Thoraco-Abdominal Aorta: Surgical and Anesthetic Management

Front Matter....Pages I-XXIII
Front Matter....Pages 1-1
Historical Overview....Pages 3-15
Definitions and Classifications....Pages 17-24
Epidemiology and Natural History of Thoraco-Abdominal Aortic Aneurysms....Pages 25-32
Peculiarities and Natural History of Type B Aortic Dissection....Pages 33-43
Pathology of the Thoraco-Abdominal Aorta....Pages 45-64
Pathophysiology of Aortic Cross-clamping....Pages 65-72
Clinical Presentation and Evidence-based Indications to Treatment....Pages 73-82
Front Matter....Pages 83-83
Diagnostic Imaging of the Aortic Arch and Thoraco-Abdominal Aorta....Pages 85-102
Magnetic Resonance Imaging of the Aorta....Pages 103-114
Transesophageal Echocardiography of the Aorta....Pages 115-129
Preoperative Planning and Sizing for Aortic Endovascular Procedures....Pages 131-146
Assessment of the Spinal Cord Vasculature with Computed Tomography....Pages 147-160
Assessment of the Spinal Cord Vasculature with Magnetic Resonance Angiography....Pages 161-171
Role of Cardiac CT in Assessment of Patients with Thoraco-Abdominal Aortic Aneurysm....Pages 173-182
Front Matter....Pages 183-183
Preoperative Care of Patients with Thoraco-Abdominal Aortic Aneurysms....Pages 185-196
Cardiovascular Evaluation, Risk Stratification, and Management of Postoperative Myocardial Infarction....Pages 197-210
Perioperative Pharmacological Cardiac Protection....Pages 211-218
Prevention and Treatment of Renal Insufficiency....Pages 219-228
Prevention and Treatment of Respiratory Insufficiency....Pages 229-242
Anesthetic Management of Open Thoraco-Abdominal Aortic Procedures....Pages 243-252
Front Matter....Pages 183-183
Anesthetic Management of Thoraco-Abdominal Open Procedures....Pages 253-270
Perioperative Cardiac Monitoring with Transesophageal Echocardiography....Pages 271-286
Hemostasis, Bleeding, Blood- sparing Strategies, and Allogeneic Transfusions in Thoraco-Abdominal Aortic Aneurysm Surgery....Pages 287-297
Left Heart Bypass....Pages 299-310
Management of Postoperative Complications....Pages 311-324
Front Matter....Pages 325-325
Surgical Technique for Extent I, II, and III Thoraco-Abdominal Aortic Aneurysms....Pages 327-343
Surgical Technique for Extent I, II, and III Thoraco-Abdominal Aortic Aneurysms....Pages 345-364
Surgical Technique for Extent IV Thoraco-Abdominal Aortic Aneurysms....Pages 365-372
Surgical Replacement of the Entire Aorta....Pages 373-383
The Frozen Elephant Trunk Technique....Pages 385-392
Deep Hypothermic Circulatory Arrest for Thoracic Aneurysmectomy through the Left Chest....Pages 393-399
Neurological Monitoring with Evoked Potentials....Pages 401-411
Spinal Cord Ischemia....Pages 413-424
Endovascular Treatment of Thoraco-Abdominal Aortic Aneurysm with Branched Endografts....Pages 425-432
Endovascular Treatment of Thoraco-Abdominal Aortic Aneurysm with Branched Endografts....Pages 433-440
Hybrid Procedures for Thoraco-Abdominal Aortic Aneurysm....Pages 441-450
Hybrid Procedures forThoraco-Abdominal Aortic Aneurysm....Pages 451-467
Front Matter....Pages 469-469
Endovascular Treatment of Type B Dissections....Pages 471-482
The Sandwich Technique for Type B Dissection....Pages 483-490
Specific Surgical Problems in Marfan Patients....Pages 491-500
Front Matter....Pages 469-469
Open Treatment for Aortic Trauma....Pages 501-510
Endovascular Treatment of Aortic Isthmic Rupture....Pages 511-521
Redo Open and Endovascular Procedures after Open Thoraco-Abdominal Aortic Aneurysm Repair....Pages 523-539
Endovascular or Open Treatment of Aortic Coarctation (Typical and Atypical)....Pages 541-553
Intramural Hematoma and Penetrating Aortic Ulcers....Pages 555-566
Aortoesophageal and Aortobronchial....Pages 567-584
Anomalies and Variant Anatomy of the Aorta and the Supra- aortic Vessels....Pages 585-593
Quality of Life after Thoraco-Abdominal Aortic Aneurysm Repair....Pages 595-603
Relative Risk of Paraplegia between Open, Hybrid, and Endovascular Procedures....Pages 605-612
Statistical Analysis of Operative Results....Pages 613-630
Communication with the Patient: Ethical Decisions....Pages 631-640
Postoperative Rehabilitation....Pages 641-650
Psychological Approach to the Aneurysm Patient....Pages 651-656
Front Matter....Pages 657-657
Advances in Vascular Grafts for Thoraco-Abdominal Aortic Open Surgery....Pages 659-671
Hybrid Procedures with Dedicated Grafts for Extensive Aortic Aneurysms....Pages 673-680
The Cook Zenith Devices....Pages 681-695
The Bolton Relay Devices....Pages 697-704
The Jotec Devices....Pages 705-717
The Medtronic Devices — Valiant Stent-graft....Pages 719-728
The Gore TAG Devices....Pages 729-735
Front Matter....Pages 657-657
Prophylactic Use of Silver-acetate-coated Polyester Dacron Graft in Aortic Disease for Prevention of Graft Infection....Pages 737-747
Hemostatic and Structural Adjuncts....Pages 749-758