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A Brief History of Aortic Pathology and Surgery
Pages 1-45
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.
A Brief History of Aortic Pathology and Surgery
Pages 1-45
The Surgical Anatomy of the Aortic Root
Pages 49-61
Morphology and Surgical Anatomy of the Aorta and Pulmonary Trunk
Pages 63-75
The Normal Aorta and Changes with Age
Pages 77-83
Molecular Mechanisms of Aortic Valve Pathology
Pages 87-98
Functional and Morphological Interplay of the Aortic Valve, the Aortic Root, and the Left Ventricle
Pages 99-114
Interaction Between the Haemodynamics of Coronary Flow and Aortic Valve Pathologies
Pages 115-126
Left Ventricular Fibrosis in Patients with Aortic Stenosis
Pages 127-139
Novel Understanding on Thoracic Aortic Diseases from Bioengineering Concepts
Pages 141-148
Mechanics of the Thoracic Aortic Wall
Pages 149-162
Role of Biomechanical Stress in the Pathology of the Aorta
Pages 163-180
Insights into the Pathogenic Mechanisms of Acute Dissection
Pages 181-189
Triggers of Aortic Dissection
Pages 191-203
Medical Treatment of Thoracic Aortic Pathologies
Pages 207-223
Frailty in Aortic Surgery
Pages 225-232
Biomarkers of Acute Aortic Syndrome
Pages 233-241
Post-operative Management of Aortic Valve Disease
Pages 243-250
What the Surgeon Can Expect from the Pathologist and Vice Versa
Pages 251-258
Indications for Aortic Surgery and Use of Guidelines
Pages 259-275
Lessons Learnt from the International Registry of Acute Aortic Dissection (IRAD)
Pages 277-291
Trans(o)esophageal Echocardiography (TOE/TEE) in the Diagnosis of Aortic Pathologies
Pages 295-312
Left Ventricular Function and Aortic Valve Replacement
Pages 313-331
Imaging of the Thoracic Aorta
Pages 333-370
Cardiovascular Imaging in Aortic Diseases: Multimodality Approach in Clinical Practice
Pages 371-383
Multidetector Computed Tomography of the Aorta
Pages 385-408
Aortic Root Assessment with Computed Tomography in the Context of TAVR
Pages 409-426
Three-Dimensional Rotational Angiography
Pages 427-433
4D Flow MR: Insights into Aortic Blood Flow Characteristics
Pages 435-445
Impact of Aortopathy and Aortic Valve Disease on 3D Blood Flow and Wall Shear Stress in the Thoracic Aorta: As Assessed by 4D Flow MRI
Pages 447-464
Emerging Tools to Assess the Risk of Rupture in AAA: Wall Stress and FDG PET
Pages 465-485
Exploring the Thoracic Aorta with Advanced Magnetic Resonance Imaging Beyond Routine Diameter Measurements
Pages 487-499
Congenital Aortopathy
Pages 503-511
Aortic Connective Tissue Histopathology
Pages 513-522
Clinical Aspects of Heritable Connective Tissue Disorders
Pages 523-530
Bicuspid Aortic Valve: Timing of Surgery
Pages 531-540
Biscuspid Aortic Valve Repair
Pages 541-552
Morphology of the Ascending Aorta in Bicuspid Aortic Valve Disease
Pages 553-559
Genetics of Marfan Syndrome and Loeys-Dietz Syndrome
Pages 561-566
The Exostent Concept for the Marfan Syndrome
Pages 567-574
Aortic Dissection in Patients with Disorders of Connective Tissue
Pages 575-587
Diagnostic and Therapeutic Targets for Aortic Valve and Ascending Aorta Pathologies: Challenges and Opportunities
Pages 591-608
Concepts of Aortic Valve Repair
Pages 609-630
Surgical Repair of the Bicuspid Aortic Valve: Predictors of Failure
Pages 631-642
Native and Prosthetic Valve Endocarditis
Pages 643-661
Reconstruction of the Left Ventricular Outflow Tract for Aortic Root Abscess
Pages 663-676
Stented Bioprosthetic Valves
Pages 677-683
The Stentless Valve Concept
Pages 685-698
Challenges and Lessons from Preoccupation with the Stentless Aortic Valve Prosthesis Concept
Pages 699-717
Management of Aortic Prosthetic Leaks
Pages 719-730
Aortic Root Enlargement
Pages 731-739
Current Role and Techniques of the David Operation
Pages 741-747
The Yacoub Operation
Pages 749-756
Effect of Aortic Root Repair on Aortic Valve Function
Pages 757-764
The Ross Operation
Pages 765-769
TAVI: A European Perspective
Pages 773-781
Transcatheter Aortic Valve Replacement in the USA
Pages 783-794
Transcatheter Aortic Valve Replacement: Management of High-Risk Patients and Complex Procedures
Pages 795-806
New Technology: The Sutureless Valve Prostheses
Pages 807-818
Recommendations on Thresholds for Elective Surgery for Thoracic Ascending Aortic Aneurysms
Pages 821-829
Impact of Ascending Aorta Replacement on Ventricle Load and “Windkessel” Function
Pages 831-835
Surgical Strategies in Acute Type A Aortic Dissection
Pages 837-855
Acute Type A Dissection Repair
Pages 857-873
Management of Aortic Malperfusion Syndromes in Aortic Dissection
Pages 875-883
Cerebral Protection During Surgery of Acute Type A Aortic Dissection
Pages 885-911
Type-A Aortic Dissection After Previous Cardiac Surgery: Features and Optimal Management
Pages 913-920
The Elephant Trunk Concept in Type A Aortic Dissection
Pages 921-931
Aortic Arch Surgery Under Warm Conditions (Moderate to Mild Hypothermia)
Pages 935-942
Infection of Ascending Aortic and Aortic Arch Prostheses
Pages 943-964
Elephant Trunk Technique(s)
Pages 965-985
Arch Surgery and Elephant Trunk Technique and Alternatives for Second Stage
Pages 987-995
Management of the Aortic Arch in the Modern Era
Pages 997-1007
Debranching Concepts and Techniques for Arch Surgery
Pages 1009-1025
Total Endovascular Aortic Arch Replacement: Branched Arch Endografts
Pages 1027-1035
Blunt Thoracic Aortic Trauma
Pages 1039-1048
Surgical Anatomy of the Blood Supply to the Spinal Cord
Pages 1049-1059
Surgical Strategies in Acute and Chronic Type B Aortic Dissection
Pages 1061-1073
Current Open Treatment of Thoracoabdominal Aortic Aneurysms
Pages 1075-1089
Spinal Cord Protection in Thoracic Aortic Surgery
Pages 1091-1126
Monitoring Spinal Cord Function in Open and Endovascular Treatment of Thoracoabdominal Aortic Pathologies
Pages 1127-1142
Infected Aortic Grafts in the Descending Thoracic Aorta
Pages 1143-1155
Hybrid and Redo Strategies for Descending and Thoracoabdominal Aorta
Pages 1157-1168
Endovascular Treatment of Aortic Diseases
Pages 1171-1185
Secondary Procedures After Primary Thoracic Endovascular Aortic Repair (TEVAR): Pathologies and Management
Pages 1187-1199
Stenting of the Descending Aorta
Pages 1201-1209
Complications of TEVAR
Pages 1211-1223
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