Acute Aortic Disease.. - Index of

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Treatment of Ruptured Aortic Aneurysms 219 Figure 10 Switching clamp to just above the ruptured abdominal aortic aneurysm, thus reperfusing the abdominal viscera. (A) Viscera are rotated to the right of the abdomen to expose the abdominal aorta. (B) Clamp is applied just proximal to neck of aneurysm. (C) Note proximity of the following structures, whose injury must be avoided: left renal vein, renal arteries, liliac veins, inferior vena cava, superior mesenteric artery and vein, spleen, and duodenum. For juxtarenal aneurysms, we maintain the supra-celiac clamp while creating the proximal anastomosis just distal to the origin of the renal arteries, including the lower lip of the renal artery orifice in the anastomosis if warranted. Once the proximal anastomosis is created, the clamp is moved onto the body of the graft in order to perfuse the visceral vessels. The rest of the operation is conducted as described earlier. Hemostasis is achieved, the incision reapproximated, and the patient transferred to the intensive care unit. When an aorto-caval fistula is suspected on the CT scan or identified intraoperatively, severe hemorrhage may result from venous bleeding through the fistula upon opening the aneurysm. In this situation, the assistant uses two sponge sticks to compress the IVC proximal and distal to the fistula. The orifice of the
220 Shahriari and Farkas fistula is closed with pledgeted nonabsorbable monofilament sutures from within the aneurysm sac. No attempts should be made to separate the IVC from the aorta at the fistula, as this maneuver may result in lethal hemorrhage. Ruptured mycotic aneurysms are rare causes of intra-abdominal aortic rupture. They are usually secondary to infectious endocarditis or Staphylococcal bacteremia in the presence of severe atherosclerotic disease. Depending on the degree of contamination of the aneurysm bed, we recommend complete resection of the aneurysm, aggressive debridement of the aneurysm bed, and either the use of a cryo-preserved homograft or the performance of an extra- anatomical axillo-bi-femoral bypass. Autografting using the patient’s bilateral femoral veins has also been described and is favored in some institutions. Intraoperatively, the aneurysm and its bed should be sampled for culture and microbiologic analysis. We recommend buttressing the retroperitoneal area with omentum to lessen the risk of aortic stump blowout, anastomotic rupture, or pseudoaneurysm formation. P F F r i Figure 11 Endovascular repair of ruptured abdominal aortic aneurysm (Montefiore technique). See text.
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Acute Aortic Disease
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15. Heart Failure: Basic Science an
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52. Clinical, Interventional, and I
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Informa Healthcare USA, Inc. 270 Ma
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Introduction Informa Healthcare has
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Foreword There is no disease more c
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Preface Over 100 years ago, the gre
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Preface xi Some distinguishing feat
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xiv Acknowledgments Above all, than
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xvi Contents 6. Genetic Basis of Th
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Contributors Nili Avidan Division o
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Contributors xxi Arun Raghupathy Di
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2 Nienaber and Ince Table 1 Risk Co
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4 Nienaber and Ince In addition to
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6 Nienaber and Ince CLASSIFICATION
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8 Nienaber and Ince Lansman’s Cla
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10 Nienaber and Ince Figure 4 Curve
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12 Nienaber and Ince Figure 6 Evolu
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14 Nienaber and Ince dissection, su
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16 Nienaber and Ince (A) (B) Probab
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18 Nienaber and Ince Table 5 Risk P
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20 Nienaber and Ince of the predila
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22 Nienaber and Ince 34. Pieters FA
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24 Nienaber and Ince 75. Mehta RH,
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26 Nienaber and Ince hematoma (IMH)
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28 Nienaber and Ince One good featu
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30 Isselbacher SYMPTOMS Pain Experi
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32 Isselbacher and wane in severity
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34 Isselbacher The mechanisms are u
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36 Isselbacher deficits are most co
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38 Isselbacher 3. Nallamothu BK, Me
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40 Danias spinal arteries) and the
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42 Danias Figure 2 Anteroposterior
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44 Danias However, due to the dista
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46 Danias TEE is highly sensitive f
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48 Danias faster, with higher resol
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50 Danias Figure 6 Transverse slice
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52 Danias hematoma, CT was reported
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54 Danias Figure 9 Transverse black
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56 Danias Figure 12 Single phase-co
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58 Danias restricted to the absolut
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60 Danias In conclusion, in the rig
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62 Danias DISCUSSION AND COMMENTARY
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64 Danias tomography, among others.
