Aortic Arch Surgery: Principles, Strategies and Outcomes - download pdf or read online

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

ISBN-10: 1405133619

ISBN-13: 9781405133616

ISBN-10: 1444300512

ISBN-13: 9781444300512

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

Topics include:

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

Abundant illustrations reveal major imaging learn findings and depict key options and strategies.

With its unique descriptions and thorough causes of a large choice of ways to imaging, mind security and tracking, and aortic reconstruction, Aortic Arch surgical procedure: rules, thoughts and results provides practising and potential thoracic and cardiovascular surgeons entry to the total armamentarium of administration strategies. Anesthesiologists, perfusionists, neurologists, radiologists, and others who've a distinct curiosity in treating sufferers with thoracic aortic disorder also will locate this ebook a useful resource of in charge info.

Chapter 1 ancient viewpoint – 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 common 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 thoughts 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 thoughts for mind safeguard: cause for a Selective strategy (pages 177–184): Lars G. Svensson
Chapter 18 Distal Anastomosis First: the normal technique (pages 185–198): Jean E. Bachet
Chapter 19 replacement methods: The Arch?First process (pages 199–207): Nicholas T. Kouchoukos and Paolo Masetti
Chapter 20 substitute methods: The Proximal?First method (pages 208–215): Ryuji Tominaga
Chapter 21 replacement techniques: 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 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 sickness (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 assessment and administration (pages 343–349): Eugene C. Lai
Chapter 35 results size: 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 keeping with Johnsson

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

Sample text

Patients with pacemakers and other paramagnetic devices cannot be imaged. MR imaging can be operatordependent and scanning times are much longer than CT. During scanning, there is less access to the patient in comparison to CT. MR is also prone to artifacts. Detailed evaluation of other causes of patient’s chest pain, mediastinal widening and bowel compromise is limited without prolonged scanning times. Catheter-based aortography is invasive, costly and not readily available at all times. This delay is clinically relevant as it can result in increased morbidity and mortality, particularly for traumatic aortic injury and dissection.

Many more progressed to typical, flap-type, aortic dissection. For this reason, we recommend routine surgical extirpation of the descending aorta in cases of intramural hematoma or penetrating aortic ulcer. We usually wait two to three weeks, to permit fibrosis of the affected aortic wall, then we proceed with resection. In penetrating ulcer patients, it is not uncommon to find many more ulcers than were identified on pre-operative scans. These other smaller ulcers often appear as if they are about to ‘pop’, like a pimple or boil.

Shorter scan acquisition times with MDCT permit higher IVCM injection Computed tomography rates that improve aortic enhancement. However, as IV contrast density improves with higher injection rates, CT windowing becomes more important, since an intimal flap can be obscured by intense contrast enhancement [3,4]. g. dissection, intramural hematoma). When possible, injection of contrast material in the left upper extremity should be avoided since full strength IVCM traveling in the left brachiocephalic vein can cause significant artifact as it crosses the mediastinum just anterior to the aortic arch.

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

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