Aortic Surgery

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ISBN: 9781570596285 | 157059628X
Cover: Nonspecific Binding
Copyright: 1/1/2000

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Loma Linda Univ., CA. Text for residents, students, and clinicians. Covers pathogenesis, epidemiology, screening for heart and stroke risk, diagnostic imaging, approach and specific treatment strategies, and complications. Chapters are thumb-tabbed and includes halftone illustrations. Wire-spiral binding. DNLM: Aorta--surgery.

Pathogenesis of Aortic Aneurysmal Disease

(8)

Christopher K. Zarins

Chengpei Xu

Atheroscler

Proteolytic Enzymes and Their Inhibitors

(1)

Inflammatory Aneurysms

(1)

Genetic Predisposition

(1)

Hemodynamics and Aneurysm Formation

(1)

Experimental Observations

(1)

Conclusion

(2)

Epidemiology of Aortic Aneurysmal Disease

(11)

Peter F. Lawrence

Gustavo S.C. Oderich

Kiran Bhirangi

Prevalence

(1)

Incidence

(1)

Risk Factors

(4)

Prognostic Factors for Rupture

(2)

Associated Diseases and Survival

(1)

Conclusion

(3)

Screening for Aortic Aneurysmal Disease

(17)

William C. Krupski

Mark R. Nehler

Background

(1)

Economic Deliberations

(2)

Screening Programs

(9)

Conclusion

(5)

The Pathophysiology of Aortic Dissection

(12)

James I. Fann

D. Craig Miller

Classification and Etiology

(2)

Pathophysiology

(1)

Clinical Presentation and Diagnosis

(3)

Therapy of Acute Aortic Dissections

(3)

Long-Term Follow-up

(3)

Carotid Screening Before Aortic Surgery

(6)

Brian L. Ferris

Gregory L. Moneta

Cardiac Screening Before Aortic Surgery

(13)

Douglas J. Wirthlin

Richard P. Cambria

Pathophysiology of MI

(1)

Clinical Evaluation and Clinical Markers of CAD

(3)

Noninvasive Cardiac Evaluation

(2)

Invasive Coronary Evaluation and Intervention

(2)

Algorithm for Preoperative Cardiac Assessment

(1)

Conclusion

(3)

Diagnostic Imaging Techniques Before Aortic Surgery

(11)

Mark D. Morasch

William H. Pearce

Standard Computed Tomography

(1)

CT Angiography

(1)

Contrast-Enhanced Magnetic Resonance Angiography

(3)

Conventional Angiography

(2)

Intravascular Ultrasound (IVUS)

(1)

Imaging for Endograft Placement

(2)

Surgical Exposure for Aortic Surgery

(22)

Jeffrey L. Ballard

Exposure of the Descending Thoracic and Proximal Abdominal Aorta

(4)

Retroperitoneal Exposure of the Abdominal Aorta and Its Branch Vessles

(5)

Alternate Renal Artery Exposure

(1)

Alternate Exposure of the Proximal Abdominal Aorta

(1)

Transperitoneal Exposure of the Infrarenal Abdominal Aorta

(2)

Transperitoneal Exposure of the Renal Arteries

(1)

Transperitoneal Exposure of the Abdominal Aorta at the Diaphragmatic Hiatus

(1)

Emergency Exposure of the Abdominal Aorta and Vena Cava

(4)

Extraperitoneal Exposure of the External Iliac Arteries

(4)

Management of Small Aortic Aneurysms

101

(11)

Robert A. Duensing

Samuel E. Wilson

Incidence and Risk Factors

102

(1)

Natural History and Risk of Rupture

102

(6)

The Advent of Endoluminal Aortic Stented Grafts

108

(4)

Aortic Surgery in the Very Elderly

112

(8)

Jeffrey L. Ballard

Concomitant Vascular Disease in the Elderly

112

(1)

Operative Indications

113

(1)

Sequencing Concomitant Vascular Procedures

114

(1)

Loma Linda University Experience

115

(5)

Aortic Reconstruction for Occlusive Disease

120

(4)

Thomas F. Rehring

David C. Brewster

Evaluation

120

(1)

