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Aortic Arch Surgery: Principles, Strategies and Outcomes



Aortic Arch Surgery: Principles, Strategies and Outcomes

Joseph S. Coselli MD (Editor), Scott A. LeMaire MD (Editor)

ISBN: 978-1-444-30052-9 January 2009 Wiley-Blackwell 400 Pages



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.



PART I: General Principles.

Chapter 1 Historical Perspective – The Evolution of Aortic Arch Surgery.

Chapter 2 Surgical Anatomy.

Chapter 3 Natural History: Evidence-based Indications for Operation.

PART II: Imaging Techniques.

Chapter 4 Aortography.

Chapter 5 Computed Tomography.

Chapter 6 Magnetic Resonance Imaging.

Chapter 7 Echocardiography.

PART III: Strategies for Intraoperative Management and Neurologic Protection.

Chapter 8 Anesthetic Management.

Chapter 9 Options for Exposure: From Minimal Access to Total Aortic Replacement.

Chapter 10 Monitoring the Brain: Near Infrared Spectroscopy.

Chapter 11 Monitoring the Brain: Jugular Venous Oxygen Saturation.

Chapter 12 Monitoring the Brain: Transcranial Doppler.

Chapter 13 Hypothermic Circulatory Arrest.

Chapter 14 Direct Antegrade Cerebral Perfusion.

Chapter 15 Antegrade Cerebral Perfusion via the Axillary Artery.

Chapter 16 Retrograde Cerebral Perfusion.

Chapter 17 Perfusion Strategies for Brain Protection: Rationale for a Selective Approach.

PART IV: Options for Aortic Repair.

Chapter 18 Distal Anastomosis First: The Traditional Approach.

Chapter 19 Alternative Approaches: The Arch First Technique.

Chapter 20 Alternative Approaches: The Proximal First Technique.

Chapter 21 Alternative Approaches: Trifurcated Graft Technique.

Chapter 22 Alternative Approaches: Intraluminal Aortic Ring.

Chapter 23 Alternative Approaches: Endovascular Stent-Grafts.

Chapter 24 Surgical Adhesives.

PART V: Surgical Treatment of Specific Problems.

Chapter 25 Congenital Anomalies in Adults.

Chapter 26 Acute Dissection.

Chapter 27 Chronic Dissection.

Chapter 28 Degenerative Aneurysms.

Chapter 29 Trauma.

Chapter 30 Atherosclerotic Occlusive Disease.

Chapter 31 Inflammatory Diseases.

Chapter 32 Resection for Malignancy.

PART VI: Neurologic Complications.

Chapter 33 Pathophysiology.

Chapter 34 Evaluation and Management.

Chapter 35 Outcomes Measurement: Neuropsychological Testing.

Chapter 36 Outcomes Measurement: Biochemical Markers.


"The editors have distilled this complex topic into a comprehensive source of principles that have been established over decades as well as multiple differing surgical techniques that highlight the ongoing development of this field." (Doody's Reviews, May 2009)
● A comprehensive reference covering standard and alternative approaches to the surgical management of aortic arch pathology in adults
● Internationally recognized authors and contributors
● Packed with useful illustrations and images
● A valued resource for thoracic, cardiovascular, and cardiac surgeons