descending size criteria, depending on whether the arch aneurysm is most closely related anatomically to the ascending or descending aorta in a particular patient. 1 Surgical intervention criteria based on location of aortic aneurysm and presence of Marfan syndrome. 5 cm What size criteria should be applied for saccular aneurysms? We have not analyzed saccular aneurysms separately. indd 23 6/7/2008 11:14:06 AM PA RT I General principles both the saccular aneurysm and the adjacent aortic lumen.
Aortic Arch Surgery: Principles, Strategies and Outcomes by Joseph S. Coselli MD, Scott A. LeMaire MD