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Advances in Treatments for Aortic Valve and Root Diseases

https://libcat.nshealth.ca/en/permalink/provcat42765
Khalil Fattouch, Patrizio Lancellotti, Mani A. Vannan, Giuseppe Speziale, editors. --Cham: Springer , c2018.
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This book describes the different aspects of aortic valve and root diseases including comprehensive discussion of the state-of-the-art diagnostic imaging options, disease risk stratification, selection of candidates for valve repair or percutaneous intervention, and most recent therapeutic options. The growing prevalence of valvular heart disease represents a major challenge in terms of short- and long-term management and surveillance. Aortic valve diseases, including aortic stenosis and regurg…
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Other Authors
Fattouch, Khalil
Lancellotti, Patrizio
Vannan, Mani A.
Speziale, Giuseppe
Responsibility
Khalil Fattouch, Patrizio Lancellotti, Mani A. Vannan, Giuseppe Speziale, editors
Place of Publication
Cham
Publisher
Springer
Date of Publication
c2018
Physical Description
1 online resource (vii, 418 p.) : 177 illus., 151 illus. in color
ISBN
9783319664835
9783030097738 (print ed.)
9783319664828 (print ed.)
9783319664842 (print ed.)
Subjects (MeSH)
Aortic Diseases - surgery
Specialty
Cardiovascular Surgical Procedures
Abstract
This book describes the different aspects of aortic valve and root diseases including comprehensive discussion of the state-of-the-art diagnostic imaging options, disease risk stratification, selection of candidates for valve repair or percutaneous intervention, and most recent therapeutic options. The growing prevalence of valvular heart disease represents a major challenge in terms of short- and long-term management and surveillance. Aortic valve diseases, including aortic stenosis and regurgitation, are among the most frequent of these, while the number of cases of aortic root disease is also on the rise. Aortic valve disease treatment options include valve surgery, valve repair, minimally invasive valve surgery, and percutaneous approaches and all are covered in this volume. Advances in Treatments for Aortic Valve and Root Diseases is a highly illustrated, case oriented reference aimed at cardiology fellows in training, while also helpful to surgeons, cardiologists, imagers, interventionalists, as well as other clinicians and students involved in the diagnosis and treatment of aortic valve and root diseases.
Contents
Part I. Anatomy -- 1. The Clinical Anatomy of the Aortic Root -- 2. Aortic Root Anatomy and Physiology -- 3. Functional Anatomy and Dynamics of the Aortic Root -- Part II. Imaging -- 4. Multimodality Imaging Assessment of Aortic Stenosis -- 5. Multimodality Imaging Assessment of Aortic Regurgitation -- 6. Stress Echocardiography in Aortic Valve Disease -- 7. Multimodality Imaging Assessment of Prosthetic Aortic Valve -- 8. Aortic-Mitral Coupling -- 9. 4D Flow Imaging in Aortic Disease -- Part III Aortic Valve Annuloplasty Techniques -- 10. External Aortic Ring Annuloplasty to Standardize Aortic Valve Repair -- 11. Aortic Annulus Stabilization Using Internal Rings -- Part IV. Aortic Root Surgery Techniques -- 12. Root Replacement with Biological Valved Conduits -- 13. Aortic Valve Sparing: Reimplantation Technique -- 14. Right Anterior Mini-Thoracotomy -- 15. Modified David Operation: A New Simple Method Using a Single Inflow Suture Line -- 16. Redo Surgery for Aortic Valve and Root: Demographics and Operative Options -- Part V. Minimal Invasive Aortic Valve Surgery -- 17. Mini-Sternotomy -- 18. Right Anterior Mini-Thoracotomy for Aortic Valve Replacement -- 19. Totally Endoscopic Aortic Valve Replacement (TEAVR) -- 20. Sutureless Aortic Valve Implantation -- Part VI. Transcatheter Aortic Valve Implantation -- 21 Trans-Catheter Aortic Valve Replacement: Procedure Planning and Guidance -- 22. Transfemoral TAVI: Devices and Techniques -- 23. Transcatheter Aortic Valve Implantation (TAVI) Using the Transapical Approach -- 24. Hot Topics in TAVI: Paravalvular Leak, Thrombosis, PM Implantation, Stroke, Durability -- 25. The Impact of Surgical and Trans-Catheter Aortic Valve Replacement on Endothelial Function: New Markers Ahead -- 26. Risk Assessment -- Part VII. Heart Valve Clinic -- 27. The Heart Valve Centre.
