By Jagan Devarajan, Balachundhar Subramaniam (auth.), Kathirvel Subramaniam, Kyung W. Park, Balachundhar Subramaniam (eds.)
This is the 1st entire reference on anesthesia and perioperative take care of aortic surgical procedure. Edited and written by way of top specialists in drugs, surgical procedure, and anesthesia, it offers specified descriptions of aortic surgical procedure and anesthesia for particular aortic approaches, together with ascending aorta, arch, descending aorta, endovascular surgical procedure, trauma, and surgical procedure for congenital aortic pathologies. The ebook devotes separate chapters to intraoperative echocardiography and cerebral tracking, and since organ disorder is an incredible reason for mortality and morbidity after aortic surgical procedure, it addresses spinal twine and renal safeguard. a last bankruptcy covers postoperative care. Anesthesia and Perioperative deal with Aortic surgical procedure is a “must” for cardiac anesthesiologists, cardiac surgeons, intensivists, nurse anesthetists, and citizens and fellows curious about this transforming into area.
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Additional info for Anesthesia and Perioperative Care for Aortic Surgery
However, a failed stenting procedure or progression of a dissection must be surgically treated. 10 The presentation may be acute or delayed for several months. Various etiological factors include wire and sheath manipulation in the arch, repeated balloon dilatations, oversizing of grafts, injury to a diseased aorta at the margin of inflexible grafts, and progression of disease unrelated to stent grafting. Surgical replacement with tube grafts is recommended in these patients and mortality is high (27%).
The reason why most atherosclerotic ulcers do not penetrate the internal elastic lamina and few penetrate the media and adventitia is not clear. PAUs are focal lesions most often located in the descending thoracic aorta, which correlates with a greater disease burden in that region. These patients tend to be older with severe systemic atherosclerosis but without connective tissue diseases. Multiple PAUs are often found in a single patient. Imaging of PAU most often reveals extensive atherosclerosis with severe intimal calcification and plaque.
These advancements have led to a better understanding of aortic pathology and led to the discovery of variants that are collectively termed acute aortic syndrome. Despite a persistent level of uncertainty in the diagnosis and management of this lethal disorder, advances are being made and patient outcomes are improving. M. Wells and K. Subramaniam 34 Key Notes 1. The clinical progress of patients with AAS is unpredictable. A high level of suspicion is required for early diagnosis and crucial for patient survival.
Anesthesia and Perioperative Care for Aortic Surgery by Jagan Devarajan, Balachundhar Subramaniam (auth.), Kathirvel Subramaniam, Kyung W. Park, Balachundhar Subramaniam (eds.)