Aortic Arch Surgery

by Editor: Joseph S. Coselli (Baylor College of Medicine, Houston); Editor: Scott A. LeMaire (Baylor College of Medicine, Houston; Texas Heart Institute at St Luke's Episcopal Hospital, Houston)

• ISBN13: 9781405133616
• ISBN10: 1405133619
• Edition: 1st
• Format: Hardcover
• Copyright: 2008-09-01
• Publisher: Wiley-Blackwell

Summary

Focusing exclusively on the surgical management of aortic arch disease in adults, this concise reference provides authoritative guidance on both standard and alternative approaches from internationally recognized experts.Topics include: general principles of aortic diseases imaging techniques intraoperative management neurologic protection strategies options for aortic repair surgical treatment of specific problems complicationsAbundant illustrations demonstrate significant imaging study findings and depict key techniques and strategies.With its detailed descriptions and thorough explanations of a wide variety of approaches to imaging, brain protection and monitoring, and aortic reconstruction, Aortic Arch Surgery: Principles, Strategies and Outcomes gives practicing and prospective thoracic and cardiovascular surgeons access to the full armamentarium of management options. Anesthesiologists, perfusionists, neurologists, radiologists, and others who have a special interest in treating patients with thoracic aortic disease will also find this book an invaluable source of dependable information.

Author Biography

Joseph S. Coselli, MD
Professor and Chief, Division of Cardiothoracic Surgery, Baylor College of Medicine, Houston, TX, USA

Scott A. LeMaire, MD
Associate Professor, Director of Clinical and Translational Research, Division of Cardiothoracic Surgery, Baylor College of Medicine; and Cardiovascular Surgery Staff, the Texas Heart Institute at St Luke’s Episcopal Hospital, Houston, TX, USA

Table of Contents

Preface

General Principles

Historical Perspective – The Evolution of Aortic Arch Surgery

Surgical Anatomy

Natural History: Evidence-based Indications for Operation

Imaging Techniques

Aortography

Computed Tomography

Magnetic Resonance Imaging

Echocardiography

Strategies for Intraoperative Management and Neurologic Protection

Anesthetic Management

Options for Exposure: From Minimal Access to Total Aortic Replacement

Monitoring the Brain: Near Infrared Spectroscopy

Monitoring the Brain: Jugular Venous Oxygen Saturation

Monitoring the Brain: Transcranial Doppler

Hypothermic Circulatory Arrest

Direct Antegrade Cerebral Perfusion

Antegrade Cerebral Perfusion via the Axillary Artery

Retrograde Cerebral Perfusion

Perfusion Strategies for Brain Protection: Rationale for a Selective Approach

Options for Aortic Repair

Distal Anastomosis First: The Traditional Approach

Alternative Approaches: The Arch First Technique

Alternative Approaches: The Proximal First Technique

Alternative Approaches: Trifurcated Graft Technique

Alternative Approaches: Intraluminal Aortic Ring

Alternative Approaches: Endovascular Stent-Grafts

Surgical Adhesives

Surgical Treatment of Specific Problems

Congenital Anomalies in Adults

Acute Dissection

Chronic Dissection

Degenerative Aneurysms

Trauma

Atherosclerotic Occlusive Disease

Inflammatory Diseases

Resection for Malignancy

Neurologic Complications

Pathophysiology

Evaluation and Management

Outcomes Measurement: Neuropsychological Testing

Outcomes Measurement: Biochemical Markers

Index

Table of Contents provided by Publisher. All Rights Reserved.