Reconstruction

121

(1)

Complications

122

(1)

Results

123

(1)

Extra-Anatomic Bypass for Aortoiliac Occlusive Disease

124

(10)

John Karwowski

Ronald L. Dalman

Axillofemoral Bypass

124

(1)

Indications for Axillofemoral Bypass

124

(1)

Indications for Femorofemoral Bypass

125

(1)

Technical Issues Related to AxFB and Femorofemoral Bypass Grafting

126

(3)

Results of AxFB and Femorofemoral Bypass Procedures

129

(1)

Indications for Thoracofemoral Bypass

129

(1)

Technical Issues Related to Thoracofemoral Bypass Grafting

129

(2)

Results of Thoracofemoral Bypass Procedures

131

(1)

Summary

131

(3)

Stent Deployment for Aortoiliac Occlusive Disease

134

(15)

Frank C. Taylor

Jeffrey L. Ballard

Preoprocedure Evaluation

134

(1)

Percutaneous Transluminal Angioplasty

135

(1)

Stent Devices

135

(3)

Diagnostic Angiography

138

(1)

Lesion Evaluation and Selection

138

(2)

Stent Deployment

140

(1)

Guidewire Traversal of Stenoses and Occlusion

141

(1)

Technical Endpoints

142

(1)

Complications

143

(1)

Patient Selection

144

(1)

Long-Term Results

144

(1)

Restenosis

145

(1)

Conclusion

146

(3)

Infrarenal Aortic Aneurysm Repair

149

(11)

E. John Harris, Jr.

Natural History Versus Treatment

149

(1)

Defining Perioperative Risk

150

(1)

Defining Aneurysm Morphology Risk

151

(1)

High Risk Patients

152

(1)

Results of Aortic Aneurysm Repair

153

(2)

Recommendations for Abdominal Aortic Aneurysm Repair

155

(5)

Suprarenal Aortic Aneurysm Repair

160

(11)

David Han

Peter Gloviczki

Classification

160

(1)

Clinical Evaluation and Imaging Studies

160

(1)

Surgical Indications

161

(2)

Preoperative Cardiac and Pulmonary Evaluation

163

(1)

Preparation for Surgery

163

(1)

Surgical Technique

164

(1)

Results

165

(4)

Conclusions

169

(2)

Inflammatory Abdominal Aortic Aneurysms

171

(8)

Aravind B. Sankar

Glenn C. Hunter

Clinical Presentation

171

(1)

Diagnostic Tests

172

(1)

Medical Management

173

(1)

Operative Management

173

(1)

Incidence of Rupture

174

(1)

Histologic Features

174

(1)

Etiology of Inflammatory Abdominal Aortic Aneurysms

175

(1)

The Relationship Between Retroperitoneal Fibrosis and IAAA

175

(1)

Management of Ureteral Entrapment

176

(1)

Summary

177

(2)

Ruptured Abdominal Aortic Aneurysm

179

(8)

Kaj Johansen

Pathophysiology of Aneurysm Expansion and Rupture

179

(1)

Diagnosis of Ruptured AAA

180

(1)

Preoperative Volume Resuscitation

180

(1)

Operative Management

180

(4)

Immediate Postoperative Care

184

(1)

Outcome

184

(3)

Combined Aortic and Renal Artery Reconstruction

187

(16)

James M. Wong

Kimberley J. Hansen

Prophylactic Renal Artery Repair

187

(2)

Empiric Renal Artery Repair

189

(1)

Operative Techniques

190

(1)

Mobilization and Dissection

191

(3)

Aortorenal Bypass

194

(1)

Thromboendarterectomy

195

(1)

Renal Artery Reimplantation

196

(1)

Intraoperative Duplex Sonography

196

(1)

Combined Aortic and Renal Reconstruction: Results of Operation

197

(6)

Occlusive Disease of the Upper Abdominal Aorta

203

(14)

Rajabrata Sarkar

Ronald J. Stoney

Acute Mesenteric Ischemia

203

(4)

Chronic Mesenteric Ischemia

207

(3)

Renal Artery Occlusive Disease

210

(7)

