Cardio-Aortic and Aortic Surgery

by Kawada, S.; Ueda, T.; Shimizu, H.

• ISBN13: 9784431702917
• ISBN10: 4431702911
• Format: Hardcover
• Copyright: 2001-09-01
• Publisher: Springer Verlag

Summary

As societies have aged and aortic diseases have become more prevalent, advances in diagnostic imaging and surgical techniques have brought significantly improved results for patients. In cardiovascular surgery, important questions remain to be addressed, however. 'Strategy for Cardio-aortic and Aortic Surgery' was the theme of the 7th Keio University International Symposium for Life Sciences and Medicine. Meeting in Tokyo, researchers and specialists in cardiac surgery from around the world discussed crucial issues in their field. Papers from the symposium, collected in this volume, cover a broad range of topics, including recent advances in diagnostic imaging, brain protection during aortic surgery, spinal protection during thoracoabdominal aneurysm repair, treatment of type A acute aortic dissection, and stent-grafts and less-invasive aortic surgery. This unique book provides valuable information especially for aortic, cardiovascular, and thoracic surgeons.

Table of Contents

Foreword	v
Preface	vii
List of Contributors	xiv
Opening Remarks	xiv
Opening Speech	xviii
Part 1 The Science and Art of Aortic Disease
The Natural History of Thoracic Aortic Aneurysms	3	(1)
R.B. Griepp
Pathophysiology of Aortic Dissection and Abdominal Aortic Aneurysm	4	(8)
Y. Nakashima
Advances in Diagnostic Imaging During Aortic Surgery: Impact of Three-Dimensional Diagnosis by Multislice Computed Tomography	12	(9)
H. Adachi
Y. Kobayashi
Part 2 Surgery of the Aortic Root
Stentless Aortic Valve Replacement	21	(3)
S. Westaby
Valve-Preserving Root Replacement	24	(1)
H.-J. Schafers
Endoscopic Assessment of Valve-Sparing Aortic Root Reconstruction: Root Aneurysm Versus Ascending Aneurysm	25	(8)
T. Ito
S. Ohtsubo
Valve-Sparing Operation Versus Bentall Operation: Comparison at Medium-Term Follow-Up	33	(10)
K. Minatoya
Y. Okita
Y. Hanafusa
O. Tagusari
Y. Sasako
J. Kobayashi
M. Ando
S. Kitamura
Part 3 Brain Protection
Physiology of Hypothermic Circulatory Arrest and Retrograde Cerebral Perfusion	43	(1)
E.B. Griepp
Brain Protection with the Use of Antegrade Selective Cerebral Perfusion and Aortic Surgery	44	(9)
N. Nakajima
M. Masuda
M. Nakaya
M. Imamaki
H. Shimura
Y. Okada
K. Nishimura
M. Ando
Continuous Retrograde Cerebral Perfusion: Brain Protection During Aortic Surgery with Hypothermic Circulatory Arrest	53	(7)
Y. Ueda
Prevention of Stroke Related to Ascending Aortic and Aortic Arch Atherothrombotic Material: Review	60	(15)
R.S.D'Agostino
Part 4 Surgery of the Ascending and/or Transverse Aorta
Surgery of the Ascending and/or Transverse Aorta	75	(2)
S. Westaby
Aortic Arch Surgery and Methods of Protection	77	(13)
L.G. Svensson
Strategy for Redo Surgery on the Thoracic Aorta	90	(9)
T. Miyairi
S. Takamoto
Y. Kotsuka
A. Murakami
H. Kubota
T. Ohtsuka
Surgery of the Ascending Aorta and/or Aortic Arch Using Deep Hypothermic Circulatory Arrest with Retrograde Cerebral Perfusion and Open Technique	99	(6)
S. Aomi
H. Niinami
S. Nozi
K. Uwabe
S. Kihara
T. Kurihara
M. Endo
H. Koyanagi
Operative Procedures and Surgical Outcomes of Patients Undergoing Repair of the Ascending Aorta and/or Transverse Aortic Arcch	105	(8)
T. Ueda
H. Shimizu
S. Kawada
Part 5 Surgery of the Aortic Arch and Distal Descending Aorta
Arch and Thoracoabdominal Replacement	113	(2)
J.S. Coselli
Surgery of the Aortic Arch Involving the Descending Aorta	115	(1)
H.-J. Schafers
Surgical Approaches to Nondissecting Atherosclerotic Aneurysms of the Distal Aortic Arch or Proximal Descending Aorta Using Deep Hypothermic Circulatory Arrest with Retrograde Cerebral Perfusion: Midsternotomy and Left Lateral Thoracotomy	116	(10)
Y. Okita
O. Tagusari
K. Minatoya
M. Ando
