Aortic Surgery

by Ballard,Jeffrey L.

• ISBN13: 9781570596285
• ISBN10: 157059628X
• Edition: 1st
• Format: Nonspecific Binding
• Copyright: 2000-01-01
• Publisher: CRC Press

Summary

Loma Linda Univ., CA. Text for residents, students, and clinicians. Covers pathogenesis, epidemiology, screening for heart and stroke risk, diagnostic imaging, approach and specific treatment strategies, and complications. Chapters are thumb-tabbed and includes halftone illustrations. Wire-spiral binding. DNLM: Aorta--surgery.

Table of Contents

Pathogenesis of Aortic Aneurysmal Disease	1	(8)
Christopher K. Zarins
Chengpei Xu
Atheroscler
Proteolytic Enzymes and Their Inhibitors	5	(1)
Inflammatory Aneurysms	5	(1)
Genetic Predisposition	6	(1)
Hemodynamics and Aneurysm Formation	7	(1)
Experimental Observations	7	(1)
Conclusion	7	(2)
Epidemiology of Aortic Aneurysmal Disease	9	(11)
Peter F. Lawrence
Gustavo S.C. Oderich
Kiran Bhirangi
Prevalence	9	(1)
Incidence	10	(1)
Risk Factors	11	(4)
Prognostic Factors for Rupture	15	(2)
Associated Diseases and Survival	17	(1)
Conclusion	17	(3)
Screening for Aortic Aneurysmal Disease	20	(17)
William C. Krupski
Mark R. Nehler
Background	20	(1)
Economic Deliberations	21	(2)
Screening Programs	23	(9)
Conclusion	32	(5)
The Pathophysiology of Aortic Dissection	37	(12)
James I. Fann
D. Craig Miller
Classification and Etiology	37	(2)
Pathophysiology	39	(1)
Clinical Presentation and Diagnosis	40	(3)
Therapy of Acute Aortic Dissections	43	(3)
Long-Term Follow-up	46	(3)
Carotid Screening Before Aortic Surgery	49	(6)
Brian L. Ferris
Gregory L. Moneta
Cardiac Screening Before Aortic Surgery	55	(13)
Douglas J. Wirthlin
Richard P. Cambria
Pathophysiology of MI	56	(1)
Clinical Evaluation and Clinical Markers of CAD	57	(3)
Noninvasive Cardiac Evaluation	60	(2)
Invasive Coronary Evaluation and Intervention	62	(2)
Algorithm for Preoperative Cardiac Assessment	64	(1)
Conclusion	65	(3)
Diagnostic Imaging Techniques Before Aortic Surgery	68	(11)
Mark D. Morasch
William H. Pearce
Standard Computed Tomography	69	(1)
CT Angiography	70	(1)
Contrast-Enhanced Magnetic Resonance Angiography	71	(3)
Conventional Angiography	74	(2)
Intravascular Ultrasound (IVUS)	76	(1)
Imaging for Endograft Placement	77	(2)
Surgical Exposure for Aortic Surgery	79	(22)
Jeffrey L. Ballard
Exposure of the Descending Thoracic and Proximal Abdominal Aorta	79	(4)
Retroperitoneal Exposure of the Abdominal Aorta and Its Branch Vessles	83	(5)
Alternate Renal Artery Exposure	88	(1)
Alternate Exposure of the Proximal Abdominal Aorta	89	(1)
Transperitoneal Exposure of the Infrarenal Abdominal Aorta	89	(2)
Transperitoneal Exposure of the Renal Arteries	91	(1)
Transperitoneal Exposure of the Abdominal Aorta at the Diaphragmatic Hiatus	92	(1)
Emergency Exposure of the Abdominal Aorta and Vena Cava	93	(4)
Extraperitoneal Exposure of the External Iliac Arteries	97	(4)
Management of Small Aortic Aneurysms	101	(11)
Robert A. Duensing
Samuel E. Wilson
Incidence and Risk Factors	102	(1)
Natural History and Risk of Rupture	102	(6)
The Advent of Endoluminal Aortic Stented Grafts	108	(4)
Aortic Surgery in the Very Elderly	112	(8)
Jeffrey L. Ballard
Concomitant Vascular Disease in the Elderly	112	(1)
Operative Indications	113	(1)
