Cardio-aortic and Aortic Surgery

Front Matter....Pages I-XX
Front Matter....Pages 1-1
The Natural History of Thoracic Aortic Aneurysms....Pages 3-3
Pathophysiology of Aortic Dissection and Abdominal Aortic Aneurysm....Pages 4-11
Advances in Diagnostic Imaging During Aortic Surgery: Impact of Three-Dimensional Diagnosis by Multislice Computed Tomography....Pages 12-18
Front Matter....Pages 19-19
Stentless Aortic Valve Replacement....Pages 21-23
Valve-Preserving Root Replacement....Pages 24-24
Endoscopic Assessment of Valve-Sparing Aortic Root Reconstruction: Root Aneurysm Versus Ascending Aneurysm....Pages 25-32
Valve-Sparing Operation Versus Bentall Operation: Comparison at Medium-Term Follow-Up....Pages 33-40
Front Matter....Pages 41-41
Physiology of Hypothermic Circulatory Arrest and Retrograde Cerebral Perfusion....Pages 43-43
Brain Protection with the Use of Antegrade Selective Cerebral Perfusion and Aortic Surgery....Pages 44-52
Continuous Retrograde Cerebral Perfusion: Brain Protection During Aortic Surgery with Hypothermic Circulatory Arrest....Pages 53-59
Prevention of Stroke Related to Ascending Aortic and Aortic Arch Atherothrombotic Material: Review....Pages 60-71
Front Matter....Pages 73-73
Surgery of the Ascending and/or Transverse Aorta....Pages 75-76
Aortic Arch Surgery and Methods of Protection....Pages 77-89
Strategy for Redo Surgery on the Thoracic Aorta....Pages 90-98
Surgery of the Ascending Aorta and/or Aortic Arch Using Deep Hypothermic Circulatory Arrest with Retrograde Cerebral Perfusion and Open Technique....Pages 99-104
Operative Procedures and Surgical Outcomes of Patients Undergoing Repair of the Ascending Aorta and/or Transverse Aortic Arch....Pages 105-110
Front Matter....Pages 111-111
Arch and Thoracoabdominal Replacement....Pages 113-114
Surgery of the Aortic Arch Involving the Descending Aorta....Pages 115-115
Surgical Approaches to Nondissecting Atherosclerotic Aneurysms of the Distal Aortic Arch or Proximal Descending Aorta Using Deep Hypothermic Circulatory Arrest with Retrograde Cerebral Perfusion: Midsternotomy and Left Lateral Thoracotomy....Pages 116-125
Strategy for Avoiding Cerebral Complications During Surgery for Arch and Distal Arch Aneurysm....Pages 126-133
Front Matter....Pages 111-111
Surgical Treatment of the Distal Aortic Arch Aneurysm Using Selective Cerebral Perfusion....Pages 134-141
Front Matter....Pages 143-143
Management of Mycotic Aneurysms and Graft Infection....Pages 145-148
Mycotic Aneurysms of the Thoracic and Thoracoabdominal Aorta....Pages 149-158
Graft Infection After Aortic Surgery: Strategy and Outcome....Pages 159-165
Surgical Treatment of Mycotic Aortic Aneurysms and Management of Aortic Graft Infections....Pages 166-172
Front Matter....Pages 173-173
Monitoring of Spinal Cord Function During Descending Thoracic and Thoracoabdominal Aneurysm Repair....Pages 175-175
Spinal Cord Protection Including Localization of Arterial Radicularis Magna....Pages 176-182
Enhancement of HSP72 Gene Expression in Spinal Cord After Preconditioning for Transient Ischemia in Rabbits....Pages 183-189
Glutamate Neurotoxicity in Spinal Cord Injury....Pages 190-196
Strategies for Preventing Spinal Cord Ischemia During Descending or Thoracoabdominal Aortic Aneurysm Surgery: Preoperative Visualization of the Adamkiewicz Artery and Intraoperative Motor-Evoked Potentials....Pages 197-205
Front Matter....Pages 207-207
Strategy of Surgery for Repair of Thoracoabdominal Aneurysms....Pages 209-209
Surgical Repair of Thoracoabdominal Aortic Aneurysms....Pages 210-214
Atypical Thoracoabdominal Aortic Coarctation....Pages 215-224
Impact of Segmental Aortic Clamp and Distal Aortic Perfusion on Postoperative Paraplegia During Thoracoabdominal Aortic Graft Replacement....Pages 225-225
Surgical Treatment for Thoracoabdominal Aortic Aneurysm. Strategy for Spinal Cord/Visceral Protection in Type I or Type II Thoracoabdominal Aortic Replacement....Pages 226-226
Prevention of Spinal Cord Injury During Thoracic and Thoracoabdominal Aortic Repairs....Pages 227-233
Front Matter....Pages 235-235
Acute Type A Aortic Dissection and Early Hazard Mortality: New Statistical Approaches and Room for Improvement....Pages 237-239
Surgical Management of Acute Aortic Dissection Type A....Pages 240-240
Surgical Treatment of Acute Type A Dissections in Profound Hypothermic Circulatory Arrest....Pages 241-248
Treatment of Type A Acute Aortic Dissection in Saitama....Pages 249-249
Front Matter....Pages 235-235
Is Concomitant Total Arch Replacement Justified for Acute Type A Dissection?....Pages 250-250
Front Matter....Pages 251-251
Endovascular Stent-Grafts for Descending Thoracic Aortic Aneurysms and Acute Type B Aortic Dissections....Pages 253-254
Does Minimally Invasive Endovascular Grafting for Abdominal and Thoracic Aortic Aneurysms Induce Less Inflammatory Response?....Pages 255-262
Endovascular Grafting for Various Conditions of the Descending Thoracic Aorta....Pages 263-268
Minimal Access Aortic Surgery....Pages 269-273
Back Matter....Pages 274-275