Thoraco-Abdominal Aorta

The thoraco-abdominal aortic pathology is not uncommon and represents the ultimate challenge for vascular surgeons. Written by internationally renowned experts in vascular and cardiac surgery, in anesthesiology and in radiology, the volume deals with the newest endovascular and hybrid approaches, together with more traditional surgical strategies. It is enriched by several figures illustrating the most important diagnostic findings and depicting key techniques and strategies, thus providing a very practical approach to the main problems encountered from diagnosis to postoperative care. Vascular and cardiac surgeons, anesthesiologists, perfusionists and radiologists will find in this volume useful and updated information for the treatment of this very challenging condition.   Table of contents Section I General Principles 1 Historical Overview Angelo Argenteri. 2 Definitions and Classifications Darrell Wu, Scott A. LeMaire and Joseph S. Coselli. 3 Epidemiology and Natural History of Thoraco-Abdominal Aortic Aneurysms Louis H. Stein and John A. Elefteriades. 4 Peculiarities and Natural History of Type B Aortic Dissection Christoph A. Nienaber. 5 Pathology of the Thoraco-Abdominal Aorta Cristina Basso, Stefania Rizzo and Gaetano Thiene. 6 Pathophysiology of Aortic Cross-clamping Leslie M. Cuzick, Alfredo R. Lopez and John R. Cooper Jr. 7 Clinical Presentation and Evidence-based Indications to Treatment Attilio Odero, Vittorio Arici and Antonio Bozzani.- Section II Imaging 8 Diagnostic Imaging of the Aortic Arch and Thoraco-Abdominal Aorta Giovanni Simonetti, Giovanni Gandini, Gian Paolo Cornalba and Maria Carla Cassinis. 9 Magnetic Resonance Imaging of the Aorta Antonio Esposito, Silvia Ravelli, Maurizio Papa and Alessandro Del Maschio. 10 Transesophageal Echocardiography of the Aorta Michele Oppizzi and Eustachio Agricola. 11 Preoperative Planning and Sizing for Aortic Endovascular Procedures Germano Melissano, Efrem Civilini and Roberto Chiesa. 12 Assessment of the Spinal Cord Vasculature with Computed Tomography Germano Melissano, Luca Bertoglio and Roberto Chiesa. 13 Assessment of the Spinal Cord Vasculature with Magnetic Resonance Angiography Robbert J. Nijenhuis, Michael J. Jacobs and Walter H. Backes. 14 Role of Cardiac CT in Assessment of Patients with Thoraco-Abdominal Aortic Aneurysm Pietro Spagnolo and Manuela Giglio.- Section III Anesthetic Management 15 Preoperative Care of Patients with Thoraco-Abdominal Aortic Aneurysms Fabio Guarracino and Rubia Baldassarri. 16 Cardiovascular Evaluation, Risk Stratification, and Management of Postoperative Myocardial Infarction Federico Pappalardo and Giulio Melisurgo. 17 Perioperative Pharmacological Cardiac Protection Giovanni Landoni and Elena Bignami. 18 Prevention and Treatment of Renal Insufficiency Tiziana Bove and Fabrizio Monaco. 19 Prevention and Treatment of Respiratory Insufficiency Roberta Mennella and Alberto Zangrillo. 20 Anesthetic Management of Open Thoraco-Abdominal Aortic Procedures – The Texas Heart Institute Experience John R. Cooper Jr. 21 Anesthetic Management of Thoraco-Abdominal Open Procedures – The Mount Sinai Experience Javier G. Castillo, George Silvay and Gregory W. Fischer. 22 Perioperative Cardiac Monitoring with Transesophageal Echocardiography Brian Barrick, Susan M. Martinelli and Madhav Swaminathan. 23 Hemostasis, Bleeding, Blood-sparing Strategies, and Allogeneic Transfusions in Thoraco-Abdominal Aortic Aneurysm Surgery Valter Casati and Armando D’Angelo. 24 Left Heart Bypass Monica De Luca and Francesco De Simone. 25 Management of Postoperative Complications Remo Daniel Covello and Alberto Zangrillo.- Section IV Treatment Strategies and Techniques 26 Surgical Technique for Extent I, II, and III Thoraco-Abdominal Aortic Aneurysms – The Texas Heart Institute Experience Joseph S. Coselli and Scott A. LeMaire. 27 Surgical Technique for Extent I, II, and III Thoraco-Abdominal Aortic Aneurysms – The San Raffaele Experience Roberto Chiesa, Germano Melissano and Efrem Civilini. 