Sequencing Concomitant Vascular Procedures	114	(1)
Loma Linda University Experience	115	(5)
Aortic Reconstruction for Occlusive Disease	120	(4)
Thomas F. Rehring
David C. Brewster
Evaluation	120	(1)
Reconstruction	121	(1)
Complications	122	(1)
Results	123	(1)
Extra-Anatomic Bypass for Aortoiliac Occlusive Disease	124	(10)
John Karwowski
Ronald L. Dalman
Axillofemoral Bypass	124	(1)
Indications for Axillofemoral Bypass	124	(1)
Indications for Femorofemoral Bypass	125	(1)
Technical Issues Related to AxFB and Femorofemoral Bypass Grafting	126	(3)
Results of AxFB and Femorofemoral Bypass Procedures	129	(1)
Indications for Thoracofemoral Bypass	129	(1)
Technical Issues Related to Thoracofemoral Bypass Grafting	129	(2)
Results of Thoracofemoral Bypass Procedures	131	(1)
Summary	131	(3)
Stent Deployment for Aortoiliac Occlusive Disease	134	(15)
Frank C. Taylor
Jeffrey L. Ballard
Preoprocedure Evaluation	134	(1)
Percutaneous Transluminal Angioplasty	135	(1)
Stent Devices	135	(3)
Diagnostic Angiography	138	(1)
Lesion Evaluation and Selection	138	(2)
Stent Deployment	140	(1)
Guidewire Traversal of Stenoses and Occlusion	141	(1)
Technical Endpoints	142	(1)
Complications	143	(1)
Patient Selection	144	(1)
Long-Term Results	144	(1)
Restenosis	145	(1)
Conclusion	146	(3)
Infrarenal Aortic Aneurysm Repair	149	(11)
E. John Harris, Jr.
Natural History Versus Treatment	149	(1)
Defining Perioperative Risk	150	(1)
Defining Aneurysm Morphology Risk	151	(1)
High Risk Patients	152	(1)
Results of Aortic Aneurysm Repair	153	(2)
Recommendations for Abdominal Aortic Aneurysm Repair	155	(5)
Suprarenal Aortic Aneurysm Repair	160	(11)
David Han
Peter Gloviczki
Classification	160	(1)
Clinical Evaluation and Imaging Studies	160	(1)
Surgical Indications	161	(2)
Preoperative Cardiac and Pulmonary Evaluation	163	(1)
Preparation for Surgery	163	(1)
Surgical Technique	164	(1)
Results	165	(4)
Conclusions	169	(2)
Inflammatory Abdominal Aortic Aneurysms	171	(8)
Aravind B. Sankar
Glenn C. Hunter
Clinical Presentation	171	(1)
Diagnostic Tests	172	(1)
Medical Management	173	(1)
Operative Management	173	(1)
Incidence of Rupture	174	(1)
Histologic Features	174	(1)
Etiology of Inflammatory Abdominal Aortic Aneurysms	175	(1)
The Relationship Between Retroperitoneal Fibrosis and IAAA	175	(1)
Management of Ureteral Entrapment	176	(1)
Summary	177	(2)
Ruptured Abdominal Aortic Aneurysm	179	(8)
Kaj Johansen
Pathophysiology of Aneurysm Expansion and Rupture	179	(1)
Diagnosis of Ruptured AAA	180	(1)
Preoperative Volume Resuscitation	180	(1)
Operative Management	180	(4)
Immediate Postoperative Care	184	(1)
Outcome	184	(3)
Combined Aortic and Renal Artery Reconstruction	187	(16)
James M. Wong
Kimberley J. Hansen
Prophylactic Renal Artery Repair	187	(2)
Empiric Renal Artery Repair	189	(1)
Operative Techniques	190	(1)
Mobilization and Dissection	191	(3)
Aortorenal Bypass	194	(1)
Thromboendarterectomy	195	(1)
Renal Artery Reimplantation	196	(1)
Intraoperative Duplex Sonography	196	(1)
Combined Aortic and Renal Reconstruction: Results of Operation	197	(6)
Occlusive Disease of the Upper Abdominal Aorta	203	(14)
Rajabrata Sarkar
Ronald J. Stoney
Acute Mesenteric Ischemia	203	(4)
Chronic Mesenteric Ischemia	207	(3)