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Advances in understanding aortic diseases

https://libcat.nshealth.ca/en/permalink/provcat29927
--Tokyo: Springer Japan , c2009.
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Anesthesia and perioperative care for aortic surgery

https://libcat.nshealth.ca/en/permalink/provcat27877
Subramaniam, Kathirvel. --New York, NY: Springer , 2011.
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Author
Subramaniam, Kathirvel
Other Authors
Park, Kyung
Place of Publication
New York, NY
Publisher
Springer
Date of Publication
2011
ISBN
9780387859224
Subjects (MeSH)
Anesthesia
Perioperative Care
Aortic Diseases - surgery
Format
e-Book
Location
Online
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Atlas of advanced endoaortic surgery

https://libcat.nshealth.ca/en/permalink/provcat32322
Jacques Kpodonu, Stéphan Haulon, editors. --London: Springer , c2013.
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Since the first endovascular repair of abdominal aortic aneurysm was reported in the early 1990s, there has been an explosion in the volume and complexity of endovascular and hybrid procedures for the treatment of aortic diseases. Endovascular techniques and technologies have evolved from the initial devices that allowed treatment of only the most straightforward infrarenal aneurysms with appropriately long and straight necks to the scenario that pertains today, wherein a customized endovascula…
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Other Authors
Kpodonu, Jacques
Haulon, Stéphan
Responsibility
Jacques Kpodonu, Stéphan Haulon, editors
Place of Publication
London
Publisher
Springer
Date of Publication
c2013
Physical Description
1 online resource (xviii, 169 p. : 329 ill., 167 ill. in color)
ISBN
9781447140276
Subjects (MeSH)
Aortic Diseases - surgery
Endovascular Procedures - instrumentation
Subjects (LCSH)
Interventional radiology
Cardiology
Heart - Surgery
Endoscopic surgery
Abstract
Since the first endovascular repair of abdominal aortic aneurysm was reported in the early 1990s, there has been an explosion in the volume and complexity of endovascular and hybrid procedures for the treatment of aortic diseases. Endovascular techniques and technologies have evolved from the initial devices that allowed treatment of only the most straightforward infrarenal aneurysms with appropriately long and straight necks to the scenario that pertains today, wherein a customized endovascular solution is almost always available for even the most complex aortic aneurysm. There is growing evidence in favor of the endovascular treatment of these aneurysms, which extend above the visceral aortic segment, as well as for the treatment of thoracic aortic dissection and aneurysm. These new endoaortic surgical procedures have been proven to shorten hospitalization, reduce morbidity and mortality, speed recovery, and hasten return to normal life, while their evolution and conceptual design would obviously not be possible without the simultaneous explosion in medical imaging technologies that has taken place over a similar time period. The Atlas of Advanced Endoaortic Surgery has been compiled to engage its readers in a comprehensive yet concise manner, with numerous illustrations of real clinical cases. It provides a useful tool for practitioners as they plan and execute treatment of patients with these various aortic pathologies, and serves as a useful reference as this segment of the field continues to evolve.
Contents
Forewords -- Acknowledgement -- Dedication -- Preface -- The Cardiovascular Hybrid Operating Room -- Advanced Computed Tomography Imaging, Workstations, and Planning Tools -- Intravascular Ultrasound Imaging Applications for Endoaortic Surgery -- Devices and Accessories in Endoaortic Surgery -- Access Techniques -- Spinal Cord Protection -- Endovascular Applications for Abdominal Aortic Pathologies -- Endovascular Applications for Aortoiliac Pathologies -- Endovascular Applications for Thoracic Aortic Pathologies -- Endovascular Applications for Thoracoabdominal Pathologies -- Endovascular Applications for Arch-Aortic Pathologies -- Complications in Endoaortic Surgery: Endoleaks After Endovascular Repair of the Abdominal Aorta -- Future Technology and Customized Solutions for Endoaortic Surgery.
