Cardio-aortic and Aortic Surgery (Keio University International Symposia for Life Sciences and Medicine, 7)

As societies have aged and aortic diseases have become more prevalent, advances in diagnostic imaging and surgical techniques have brought significantly improved results for patients. In cardiovascular surgery, important questions remain to be addressed, however. "Strategy for Cardio-aortic and Aortic Surgery" was the theme of the 7th Keio University International Symposium for Life Sciences and Medicine. Meeting in Tokyo, researchers and specialists in cardiac surgery from around the world discussed crucial issues in their field. Papers from the symposium, collected in this volume, cover a broad range of topics, including recent advances in diagnostic imaging, brain protection during aortic surgery, spinal protection during thoracoabdominal aneurysm repair, treatment of type A acute aortic dissection, and stent-grafts and less-invasive aortic surgery. This unique book provides valuable information especially for aortic, cardiovascular, and thoracic surgeons. Front Matter....Pages I-XX Front Matter....Pages 1-1 The Natural History of Thoracic Aortic Aneurysms....Pages 3-3 Pathophysiology of Aortic Dissection and Abdominal Aortic Aneurysm....Pages 4-11 Advances in Diagnostic Imaging During Aortic Surgery: Impact of Three-Dimensional Diagnosis by Multislice Computed Tomography....Pages 12-18 Front Matter....Pages 19-19 Stentless Aortic Valve Replacement....Pages 21-23 Valve-Preserving Root Replacement....Pages 24-24 Endoscopic Assessment of Valve-Sparing Aortic Root Reconstruction: Root Aneurysm Versus Ascending Aneurysm....Pages 25-32 Valve-Sparing Operation Versus Bentall Operation: Comparison at Medium-Term Follow-Up....Pages 33-40 Front Matter....Pages 41-41 Physiology of Hypothermic Circulatory Arrest and Retrograde Cerebral Perfusion....Pages 43-43 Brain Protection with the Use of Antegrade Selective Cerebral Perfusion and Aortic Surgery....Pages 44-52 Continuous Retrograde Cerebral Perfusion: Brain Protection During Aortic Surgery with Hypothermic Circulatory Arrest....Pages 53-59 Prevention of Stroke Related to Ascending Aortic and Aortic Arch Atherothrombotic Material: Review....Pages 60-71 Front Matter....Pages 73-73 Surgery of the Ascending and/or Transverse Aorta....Pages 75-76 Aortic Arch Surgery and Methods of Protection....Pages 77-89 Strategy for Redo Surgery on the Thoracic Aorta....Pages 90-98 Surgery of the Ascending Aorta and/or Aortic Arch Using Deep Hypothermic Circulatory Arrest with Retrograde Cerebral Perfusion and Open Technique....Pages 99-104 Operative Procedures and Surgical Outcomes of Patients Undergoing Repair of the Ascending Aorta and/or Transverse Aortic Arch....Pages 105-110 Front Matter....Pages 111-111 Arch and Thoracoabdominal Replacement....Pages 113-114 Surgery of the Aortic Arch Involving the Descending Aorta....Pages 115-115 Surgical Approaches to Nondissecting Atherosclerotic Aneurysms of the Distal Aortic Arch or Proximal Descending Aorta Using Deep Hypothermic Circulatory Arrest with Retrograde Cerebral Perfusion: Midsternotomy and Left Lateral Thoracotomy....Pages 116-125 Strategy for Avoiding Cerebral Complications During Surgery for Arch and Distal Arch Aneurysm....Pages 126-133 Front Matter....Pages 111-111 Surgical Treatment of the Distal Aortic Arch Aneurysm Using Selective Cerebral Perfusion....Pages 134-141 Front Matter....Pages 143-143 Management of Mycotic Aneurysms and Graft Infection....Pages 145-148 Mycotic Aneurysms of the Thoracic and Thoracoabdominal Aorta....Pages 149-158 Graft Infection After Aortic Surgery: Strategy and Outcome....Pages 159-165 Surgical Treatment of Mycotic Aortic Aneurysms and Management of Aortic Graft Infections....Pages 166-172 Front Matter....Pages 173-173 Monitoring of Spinal Cord Function During Descending Thoracic and Thoracoabdominal Aneurysm Repair....Pages 175-175 Spinal Cord Protection Including Localization of Arterial Radicularis Magna....Pages 176-182 Enhancement of HSP72 Gene Expression in Spinal Cord After Preconditioning for Transient Ischemia in Rabbits....Pages 183-189 Glutamate Neurotoxicity in Spinal Cord Injury....Pages 190-196 Strategies for Preventing Spinal Cord Ischemia During Descending or Thoracoabdominal Aortic Aneurysm Surgery: Preoperative Visualization of the Adamkiewicz Artery and Intraoperative Motor-Evoked Potentials....Pages 197-205 Front Matter....Pages 207-207 Strategy of Surgery for Repair of Thoracoabdominal Aneurysms....Pages 209-209 Surgical Repair of Thoracoabdominal Aortic Aneurysms....Pages 210-214 Atypical Thoracoabdominal Aortic Coarctation....Pages 215-224 Impact of Segmental Aortic Clamp and Distal Aortic Perfusion on Postoperative Paraplegia During Thoracoabdominal Aortic Graft Replacement....Pages 225-225 Surgical Treatment for Thoracoabdominal Aortic Aneurysm. Strategy for Spinal Cord/Visceral Protection in Type I or Type II Thoracoabdominal Aortic Replacement....Pages 226-226 Prevention of Spinal Cord Injury During Thoracic and Thoracoabdominal Aortic Repairs....Pages 227-233 Front Matter....Pages 235-235 Acute Type A Aortic Dissection and Early Hazard Mortality: New Statistical Approaches and Room for Improvement....Pages 237-239 Surgical Management of Acute Aortic Dissection Type A....Pages 240-240 Surgical Treatment of Acute Type A Dissections in Profound Hypothermic Circulatory Arrest....Pages 241-248 Treatment of Type A Acute Aortic Dissection in Saitama....Pages 249-249 Front Matter....Pages 235-235 Is Concomitant Total Arch Replacement Justified for Acute Type A Dissection?....Pages 250-250 Front Matter....Pages 251-251 Endovascular Stent-Grafts for Descending Thoracic Aortic Aneurysms and Acute Type B Aortic Dissections....Pages 253-254 Does Minimally Invasive Endovascular Grafting for Abdominal and Thoracic Aortic Aneurysms Induce Less Inflammatory Response?....Pages 255-262 Endovascular Grafting for Various Conditions of the Descending Thoracic Aorta....Pages 263-268 Minimal Access Aortic Surgery....Pages 269-273 Back Matter....Pages 274-275