Renal Artery Occlusive Disease	210	(7)
Surgical Treatment of Infected Aortic Aneurysms	217	(10)
William J. Quinones-Baldrich
Incidence	217	(1)
Bacteriology	218	(1)
Diagnosis	218	(1)
Management	219	(5)
Postoperative Care	224	(1)
Results	225	(2)
Thoracoabdominal Aortic Aneurysm Repair	227	(19)
Hazim J. Safi
Charles C. Miller III
Samer Koussayer
Clinical Presentation and Diagnostic Evaluation	228	(5)
Conventional Surgical Technique	233	(6)
Postoperative Care	239	(1)
Results	239	(3)
Profound Hypothermia	242	(1)
Conclusion	243	(3)
Alternate Approach for Type III and Type IV Thoracoabdominal Aortic Aneurysm Repair	246	(9)
Jeffrey L. Ballard
Patients and Methods	247	(3)
Results	250	(1)
Discussion	250	(5)
Endovascular Management of Aortic Aneurysmal Disease	255	(13)
Frank J. Criado
Robert J. Falconer
Historical Evolution	255	(1)
Early Designs and Initial Experience	255	(3)
Current Status (Mid-1999)	258	(3)
Principles of Stent-Graft Implantation Techniques	261	(4)
Summary and Overview	265	(3)
Endovascular Management of Aortoiliac Occlusive Disease	268	(14)
Reese A. Wain
Frank J. Veith
Covered Stents	269	(1)
Endovascular Grafts	270	(9)
Discussion	279	(1)
Conclusions	280	(2)
Management of Intra-abdominal Disease in Conjunction with Aortic Surgery	282	(10)
John J. Ricotta
Paul S. van Bemmelen
Unanticipated Concurrent Disease	283	(1)
Planning the Management of Combined Lessions	284	(1)
Aorta Surgery and Gallstones	285	(1)
Asymptomatic Gallstones: The Case for a Combined Approach	285	(1)
Asymptomatic Gallstones: The Case for a Conservative Approach	286	(1)
Gallstones with Symptoms: The Case for a Conservative Approach	286	(1)
Acute Cholecystitis	287	(1)
Aorta Surgery and Colorectal Operations	287	(1)
Aortic Surgery and Miscellaneous Procedures	288	(4)
Management of Aortic Disease and Associated Urologic Problems	292	(6)
Aileen M. Takahashi
Fred A. Weaver
Preoperative Management	293	(1)
Operative Technique	293	(3)
Postoperative Management	296	(1)
Results	296	(1)
Conclusion	297	(1)
Management of Aortic Graft Infection	298	(10)
Nancy Schindler
Keith D. Calligaro
Matthew J. Dougherty
Risk Factors/Epidemiology	298	(1)
Diagnosis	299	(1)
Bacteriology	300	(1)
Treatment	301	(1)
Intra-Abdominal Graft Infection	302	(2)
Infections of Bifurcated Grafts Limited to the Groin	304	(1)
Conclusions	305	(3)
Peripheral Vascular Manifestations of Acute Aortic Dissection	308	(11)
James I. Fann
R. Scott Mitchell
Clinical Diagnosis	308	(2)
Peripheral Vascular Complications	310	(6)
Summary	316	(3)
Surgical Treatment of Acute and Chronic Aortic Dissection Distal to the Subclavian Artery	319	(21)
Joseph S. Coselli
Cuneyt Koksoy
Zachary C. Schmittling
Scott A. LeMaire
Clinical Manifestations of Distal Aortic Dissection	321	(1)
Imaging Studies	322	(1)
Initial Management of Acute Distal Aortic Dissection	322	(2)
Surgical Treatment	324	(10)
Postoperative Management	334	(1)
Results	335	(2)
Summary	337	(3)
Endovascular Management of Aortic Dissection	340	(10)
Suzanne M. Slonim
Michael D. Dake
Charles P. Semba
Patients and Methods	340	(1)
Stent Placement	341	(1)
Balloon Fenestration	341	(4)
Results of Endovascular Stenting and Balloon Fenestration	345	(1)
Stent-Graft Repair of the Primary Tear	346	(1)
Conclusion	347	(3)
Index	350