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e-Book
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Controversies in aortic dissection and aneurysmal disease

https://libcat.nshealth.ca/en/permalink/provcat33903
Robert S. Bonser, Domenico Pagano, Axel Haverich, Jorge Mascaro, editors. --London: Springer , c2014.
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This book reviews the surgical management of patients with aortic disease, revealing many options open to cardiovascular specialists in this often controversial area of management. It reviews each controversy and provides clinical information for cardiac surgery, and discusses the spectrum of disorders and their management. With the knowledge base in this discipline changing rapidly, Controversies in Aortic Dissection and Aneurysmal Disease meets an important requirement to consolidate the wide…
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Bonser, Robert S
Responsibility
Robert S. Bonser, Domenico Pagano, Axel Haverich, Jorge Mascaro, editors
Place of Publication
London
Publisher
Springer
Date of Publication
c2014
Physical Description
1 online resource (xx, 457 pages)
ISBN
9781447156222 (electronic bk.)
9781447156215
Subjects (MeSH)
Aneurysm, Dissecting
Aortic Aneurysm
Aortic Diseases - surgery
Subjects (LCSH)
Dissecting aortic aneurysms
Abstract
This book reviews the surgical management of patients with aortic disease, revealing many options open to cardiovascular specialists in this often controversial area of management. It reviews each controversy and provides clinical information for cardiac surgery, and discusses the spectrum of disorders and their management. With the knowledge base in this discipline changing rapidly, Controversies in Aortic Dissection and Aneurysmal Disease meets an important requirement to consolidate the wide-ranging information on which clinicians must base their practice. It is directed towards surgeons, physicians, and healthcare workers involved in the care of patients requiring cardiac, cardiothoracic and cardiovascular surgery. This book will be an essential resource for these professionals looking to accelerate the translation of basic research findings into clinical study and practice.
Contents
Part I. Advance Recognition and Protection of Those at Risk of Acute Aortic Dissection -- 1. The Clinical Genetics of Thoracic Aortic Disease -- 2. When Should Surgery Be Performed in Marfan Syndrome and Other Connective Tissue Disorders to Protect Against Type A Dissection? -- 3. The Aortopathy of Bicuspid Aortic Valves -- 4. Size Matters: Intervention Thresholds for Dissection Prophylaxis in the Ascending Aorta -- 5. The Exostent Versus Alternative Strategies: The Role of an External Support Sleeve in Aortic Prophylaxis -- Part II. Recognition and Diagnosis of Type A Dissection -- 6. What Is An Acute Aortic Syndrome? Pathology, Pathogenesis, Definitions, and Diagnostic Categorization of Conditions Affecting the Proximal Aorta -- 7. Diagnostic Delay in Acute Aortic Syndromes: How Sensitive and Specific are Clinical Features in Disease Recognition -- 8. Presentation in a Shocked State: The Impact and Management of Pericardial Tamponade -- Part III. The Surgery of Acute Type A Dissection -- 9. Arterial Cannulation in Type A Acute Aortic Dissection: The Debate -- 10. Rationale for a Conservative Approach and Arguments Against Aggressive Surgical Approaches -- 11. The Aortic Root in Acute Type A Dissection: Rationale and Outcome for an Increased Use of Root Replacement -- 12. Have Hemiarch Replacements and Adhesives Improved Outcomes in Acute Type A Dissection? -- 13. Acute Type A Dissection: What Has Been Learnt from the International Registry? -- 14. Does an Open Distal Anastomosis Confer Prognostic Benefit in Acute Dissection Surgery? -- 15. Lessons Learned from the German Registry for Acute Aortic Dissection Type A (GERAADA) and Expectations for the Future -- 16. The Prospects for Total Endovascular Repair of Acute Type A Aortic Dissection -- 17. Intramural Hematoma of the Ascending Aorta: Diagnosis, Management and Outcome -- Part IV. If I Had an Acute Type I Aortic Dissection, How Would I Want It to Be Managed? -- 18. Aortic Valve Resuspension and Graft Replacement of the Ascending Aorta and Proximal Hemiarch During Moderate Hypothermic Systemic Circulatory Arrest and Antegrade Cerebral Perfusion for Repair of Acute Aortic Dissection -- 19. Surgical Management of Acute Type A Dissection -- 20. If I Had an Acute Type A Aortic Dissection: Professional and Private Reflections from a Fictive Patient -- 21. Reflection on Treating Acute Aortic Dissection: If I Had