Aortic Arch Surgery: Principles, Strategies and Outcomes by Joseph S. Coselli MD, Scott A. LeMaire MD

By Joseph S. Coselli MD, Scott A. LeMaire MD

Focusing completely at the surgical administration of aortic arch affliction in adults, this concise reference presents authoritative counsel on either typical and replacement methods from the world over well-known experts.

Topics include:

  • general rules of aortic diseases
  • imaging techniques
  • intraoperative management
  • neurologic security strategies
  • options for aortic repair
  • surgical remedy of particular problems
  • complications

Abundant illustrations show major imaging research findings and depict key thoughts and strategies.

With its distinct descriptions and thorough causes of a wide selection of ways to imaging, mind security and tracking, and aortic reconstruction, Aortic Arch surgical procedure: rules, recommendations and results offers working towards and potential thoracic and cardiovascular surgeons entry to the entire armamentarium of administration recommendations. Anesthesiologists, perfusionists, neurologists, radiologists, and others who've a unique curiosity in treating sufferers with thoracic aortic illness also will locate this ebook 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 average historical past: 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 techniques for publicity: From minimum entry to overall Aortic alternative (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 concepts for mind defense: cause for a Selective method (pages 177–184): Lars G. Svensson
Chapter 18 Distal Anastomosis First: the conventional strategy (pages 185–198): Jean E. Bachet
Chapter 19 substitute methods: The Arch?First approach (pages 199–207): Nicholas T. Kouchoukos and Paolo Masetti
Chapter 20 replacement ways: The Proximal?First strategy (pages 208–215): Ryuji Tominaga
Chapter 21 substitute methods: Trifurcated Graft procedure (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 techniques: 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 disorder (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 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 line with Johnsson

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Extra info for Aortic Arch Surgery: Principles, Strategies and Outcomes

Sample text

However, if a patient is symptomatic, their aorta must be resected, even if it does not meet traditional size criteria. It is, of course, a matter of clinical judgment whether the pain symptoms experienced by an individual patient are of aortic origin. Unless we can demonstrate another cause such as angina, esophageal spasm, lumbosacral spine disease, or similar, we presume that the pain is of aortic origin. We know of no other way to protect the patient from aortic rupture than to draw this conclusion.

A penetrating ulcer is a variant of dissection in which there is a breach of the intima and media related to atheromatous disease. Symptomatically, they often are painful as a result of enlargement of the ulcer or intramural extension proximally or distally. Angiographically, they have a typical appearance when viewed in profile as a focal protrusion from the expected confines of the aortic wall in the setting of aortic wall thickening [14]. The ulcer may have smooth or lobulated margins and may undermine the intima and media when dissecting intramurally.

0 cm for the descending aorta in Evidence-based indications for operation Marfan syndrome. We, and others, have observed that even for patients without a recognizable connective tissue syndrome such as Marfan syndrome, aortic aneurysm and dissection run in families [11]. 0 cm for the descending aorta, in patients with this type of familial (non-Marfan) aortic aneurysm or dissection. If there is a family history of aortic dissection or aortic-related death, we are especially inclined to move at these ‘early’ criteria.

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Aortic Arch Surgery: Principles, Strategies and Outcomes by Joseph S. Coselli MD, Scott A. LeMaire MD
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