S. Kitamura
S. Takamoto
Strategy for Avoiding Cerebral Complications During Surgery for Arch and Distal Arch Aneurysm	126	(8)
H. Otani
H. Kawaguchi
H. Fujiwara
Y. Hino
T. Sumita
H. Fujii
H. Ninomiya
M. Kido
M. Osako
H. Imamura
Surgical Treatment of the Distal Aortic Arch Aneurysm Using Selective Cerebral Perfusion	134	(11)
K. Tabayashi
M. Ohmi
A. Iguchi
H. Yokoyama
H. Akimoto
T. Fukuju
Y. Tanaka
K. Sakuma
Part 6 Management of Mycotic Aneurysms and Graft Infection
Management of Mycotic Aneurysms and Graft Infection	145	(4)
J.S. Coselli
Mycotic Aneurysms of the Thoracic and Thoracoabdominal Aorta	149	(10)
C. Dzsinich
Z. Jaranyi
G. Sepa
G. Nagy
B. Nemes
A. Szabo
Graft Infection After Aortic Surgery: Strategy and Outcome	159	(7)
N. Nakajima
M. Masuda
M. Nakaya
M. Imamaki
H. Shimura
Y. Okada
K. Nishimura
M. Ando
Surgical Treatment of Mycotic Aortic Aneurysms and Management of Aortic Graft Infections	166	(9)
M. Ando
Y. Okita
O. Tagusari
T. Morota
S. Kitamura
Part 7 Spinal Protection
Monitoring of Spinal Cord Function During Descending Thoracic and Thoracoabdominal Aneurysm Repair	175	(1)
R.B. Griepp
Spinal Cord Protection Including Localization of Arterial Radicularis Magna	176	(7)
L.G. Svensson
Enhancement of HSP72 Gene Expression in Spinal Cord After Preconditioning for Transient Ischemia in Rabbits	183	(7)
M. Sakurai
T. Hayashi
K. Abe
K. Tabayashi
Glutamate Neurotoxicity in Spinal Cord Injury	190	(7)
A. Mori
T. Ueda
H. Shimizu
T. Nakamichi
M. Yasudo
Y. Cho
K. Moro
S. Kawada
Strategies for Preventing Spinal Cord Ischemia During Descending or Thoracoabdominal Aortic Aneurysm Surgery: Preoperative Visualization of the Adamkiewicz Artery and Intraoperative Motor-Evoked Potentials	197	(12)
Y. Okita
K. Minatoya
N. Yamada
O. Tagusari
T. Morota
M. Ando
M. Takamiya
S. Kitamura
Part 8 Strategy of Type I and II Thoracoabdominal Aortic Replacement
Strategy of Surgery for Repair of Thoracoabdominal Aneurysms	209	(1)
R.B. Griepp
Surgical Repair of Thoracoabdominal Aortic Aneurysms	210	(5)
J.S. Coselli
Atypical Thoracoabdominal Aortic Coarctation	215	(10)
C. Dzsinich
Z. Jaranyi
G. Sepa
A. Szabo
A. Petrohai
K. Huttl
Impact of Segmental Aortic Clamp and Distal Aortic Perfusion on Postoperative Paraplegia During Thoracoabdominal Aortic Graft Replacement	225	(1)
K. Koja
Y. Kuniyoshi
K. Miyagi
M. Shimoji
T. Uezu
K. Arakaki
K. Taira
K. Mabuni
Surgical Treatment for Thoracoabdominal Aortic Aneurysm. Strategy for Spinal Cord/Visceral Protection in Type I or Type II Thoracoabdominal Aortic Replacement	226	(1)
T. Kazui
Prevention of Spinal Cord Injury During Thoracic and Thoracoabdominal Aortic Repairs	227	(10)
T. Miyamoto
T. Wada
H. Yao
Part 9 Treatment of Type A Acute Aortic Dissection
Acute Type A Aortic Dissection and Early Hazard Mortality: New Statistical Approaches and Room for Improvement	237	(3)
D.C. Miller
Surgical Management of Acute Aortic Dissection Type A	240	(1)
H.-J. Schafers
Surgical Treatment of Acute Type A Dissections in Profound Hypothermic Circulatory Arrest	241	(8)
M.P. Ehrlich
M. Grabenwoeger
D. Hutschala
A. Kocher
M. Havel
E. Wolner
Treatment of Type A Acute Aortic Dissection in Saitama	249	(1)
R. Omoto
H. Ouchi
S. Kyo
K. Ueda
Is Concomitant Total Arch Replacement Justified for Acute Type A Dissection?	250	(3)
T. Kazui
Part 10 New Treatments: Stent Grafts and Less Invasive Surgery
Endovascular Stent-Grafts for Descending Thoracic Aortic Aneurysms and Acute Type B Aortic Dissections	253	(2)
D.C. Miller
Does Minimally Invasive Endovascular Grafting for Abdominal and Thoracic Aortic Aneurysms Induce Less Inflammatory Response?	255	(8)
K. Esato
H. Takenaka
K. Fujioka
N. Zenpo
Endovascular Grafting for Various Conditions of the Descending Thoracic Aorta	263	(6)
S. Ishimaru
S. Kawaguchi
T. Shimazaki
Y. Obitsu
M. Ishikawa
Minimal Access Aortic Surgery	269	(5)
L.G. Svensson
Key Word Index	274