Dissection -- 22. If I Had an Acute Type A Dissection, How I Would Like to Be Managed? -- 23. Operative Management of My Own Dissection -- Part V. Complications of Aortic Dissection—Malperfusion -- 24. When and How Stroke Occurs in Type A Dissection—The Interaction of Pre- and Intra- Operative Factors -- 25. Intra-Operative Brain Malperfusion During Aortic Dissection Surgery—Can This Be Identified and Avoided -- 26. Brain Protection in Surgery for Acute Type A Aortic Dissection -- Part VI Complications of Dissection: The Patent False Lumen -- 27. Is Bare-Metal Stenting a Worthwhile Adjunctive Technique in Acute Type A Dissection? -- 28. What Role for Glues, Sealants and Adhesives in Acute Aortic Dissection Repair? -- Part VII. Acute Type B Dissection and Related Syndromes -- 29. Complicated and Uncomplicated Acute Type B Aortic Dissection: Definitions and Approach in the Light of IRAD and INSTEAD -- 30. Conservative Management of Acute Type B Dissection -- 31. The Case for Endovascular Intervention in All Acute Type B Dissections -- 32. Whither the PETTICOAT Technique -- 33. What Can Thoracic Endovascular Aortic Repair Learn from Abdominal Endovascular Aortic Repair? -- 34. Is There Any Role for Open Surgery Via Thoracotomy in Acute Type B Dissection? -- 35. Intramural Hematoma of the Descending Aorta—Natural History and Treatment -- 36. Penetrating Atherosclerotic Ulcer—Who Should Be Treated? -- 37. The Thoracoabdominal Aorta in Marfan Syndrome -- 38. Is There a Role for TEVAR in Marfan’s Syndrome? -- 39. Devastating Complications of TEVAR—A EuREC Summary and Prospects for Improvement.
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Endovascular Aortic Repair : Current Techniques with Fenestrated, Branched and Parallel Stent-Grafts

https://libcat.nshealth.ca/en/permalink/provcat41256
Gustavo S. Oderich, editor. --Cham: Springer , 2017.
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This text provides a comprehensive, state-of-the art review of complex endovascular aortic techniques. It will serve as a valuable resource for vascular and cardiovascular surgeons, interventionalists, cardiologists, clinicians, bioengineers and researchers with an interest in complex aortic diseases. The book reviews imaging modalities, diagnostic work up and novel endovascular approaches. Technical aspects are provided by experts in the field, with over 600 illustrations and photographs of ke…
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Other Authors
Oderich, Gustavo S
Responsibility
Gustavo S. Oderich, editor
Place of Publication
Cham
Publisher
Springer
Date of Publication
2017
Physical Description
1 online resource (xxvi, 757 pages) : 626 illus., 588 illus. in color
ISBN
9783319151922
9783319151915 (print ed.)
Subjects (MeSH)
Aortic Diseases - surgery
Endovascular Procedures - methods
Stents
Abstract
This text provides a comprehensive, state-of-the art review of complex endovascular aortic techniques. It will serve as a valuable resource for vascular and cardiovascular surgeons, interventionalists, cardiologists, clinicians, bioengineers and researchers with an interest in complex aortic diseases. The book reviews imaging modalities, diagnostic work up and novel endovascular approaches. Technical aspects are provided by experts in the field, with over 600 illustrations and photographs of key steps for each type of procedure. Results of epidemiologic studies and national databases are summarized, as well as large institutional experiences. An evidence-based approach is used for recommendations regarding best therapies. Other highlights of this unique text include: A new, state-of-the-art review on fenestrated, branched and parallel stent-graft techniques from procedure planning to stent design and implantation. A text dedicated to a topic that has been increasingly recognized by vascular specialists as a priority area in aortic management. An updated overview of current designs and future developments. Special attention to technical details of the procedures with use of illustrations. Technical tips on how to get out of problems during these challenging procedures.Endovascular Aortic Repair: Current Techniques with Fenestrated, Branched and Parallel Stent-Grafts will serve as a very useful resource for physicians and researchers dealing with and interested in complex aortic diseases. It will provide a concise yet comprehensive summary of the current status of the field that will help guide patient management and stimulate investigative efforts. All chapters are written by experts in their fields and include the most up to date scientific and clinical information.
