Wiley-Blackwell, 2009. — 400 p. — ISBN: 978-1-444-30052-9.
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
complications
Abundant 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.
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.