diagnosis and treatment of abdominal and thoracic aortic aneurysms including the ascending aorta

218 Pages·2011·19.07 MB·English

by  Intech Prepress 2

DIAGNOSIS AND
TREATMENT OF
ABDOMINAL AND
THORACIC AORTIC
ANEURYSMS INCLUDING
THE ASCENDING AORTA
AND THE AORTIC ARCH

Edited by Reinhart T. Grundmann
Diagnosis and Treatment of Abdominal and Thoracic Aortic
Aneurysms Including the Ascending Aorta and the Aortic Arch
Edited by Reinhart T. Grundmann

Published by InTech
Janeza Trdine 9, 51000 Rijeka, Croatia

Copyright © 2011 InTech
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Image Copyright BioMedical, 2011. Used under license from Shutterstock.com

First published September, 2011
Printed in Croatia

A free online edition of this book is available at www.intechopen.com
Additional hard copies can be obtained from [email protected]

Diagnosis and Treatment of Abdominal and Thoracic Aortic Aneurysms Including the
Ascending Aorta and the Aortic Arch, Edited by Reinhart T. Grundmann
p. cm.
ISBN 978-953-307-524-2
free online editions of InTech
Books and Journals can be found at
www.intechopen.com

Contents

Preface IX
Chapter 1 Definitions, History and General Considerations
Related to the Aortic Aneurysms 1
Guillermo Careaga-Reyna
Chapter 2 Presentation of Abdominal Aortic
Aneurysm in Clinical Practice, a Review 15
Simone Knaap and Wayne Powell II
Chapter 3 Screening for Abdominal Aortic Aneurysm 25
Sima Sayyahmelli and Rakhshandeh Alipanahi
Chapter 4 Color-Doppler Ultrasonography in the Monitoring
of Endovascular Abdominal Aortic Aneurysm Repair 37
Enrique M. San Norberto, James Taylor and Carlos Vaquero
Chapter 5 Abdominal Aortic Aneurysm (AAA): The Decision
Pathway in Ruptured and Non-Ruptured AAA 57
Saeid Shahidi
Chapter 6 Abdominal Aortic Aneurysm in Patients
with Coronary Artery Disease: A Review Article 71
Ahmed Elkalioubie, Brigitte Jude and Annabelle Dupont
Chapter 7 Treatment of Ruptured Abdominal Aortic Aneurysms 89
J.A. Ten Bosch, E.M. Willigendael, P.W. Cuypers,
M.R.H.M. van Sambeek and J.A.W. Teijink
Chapter 8 Magnetic Resonance Imaging of the Thoracic Aorta:
A Review of Technical and Clinical Aspects,
Including Its Use in the Evaluation of Aneurysms
and Acute Vascular Conditions 101
Vasco Herédia, Miguel Ramalho, Sérgio Duarte,
Rafael O.P. de Campos, Mateus Hernandez,
Nuno Jalles Tavares and Richard C. Semelka
VI Contents

Chapter 9 Combined Surgical and Endovascular Approach for
the Treatment of Complex Thoracic Aortic Pathologies 127
M. Gorlitzer, G. Weiss, F. Waldenberger and M. Grabenwöger
Chapter 10 Endovascular Repair of Thoracic Aortic Emergencies 141
Lucas Ribé, Juan Luis Portero, Juan Vicente Solís,
Rosario García-Pajares, María Vila and Luis Manuel Reparaz
Chapter 11 Ascending Aneurysms in Bicuspid Aortic Valve 161
Salah A. Mohamed and Hans H. Sievers
Chapter 12 Reimplantation Valve Sparing Procedure
in Type A Aortic Dissection:
A Predictive Factor of Mortality and Morbidity? 175
Fadi Farhat, Theodora Bejan-Angoulvant,
Hassane Abdallah and Olivier Jegaden
Chapter 13 Prevention of Spinal Cord Injury
After Thoracoabdominal Aortic Aneurysm Repair 187
Takashi Kunihara, Suguru Kubota, Satoru Wakasa,
Norihiko Shiiya and Yoshiro Matsui

Preface

This book considers diagnosis and treatment of abdominal and thoracic aortic
aneurysms. It addresses vascular and cardiothoracic surgeons and interventional
radiologists, but also anyone engaged in vascular medicine. The book focuses amongst
other things on operations in the ascending aorta and the aortic arch. Surgical
procedures in this area have received increasing attention in the last few years and
have been subjected to several modifications. Especially the development of
interventional radiological endovascular techniques that reduce the invasive nature of
surgery as well as complication rates led to rapid advancements. Thoracoabdominal
aortic aneurysm (TAAA) repair still remains a challenging operation since it
necessitates extended exposure of the aorta and reimplantation of the vital aortic
branches. Among possible postoperative complications, spinal cord injury (SCI) seems
one of the most formidable morbidities. Strategies for TAAA repair and the best and
most reasonable approach to prevent SCI after TAAA repair are presented.

Reinhart T. Grundmann
Medical Expert
Burghausen, Germany