Surgical Treatment of Infected Aortic Aneurysms

217

(10)

William J. Quinones-Baldrich

Incidence

217

(1)

Bacteriology

218

(1)

Diagnosis

218

(1)

Management

219

(5)

Postoperative Care

224

(1)

Results

225

(2)

Thoracoabdominal Aortic Aneurysm Repair

227

(19)

Hazim J. Safi

Charles C. Miller III

Samer Koussayer

Clinical Presentation and Diagnostic Evaluation

228

(5)

Conventional Surgical Technique

233

(6)

Postoperative Care

239

(1)

Results

239

(3)

Profound Hypothermia

242

(1)

Conclusion

243

(3)

Alternate Approach for Type III and Type IV Thoracoabdominal Aortic Aneurysm Repair

246

(9)

Jeffrey L. Ballard

Patients and Methods

247

(3)

Results

250

(1)

Discussion

250

(5)

Endovascular Management of Aortic Aneurysmal Disease

255

(13)

Frank J. Criado

Robert J. Falconer

Historical Evolution

255

(1)

Early Designs and Initial Experience

255

(3)

Current Status (Mid-1999)

258

(3)

Principles of Stent-Graft Implantation Techniques

261

(4)

Summary and Overview

265

(3)

Endovascular Management of Aortoiliac Occlusive Disease

268

(14)

Reese A. Wain

Frank J. Veith

Covered Stents

269

(1)

Endovascular Grafts

270

(9)

Discussion

279

(1)

Conclusions

280

(2)

Management of Intra-abdominal Disease in Conjunction with Aortic Surgery

282

(10)

John J. Ricotta

Paul S. van Bemmelen

Unanticipated Concurrent Disease

283

(1)

Planning the Management of Combined Lessions

284

(1)

Aorta Surgery and Gallstones

285

(1)

Asymptomatic Gallstones: The Case for a Combined Approach

285

(1)

Asymptomatic Gallstones: The Case for a Conservative Approach

286

(1)

Gallstones with Symptoms: The Case for a Conservative Approach

286

(1)

Acute Cholecystitis

287

(1)

Aorta Surgery and Colorectal Operations

287

(1)

Aortic Surgery and Miscellaneous Procedures

288

(4)

Management of Aortic Disease and Associated Urologic Problems

292

(6)

Aileen M. Takahashi

Fred A. Weaver

Preoperative Management

293

(1)

Operative Technique

293

(3)

Postoperative Management

296

(1)

Results

296

(1)

Conclusion

297

(1)

Management of Aortic Graft Infection

298

(10)

Nancy Schindler

Keith D. Calligaro

Matthew J. Dougherty

Risk Factors/Epidemiology

298

(1)

Diagnosis

299

(1)

Bacteriology

300

(1)

Treatment

301

(1)

Intra-Abdominal Graft Infection

302

(2)

Infections of Bifurcated Grafts Limited to the Groin

304

(1)

Conclusions

305

(3)

Peripheral Vascular Manifestations of Acute Aortic Dissection

308

(11)

James I. Fann

R. Scott Mitchell

Clinical Diagnosis

308

(2)

Peripheral Vascular Complications

310

(6)

Summary

316

(3)

Surgical Treatment of Acute and Chronic Aortic Dissection Distal to the Subclavian Artery

319

(21)

Joseph S. Coselli

Cuneyt Koksoy

Zachary C. Schmittling

Scott A. LeMaire

Clinical Manifestations of Distal Aortic Dissection

321

(1)

Imaging Studies

322

(1)

Initial Management of Acute Distal Aortic Dissection

322

(2)

Surgical Treatment

324

(10)

Postoperative Management

334

(1)

Results

335

(2)

Summary

337

(3)

Endovascular Management of Aortic Dissection

340

(10)

Suzanne M. Slonim

Michael D. Dake

Charles P. Semba

Patients and Methods

340

(1)

Stent Placement

341

(1)

Balloon Fenestration

341

(4)

Results of Endovascular Stenting and Balloon Fenestration

345

(1)

Stent-Graft Repair of the Primary Tear

346

(1)

Conclusion

347

(3)

Index

350

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Aortic Surgery

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