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66 Danias cardiac silhouette. The a
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68 Raghupathy and Eagle the inciden
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70 Raghupathy and Eagle Figure 1 Sp
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72 Raghupathy and Eagle SIGNS A tho
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74 Raghupathy and Eagle patients ma
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76 Raghupathy and Eagle Table 5 Dia
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78 Raghupathy and Eagle Table 6 A S
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80 Raghupathy and Eagle Figure 6 (A
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82 Raghupathy and Eagle Figure 9 (A
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84 Raghupathy and Eagle EDITOR’S
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86 Raghupathy and Eagle 30. Erbel R
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88 Raghupathy and Eagle is highly l
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90 Elefteriades and Rizzo required
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92 Elefteriades and Rizzo Table 1 S
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94 Elefteriades and Rizzo 70s, this
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96 Elefteriades and Rizzo Table 3 C
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98 Elefteriades and Rizzo DISCUSSIO
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100 Milewicz et al. KNOWN GENETIC S
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102 Milewicz et al. Table 2 Quick G
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104 Milewicz et al. ascending aorti
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106 Milewicz et al. Turner syndrome
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108 Milewicz et al. dissection in t
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110 Milewicz et al. Figure 5 Haplot
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112 Milewicz et al. A genome wide s
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114 Milewicz et al. Structural anal
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116 Milewicz et al. assembly of a h
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118 Milewicz et al. in the nuclei o
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120 Milewicz et al. 22. Furlong J,
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122 Milewicz et al. DISCUSSION AND
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124 Milewicz et al. Figure A Distri
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126 Elefteriades and Koullias Figur
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128 Elefteriades and Koullias prope
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8 Matrix Metalloproteinases in Aort
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Matrix Metalloproteinases in Aortic
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INTRODUCTION 9 Inflammation and Rem
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Inflammation and Remodeling in the
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10 Weight Lifting and Aortic Dissec
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Weight Lifting and Aortic Dissectio
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Page 202 and 203: SECTION IV: TREATMENT OF ACUTE AORT
Page 204 and 205: Natural History of Thoracic Aortic
Page 232: Natural History of Thoracic Aortic
Page 235 and 236: 206 Shahriari and Farkas properties
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Page 239 and 240: 210 Shahriari and Farkas Less than
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Page 245 and 246: 216 Shahriari and Farkas (68). Many
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Page 260 and 261: Acute Aortic Dissection 231 lamella
Page 262 and 263: Acute Aortic Dissection 233 P t is
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Page 266 and 267: Acute Aortic Dissection 237 Figure
Page 268 and 269: Acute Aortic Dissection 239 concern
Page 270 and 271: Acute Aortic Dissection 241 Table 2
Page 272 and 273: Acute Aortic Dissection 243 dissect
Page 274 and 275: Acute Aortic Dissection 245 22. Bax
Page 276 and 277: Acute Aortic Dissection 247 62. Lin
Page 278: Acute Aortic Dissection 249 DISSCUS
Page 281 and 282: 252 Elefteriades and Griepp ACUTE A
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Page 295 and 296: 266 Elefteriades and Griepp CONCLUS
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270 Brinster et al. thoracic aneury
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272 Brinster et al. Figure 1 Retrop
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274 Brinster et al. artery. Z3 land
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276 Brinster et al. or ischemia of
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278 Brinster et al. registry arm (2
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280 Brinster et al. Table 3 Early P
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282 Brinster et al. According to th
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284 Brinster et al. ranged from 1 t
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Table 4 Meta-Analysis of Tevar for
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288 Brinster et al. conventional op
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290 Brinster et al. using no (or lo
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292 Brinster et al. Table 5 Risk Fa
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294 Brinster et al. wire manipulati
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296 Brinster et al. Thoracoabdomina
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298 Brinster et al. 25. Hagan PG, N
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300 Brinster et al. 60. Elefteriade
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302 Brinster et al. 98. Liu ZG, Sun
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304 Brinster et al. 131. Szeto WY,
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306 Brinster et al. 100% 90% 80% 70
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308 Brinster et al. ● “Long-ter
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310 Hackmann et al. treatment. New
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312 Hackmann et al. tissue than in
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314 Hackmann et al. Table 1 Pharmac
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316 Hackmann et al. Some anti-hyper
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318 Hackmann et al. inhibits NF-κB
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320 Hackmann et al. Patients with C
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322 Hackmann et al. ACKNOWLEDGMENTS
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324 Hackmann et al. 34. Thompson RW
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326 Hackmann et al. 70. LeMaire SA,
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328 Hackmann et al. 105. Marra DE,
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330 Hackmann et al. DISCUSSION AND
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332 Elefteriades Diseases of the th
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334 Elefteriades Table 1 Individual
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336 Elefteriades Table 1 Individual
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338 Elefteriades Failure to Diagnos
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340 Elefteriades of physicians on t
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342 Elefteriades Figure 3 Computed
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344 Elefteriades reviewed over the
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346 Elefteriades DISCUSSION AND COM
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348 Elefteriades Figure 1 (See colo
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350 Elefteriades that are the subje
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SECTION VII: SYNTHESIS 20 The Key L
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The Key Lessons of This Book—In a
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362 Index Aging, aortic aneurysms a
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364 Index Cytokines, aortic aneurys
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366 Index Pathoanatomy classificati
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368 Index [Thoracic aortic aneurysm
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Figure 1.C Note from schematic depi
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Figure 8.1 Dramatic clinical exampl
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Figure 11.2 Proposed schema for the
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Figure 19.1 Future prospects in car
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