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Author : Charles Abraham Yankah Publisher : Springer Science & Business Media Page : 618 pages File Size : 36,34 MB Release : 2010-03-01 Category : Medical ISBN : 3798518696
The surgical treatment of the aortic valve and root disease, organic and ischemic mitral regurgitation, and endocarditis has made great strides. This book focuses on surgical approaches to and various trends in aortic valve repair, aortic root and valve replacement with pulmonary autograft, aortic allograft, stentless and stented bioprostheses.
The surgical results of bioprosthetic aortic valve replacement in the 1960s and 1970s were not very satisfactory. The search for the ideal substitute for the diseased aortic valve led Donald Ross to develop the concept of the aortic allograft in 1962 and the pulmonary autograft in 1967 for subcoronary implantation, and later, in 1972, as a full root for replacing the aortic root in the infected aortic valve with a root abscess. The aortic al- graft and pulmonary autograft surgical procedures were revo- tionary in the history of cardiac valve surgery in the last m- lennium because they compete well with the bioprosthesis, are nonthrombogenic (thus, requiring no postoperative anticoa- lation), are resistant to infection, restore the anatomic units of the aortic or pulmonary outflow tract, and offer unimpeded blood flow and excellent hemodynamics, giving patients a b- ter prognosis and quality of life. Surgery for congenital, degenerative, and inflammatory aortic valve and root diseases has now reached a high level of maturity; yet an ideal valve for valve replacement is not available. The- fore, surgeons are focusing their skills and their clinical and s- entific knowledge on optimizing the technical artistry of val- sparing procedures.
This textbook provides practical tips on the conduct of aortic surgery, from the aortic valve to the iliac arteries. It is organized as a series of Plates, each with a key central illustration, followed by bullet items of accompanying explanatory text. The accompanying text concentrates on specific, critical “do’s and don’ts” that promote and enhance patient safety. Chapters include dozens of color illustrations by one of the nation’s premier medical illustrators, along with selected classic “pen and ink” line drawings. Each central illustration is accompanied by additional secondary figures interspersed at intervals within the accompanying text. Each “practical tip” has an accompanying short (15-30 second) video demonstrating vividly the specific didactic point being made in each Plate. Chapters provide Q&A sections, to promote an interactive feel and experience. The textbook shares practical, potentially life-saving tips—gleaned from over three decades of experience in thousands of aortic operations—regarding virtually every standard operation that arises in aortic surgery. Practical Tips in Aortic Surgery will be an essential resource for surgeons and trainees at all levels of experience: residents and fellows, surgical physician assistants, surgical nurses and technicians, and medical students. The book directly targets two surgical specialties: Cardiac Surgery and Vascular Surgery
Author : Joseph S. Coselli Publisher : John Wiley & Sons Page : 400 pages File Size : 30,44 MB Release : 2009-01-26 Category : Medical ISBN : 1444300520
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.
This book is the first of its kind - a comprehensive reference for anesthesia and perioperative clinicians involved in aortic surgery. With a primary focus on anesthesia for various aortic surgical procedures, including endovascular aortic surgery, the title also provides expanded coverage of CNS monitoring and protection, intraoperative transesophageal echocardiography, renal and spinal cord protection during surgery, management of aortic trauma, and postoperative care. Written by top cardiac anesthesiologists, surgeons, and intensivists, this indispensable reference provides everything you need to know about the burgeoning field of aortic surgery in one handy volume.
This edited volume Cardiac Surgery Procedures is a collection of reviewed and relevant research chapters, offering a comprehensive overview of recent developments in the field. The book comprises single chapters authored by various researchers and edited by experts active in the research area. All chapters are complete in themselves but united under a common research study topic. This publication aims at providing a thorough overview of the latest research efforts by international authors and opens new possible research paths for further novel developments.
Several techniques have evolved during the past few decades for addressing lesions affecting the aortic valve, aortic root, and proximal ascending aorta. As diseases affecting the aortic valve and aortic root are varied, it is not surprising that several operative techniques have evolved and some of these techniques are based on achieving the long term durability, hemodynamic advantage, and perhaps the increased survival of the patients. The aortic root is attached to the left ventricular outflow tract and continues as the proximal ascending aorta. The proximal ascending aorta is composed of sinus aorta or aortic sinuses from which the aortic valve is suspended. The diseases can involve the aortic valve, sinus aorta, and aortic root in common such as in aortic aneurysms, ascending aortic dissection, and bacterial endocarditis. Surgical corrective procedures to address these lesions are so described in common with procedures on the aortic valve. During the past decade with the emergence of new technologies the aortic valve and aortic root surgery has changed with introduction of procedures such as catheter based interventions for aortic valve replacement, mini sternotomy approach, aortic stent grafting and valve replacement, and introduction of endoscopic surgery and robotics. Despite these advances, the basic surgical techniques on the aortic valve have not changed and these basic surgical procedures are described in this text in detail in addition to xenograft and homograft replacement of the aortic root and aortic valve. In addition to the detailed description of the surgical techniques involving the aortic root and aortic valve, a brief discussion of the normal anatomy of the aortic root, aortic valve, and closely related anatomical structures is provided to enable the readers to perform surgical procedures which are safe without untoward technical complications. Several practical issues encountered at the operating table while performing certain surgical techniques are addressed for accomplishing the operative techniques with ease.
This book follows the concept of perceiving the entire aorta as one functional organ assuming that all individual pathologies and local interventional procedures affect the up- and downstream segments with consequences for complications and disease progression. Thus any preventive or surgical strategy must recognize the aortic disease in its entirety. The book intends to cover the full spectrum of aortic pathologies, mechanisms and functional interplay. The latest available diagnostic tools and options for surgical treatment are presented by the foremost experts in their field in state-of-the-art reviews. The reader is provided with the most current and comprehensive insight into all fundamental and clinical aspects of aortic disease. All chapters are carefully complemented with figures and illustrations.
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.