Contents
Part I: Basic Concepts, Mechanisms of Disease and Pre-Operative Planning -- 1. Historical Aspects of Evolution of Fenestrated and Branched Technology -- 2. Mechanisms of Disease and Natural History -- 3. Genetic Considerations in Patients with Aortic Disease -- 4. Normal Aortic Anatomy and Variations of Its Branches -- 5. Classification Systems Relevant to Complex Endovascular Aortic Repair -- 6. Intravascular Ultrasound to Guide Complex Endovascular Aortic Repair -- 7. The Spinal Cord Collateral Network: Implications for Endovascular Aortic Repair -- 8. Role of Fusion Cone-Beam Computed Tomography Imaging During Complex Aortic Procedures -- 9. 3D Printing to Create Templates for Patient-Specific Fenestrated Stent Grafts -- 10. Preoperative Evaluation and Clinical Risk Assessment -- 11. Computed Tomography/Computed Tomography Angiography -- 12. Duplex Ultrasound for Evaluation and Surveillence of Fenestrated, Branched, and Parallel Stent-Grafts -- 13. Magnetic Resonance Angiography for the Initial Assessment and Follow-Up of Acute Aortic Syndromes -- Part II: Building Advanced Endovascular Aortic Programs -- 14. Managing Endovascular Inventory -- 15. Integration of Clinical Practice, Research, Innovation, and Education -- 16. Endovascular Training and Learning Curve for Complex Endovascular Procedures -- 17. Regulatory Pathway for Physician-Sponsored Studies -- 18. Developing Physician-Sponsored Investigational Device Exemption Protocols -- Part III: Techniques of Implantation and Adjunctive Procedures to Minimize Complications -- 19. Principles of Side Branch Incorporation and "Bail Out" Maneuvers -- 20. Strategies to Minimize Risk of Spinal Cord Injury During Complex Endovascular Aortic Repair -- 21. Strategies to Minimize Risk to Acute Kidney Injury During Complex Endovascular Aortic Repair -- 22. Anesthetic Considerations for Complex Endovascular Aortic Repair -- 23. Techniques of Illiogrmotsl Conduit for Endovascular Repair -- Part IV: Visceral Artery Incorporation -- 24. Current Device Designs to Incorporate Visceral Arteries -- 25. Selection of Optimal Bridging Stents for Fenestrations and Branches -- 26. Size and Planning Fenestrated and Multibranched -- 27. Limitations for Branch Incorporation and Implications on Off-the-Shelf Designs -- 28. Techniques of Implantation of Fenestrated and Multibranched Stent Grafts for Visceral Artery Incorporation -- 29. Results of Fenestrated, Branched, and Parallel Stent Grafts for Pararenal and Thoracoabdominal Aortic Aneurysms -- 30. Parallel Graft Techniques to Treat Complex Aortic Aneurysms Involving the Renal and Mesenteric Arteries -- 31. Hybrid Repair Using Visceral Debranching and Aortic Stent Grafts to Treat Complex Aortic Aneurysms -- Part V: Arch Branch Incorporation -- 32. Current Device Deisgns to Incorporate Supra-aortic Arch Trunks for Endovascular Repair -- 33. Technical Aspects and Results of Branched Endografts for Repair of Aortic Arch Aneurysms -- 34. Techniques and Results of Endovascular in Situ Arch Fenestrations -- 35. Parallel Stent Graft Techniques to Facilitate Endovascular Repair in the Aortic Arch -- 36. Techniques and Results of Aortic Arch Hybrid Repair -- 37. Techniques and Results of Hybrid Arch Replacement -- Part VI: Internal Iliac Artery Branch Stent-Grafts -- 38. Iliac Branch Device Designs -- 39. Preoperative Planning and Sizing for Hiac Branch Devides -- 40. Techniques of Endovascular Repair of Aorto-Iliac Aneurysms Using Iliac Branch Devices -- 41. Results of Iliac Branch Stent-Grafts -- 42. Technical Aspects and Results of Hybrid Iliac Revascularization -- 43. Off-Label Use of Aortic Devices and Parallel Stent Grafts for Iliac Revascularization -- Part VII: Physician-Modified Endovascular Stent-Grafts -- 44. Clinical Applications and Regulatory Issues for Physician-Modified Endovascular Grafts (PMEGs) -- 45. Techniques of Physician-Modified Endovascular Grafts (PMEGs) for Incorporation of Renal Mesenteric Arteries -- Part VIII: Complications of Complex Endovascular Aortic Repair -- 46. Thromboembolic Complications During Endovascular Repair of Complex Aortic Aneurysms -- 47. Spinal Cord Injury Prevention and Management -- 48. Renal Function Deterioration in Complex Aortic Repair -- 49. Late Branch-Related Complications and Management.