28 Surgical Technique for Extent IV Thoraco-Abdominal Aortic Aneurysms Laurent Chiche, Yannick Le Manach and Edouard Kieffer. 29 Surgical Replacement of the Entire Aorta LiZhong Sun, JunMing Zhu and RuiDong Qi. 30 The Frozen Elephant Trunk Technique Roberto Di Bartolomeo, Marco Di Eusanio, Luca Di Marco and Davide Pacini. 31 Deep Hypothermic Circulatory Arrest for Thoracic Aneurysmectomy through the Left Chest Edouard Kieffer and Laurent Chiche. 32 Neurological Monitoring with Evoked Potentials Michael J. Jacobs and Werner H. Mess. 33 Spinal Cord Ischemia Germano Melissano, Luca Bertoglio, Efrem Civilini and Roberto Chiesa. 34 Endovascular Treatment of Thoraco-Abdominal Aortic Aneurysm with Branched Endografts – The Nurnberg-Cleveland Experience Eric L.G. Verhoeven and Roy K. Greenberg. 35 Endovascular Treatment of Thoraco-Abdominal Aortic Aneurysm with Branched Endograft – The Perugia-Rome Experience Gianbattista Parlani, Fabio Verzini, Deborah Brambilla and Piergiorgio Cao. 36 Hybrid Procedures for Thoraco-Abdominal Aortic Aneurysm – The London Experience Frédéric Cochennec, Celia Riga and Nicholas Cheshire. 37 Hybrid Procedures for Thoraco-Abdominal Aortic Aneurysm – The San Raffaele Experience Roberto Chiesa, Yamume Tshomba, Germano Melissano and Davide Logaldo.- Section V Specific Problems 38 Endovascular Treatment of Type B Dissections Rossella Fattori, Luigi Lovato and Vincenzo Russo. 39 The Sandwich Technique for Type B Dissection Armando C. Lobato. 40 Specific Surgical Problems in Marfan Patients Marc Schepens and Willem Ranschaert. 41 Open Treatment for Aortic Trauma Kenneth L. Mattox. 42 Endovascular Treatment of Aortic Isthmic Rupture Enrico M. Marone, Andrea Kahlberg and Roberto Chiesa. 43 Redo Open and Endovascular Procedures after Open Thoraco-Abdominal Aortic Aneurysm Repair Yamume Tshomba, Germano Melissano and Roberto Chiesa. 44 Endovascular or Open Treatment of Aortic Coarctation (Typical and Atypical) Edward B. Diethrich. 45 Intramural Hematoma and Penetrating Aortic Ulcers Arno von Ristow, Bernardo V. Massière and Felippe Beer. 46 Aortoesophageal and Aortobronchial Fistulas Roberto Chiesa, Andrea Kahlberg, Germano Melissano and Enrico M. Marone. 47 Anomalies and Variant Anatomy of the Aorta and the Supra-aortic Vessels – Additional Challenges Met by Hybrid Procedures Carlo Setacci, Pasqualino Sirignano, Gianmarco de Donato and Francesco Setacci. 48 Quality of Life after Thoraco-Abdominal Aortic Aneurysm Repair Robert S. Crawford and Richard P. Cambria. 49 Relative Risk of Paraplegia between Open, Hybrid, and Endovascular Procedures Ramin E. Beygui and Ronald L. Dalman. 50 Statistical Analysis of Operative Results Carlo Setacci, Emiliano Chisci, Pasqualino Sirignano and Francesco Setacci. 51 Communication with the Patient: Ethical Decisions Gianna Zoppei, Alfredo Anzani and Federica Alemanno. 52 Postoperative Rehabilitation Guido Felicetti. 53 Psychological Approach to the Aneurysm Patient Lucio Sarno, Valentina Di Mattei, Chiara Motta and Silvana Villa.- Section VI Advances in Prosthetic Management 54 Advances in Vascular Graft for Thoraco-Abdominal Aortic Open Surgery Olivier Goëau-Brissonnière, Isabelle Javerliat and Marc Coggia. 55 Hybrid Procedures with Dedicated Grafts for Extensive Aortic Aneurysms Giampiero Esposito, Samuele Bichi and Roberto Di Bartolomeo. 56 The Cook Zenith Devices Stephan Haulon, Jennifer A. McCann-Brown, Blayne A. Roeder and Jarin A. Kratzberg. 57 The Bolton Relay Devices Jasper W. van Keulen, Anas Zarka, Frans L. Moll and Vincent Riambau. 58 The Jotec Devices Burkhart Zipfel. 59 The Medtronic Devices – Valiant Stent-graft Matt Thompson, Ian Loftus and Rob Morgan. 60 The Gore TAG Devices Dittmar Böckler. 61 Prophylactic Use of Silver-acetate-coated Polyester Dacron Graft in Aortic Disease for Prevention of Graft Infection Mauro Ferrari, Basilio Crescenzi, Sabrina Ceragioli and Michele Marconi. 62 Hemostatic and Structural Adjuncts Carlo Setacci, Giancarlo Palasciano, Pasqualino Sirignano and Francesco Setacci