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
Table of Contents Contents. Preface.
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.