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Manual of Thoracic Endoaortic Surgery

https://libcat.nshealth.ca/en/permalink/provcat30348
by Jacques Kpodonu. --London: Springer-Verlag , c2010.
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Author
Kpodonu, Jacques
Responsibility
by Jacques Kpodonu
Place of Publication
London
Publisher
Springer-Verlag
Date of Publication
c2010
ISBN
9781849962964
Subjects (MeSH)
Aorta, Thoracic - surgery
Aortic Diseases - surgery
Endovascular Procedures - instrumentation
Endovascular Procedures - methods
Subjects (LCSH)
Heart - Surgery
Vascular Surgery
Thoracic surgery
Format
e-Book
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Surgical Management of Aortic Pathology : Current Fundamentals for the Clinical Management of Aortic Disease

https://libcat.nshealth.ca/en/permalink/provcat44117
Olaf H. Stanger, John R. Pepper, Lars G. Svensson, editors. --Vienna: Springer , 2019.
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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…
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Stanger, Olaf H.
Pepper, John R.
Svensson, Lars G.
Responsibility
Olaf H. Stanger, John R. Pepper, Lars G. Svensson, editors
Place of Publication
Vienna
Publisher
Springer
Date of Publication
2019
Physical Description
1 online resource (xv, 1223 p.) : 622 illus., 451 illus. in color
ISBN
9783709148747
9783709148723 (Print ed.)
9783709148730 (Print ed.)
Subjects (MeSH)
Aorta - pathology
Aortic Diseases - surgery
Specialty
Cardiovascular Surgical Procedures
Abstract
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.
Contents
Part I. Anatomy -- Part II. Mechanisms -- Part III. Principles -- Part IV. Imaging -- Part V. Congenital and Connective Tissue Aortopathy, Bicuspid Aortic Valve -- Part VI. Aortic Valve and Root -- Part VII. TAVI and New Technology -- Part VIII. Ascending Aorta -- Part IX. Aortic Arch -- Part X. Descending Aorta -- Part XI. TEVAR.
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e-Book
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Thoracic Aortic Diseases

https://libcat.nshealth.ca/en/permalink/provcat28074
edited by Hervé Rousseau, Jean-Philippe Verhoye, Jean-François Heautot. --Berlin, Heidelberg: Springer-Verlag , c2006.
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Author
Rousseau, Hervé
Other Authors
Verhoye, Jean-Philippe
Heautot, Jean-François
Responsibility
edited by Hervé Rousseau, Jean-Philippe Verhoye, Jean-François Heautot
Place of Publication
Berlin, Heidelberg
Publisher
Springer-Verlag
Date of Publication
c2006
ISBN
9783540383093
Subjects (MeSH)
Aorta, Thoracic
Aortic Diseases
Aortic Diseases - surgery
Subjects (LCSH)
Cardiology
Format
e-Book
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Online
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Visceral Vessels and Aortic Repair : Challenges and Difficult Cases

https://libcat.nshealth.ca/en/permalink/provcat44048
Yamume Tshomba, Domenico Baccellieri, Roberto Chiesa, editors. --Cham: Springer , 2019.
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This book shows how new technologies and technical skills together with deeper understanding of pathophysiology of visceral and renal ischemia have contributed to significant improvements in the clinical outcomes in patients undergoing complex aortic repair involving splanchnic arteries. In recent years, aortic repair has expanded its borders, focusing more and more on the particularly challenging segments from which critical branches originate. Optimal results in this area are obtained through…
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Tshomba, Yamume
Baccellieri, Domenico
Chiesa, Roberto
Responsibility
Yamume Tshomba, Domenico Baccellieri, Roberto Chiesa, editors
Place of Publication
Cham
Publisher
Springer
Date of Publication
2019
Physical Description
1 online resource (xi, 421 p.) : 222 illus., 192 illus. in color
ISBN
9783319947617
9783319947600 (Print ed.)
