Practical Tips in Aortic Surgery: Clinical and Technical Insights (Hardcover, 2021)

· 제목 : Practical Tips in Aortic Surgery: Clinical and Technical Insights (Hardcover, 2021) 
· 분류 : 외국도서 > 의학 > 내과학
· ISBN : 9783030788766
· 쪽수 : 305쪽
· 출판일 : 2021-11-21

General Tips

 

·         General Approach

·         Cannulation Sites

·         Bevel Your Distal Ascending or Hemi-Arch Anastomosis

·         Aortic Wrap

·         Carbon Dioxide Flooding of the Pericardial Well

·         Innominate Vein Ligation

·         Pericardial Bridge for Delayed Sternal Closure

·         Pull Hard on Graft to Measure Length

·         Reduction of Graft Diameter

·         Increase of Graft Diameter

·         Reinforcement of Posterior Wall of Aortic Anastomosis

·         “Retrosternal Sponge” Re-entry Technique

·         Reinforced Sternal Closure

·         The Tightening Stitch

·         Towel Clip Technique to Control Re-entry Bleeding

·         Turn Off LV Vent Well Before Finishing Last Ascending Suture Line

·         Conduct of DHCA

·         Clamping the Aorta

o   Clamp above the subclavian

o   Early Recruitment of Left Subclavian Artery

·         Other Cerebral Perfusion Strategies

·         Swing Venous Line Down to Expose Aortic Root

·         Intraoperative Malperfusion

·         Surrounding the Ascending Aorta?Without Injuring the PA

·         Do NOT obliterate a chronic flap

·         Hugging but not Restricting the Innominate Artery with the Clamp

·         Do Not Cut Too Close to the Clamp

·         Graft Sizing

·         “Valerie Stitch” for Exposure of the Aortic Root

·         Cannulation of Left Inferior Pulmonary Vein

·         Left Atrial Cannulation in Atrial Fibrillation

·         The E-Rule: Never Start LA-FA Artery Perfusion w/o the Aorta Clamped

·         Remember the Pulmonary Artery for “Venous” Return

·         Mobilize the Posterior Wall Completely

·         Mobilize the Descending Aorta from the Esophagus

·         Sub-adventitial Hematoma

·         Sienna graft for Mega-aorta

·         The “Inclusion” Anastomotic Technique

·         Big Needle for Thick Aortas

·         Aneurysms of the Branches of the Aortic Arch

·         Attaching Arch Graft to Ascending Graft (Configurations)

·         BioGlue on Graft-to-Graft Anastomoses

·         Lung Adhesions

·         Adherence of Aneurysm to Chest Wall

·         Reoperative Adhesions

·         Extracting old prosthetic valves

 

Ascending Aorta and Aortic Arch

 

·         Aortic Morphology Determines Extent of Resection

·         Use the Corner of the Commissure to Advantage

·         Aortic Valve Repair

·         Ascending Aortic Replacement (*deeper stitches on non-coronary sinus)

·         Composite Graft (Aortic Root Replacement) (Bentall Procedure)

·         Composite Graft (Aortic Root Replacement) (Bentall Procedure)

·         V-Shaped Aortic Root Remodeling

·         Valve-Sparing Aortic Root Replacement

·         Arch Replacement Options (2-vessel, 3-vessel, trifurcated graft)

·         Standard (Non-Frozen) Elephant Trunk Procedure

·         Retrieving the Elephant Trunk?Four Options

·         Stand-alone Elephant Trunk

·         Acute Type A Aortic Dissection

o   General Perspective

o   Cannulation

o   Sandwich Options

o   Proximal Anastomosis

o   Distal Anastomosis

o   Elephant Trunk

o   Frozen elephant trunk

o   Abdomen first

o   BioGlue

o   Late Degeneration (Proximal)(Distal)

o   A Note About Timing of Surgery for Acute Type A Aortic DIssection

·         Ross procedure

 

Descending and Thoracoabdominal Aorta

·         Descending Aortic Replacement

o   Incision

o   Proximal Anastomosis: Site Selection

o   DHCA for upper descending aortic surgery

o   Massively dilated upper descending aorta

o   Safety suggestions

o   Watch the nerves

o   Vertical veins

o   Thoracic duct

o   Anastomotic reinforcement

·         Acute Type B Aortic Dissection: Clinical Perspectives to Guide Surgery

·         Fenestration Procedure

·         Thoracoabdominal Aortic Replacement

o   Exposure

o   Perfusion

o   Visceral anastomoses

       Cobrahead Graft

o   Figure-of-Eight Stitches for Intercostals

o   Clipping the Spinal Arteries from the Outside

o   Methods of intercostal artery attachment

o   Paraplegia Prevention?General Approach to Spinal Cord Protection

§  Pre-Operative Spinal Artery Visualization

o   Post-Operative Care After Descending/Thoracoabdominal Aortic Replacement

·         Abdominal aortic replacement

·         Visceral artery aneurysms

·         Pulmonary Artery Aneurysms

 

Vascular Rings

 

·         General Comments

·         Vascular Rings and Kommeril’s Diverticula

o   General Comments

o   Double Aortic Arch

o   Right Aortic Arch with Aberrant Left Subclavian

o   Left Aortic Arch with Aberrant Right Subclavian

o   Kommeril’s Diverticulum