9783319947624 (Print ed.)
Subjects (MeSH)
Aorta - physiopathology
Aortic Diseases - surgery
Vascular Surgical Procedures
Specialty
Cardiovascular Surgical Procedures
Abstract
This book shows how new technologies and technical skills together with deeper understanding of pathophysiology of visceral and renal ischemia have contributed to significant improvements in the clinical outcomes in patients undergoing complex aortic repair involving splanchnic arteries. In recent years, aortic repair has expanded its borders, focusing more and more on the particularly challenging segments from which critical branches originate. Optimal results in this area are obtained through a multidisciplinary approach based on crucial elements such as sophisticated imaging techniques, advanced anesthesiological and pharmacological strategies, as well as updated surgical techniques and devices able to reduce ischemic injuries. The book presents problems tackled from different perspectives, by analyzing the main technical aspects of the surgical technique but also functional and metabolic issues. It also discusses concepts such as ischemic preconditioning and ischemia-reperfusion mechanisms, as well as innovative investigational approaches. In the “endovascular era”, it highlights the most recent updates in complex endovascular repair involving renal and visceral arteries, providing both practical tips and tricks and outcomes analyses. The volume also addresses specific, rarely reported problems in vascular surgery, including issues in renal transplant, oncologic surgery with involvement of splanchnic arteries and of the vena cava, and use of the deep veins in aortic surgery. This volume represents a powerful tool for both young and experienced operators who wish to approach the complex aortic pathology either by open surgery or through endovascular methods.”.
Contents
Anatomical overview and imaging of the aorta and visceral arteries -- Physiopathology and anaesthesiological management of supravisceral aortic clamping -- Perioperative renal pharmacological protection during cardiovascular surgery -- Renal protection during open aortic surgery with Custodiol solution -- Renal artery stenosis associated with aortic disease: timing and outcomes of operative management -- Renal arteries anatomic abnormalities during open abdominal aortic repair -- Renal transplantation and aortic disease: operative management -- Pulsatile perfusion of kidney allografts -- Endovascular aortic repair: the renal side of the story -- Challenging infrarenal aortic necks in EVAR: devices evolution, long-term results and new concepts -- Open repair of pararenal aneurysms: renal vessels surgical management -- Endovascular repair of pararenal aortic aneurysms: the management of visceral arteries with fenestrated technology -- Emergency kit for chimney technique for ruptured abdominal aortic aneurysm -- Current treatment options for complex aortic pathology with visceral arteries involvement between open and endo: single center experience -- Aortic “coral reef” with visceral arteries involvement: treatment options -- Thoracoabdominal aortic aneurysm open repair: visceral arteries reattachment strategies -- Sutureless anastomosis during thoracoabdominal aortic repair -- Tissue ischemia during aortic surgery. The point of view of the perfusionist -- Ischemic preconditioning: the rationale and evidence based outcomes -- Intraoperative neurophysiologic monitoring during aortic surgery: basic principles and clinical experience -- Long-term patency of visceral vessels after thoracoabdominal aortic repair -- Fate of Carrel patch after thoracoabdominal aortic repair: treatment options for recurrent aneurysms -- Total endovascular repair of thoracoabdominal aortic aneurysms: lessons learned -- The SpiderGraft for Thoracoabdominal Aortic Repair: rationale and indications -- Visceral ischemia during type B dissection: incidence, prognostic value, diagnosis and operative management -- Visceral ischemia during acute type B dissection: limits of current approaches and new perspective -- Epidemiology, diagnosis and clinical management of arteritis involving visceral vessels -- Visceral arteries involvement in Takayasu patients: treatment options -- Aortic infection with visceral arteries involvement in the endovascular era: treatment options -- Deep vein reconstruction for infective aortic syndromes with visceral arteries involvement -- Vena cava oncologic surgery -- Rerouting of visceral arteries during hybrid thoracoabdominal aortic repair: a still useful solution in highly selected case.
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