Anesthesia and Perioperative Care for Aortic Surgery by Jagan Devarajan, Balachundhar Subramaniam (auth.), Kathirvel

By Jagan Devarajan, Balachundhar Subramaniam (auth.), Kathirvel Subramaniam, Kyung W. Park, Balachundhar Subramaniam (eds.)

This is the 1st accomplished reference on anesthesia and perioperative deal with aortic surgical procedure. Edited and written via best specialists in drugs, surgical procedure, and anesthesia, it presents distinct descriptions of aortic surgical procedure and anesthesia for particular aortic methods, together with ascending aorta, arch, descending aorta, endovascular surgical procedure, trauma, and surgical procedure for congenital aortic pathologies. The e-book devotes separate chapters to intraoperative echocardiography and cerebral tracking, and since organ disorder is a big reason behind mortality and morbidity after aortic surgical procedure, it addresses spinal wire and renal safety. a last bankruptcy covers postoperative care. Anesthesia and Perioperative take care of Aortic surgical procedure is a “must” for cardiac anesthesiologists, cardiac surgeons, intensivists, nurse anesthetists, and citizens and fellows focused on this turning out to be area.

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1982;84:649–655. 39. Nguyen B, Müller M, Kipfer B, et al. Different techniques of distal aortic repair in acute type A dissection: impacton late aortic morphology and reoperation. Eur J Cardiothorac Surg. 1999;15:496–500. 40. Borst HG, Walterbusch G, Schaps D. Extensive aortic replacement using elephant trunk prosthesis. Thorac Cardiovasc Surg. 1983;31:37–40. 41. Isselbacher EM. Dissection of the descending thoracic aorta: looking into the future. J Am Coll Cardiol. 2007;50:805–807. 42. Heinemann MK, Buehner B, Schaefers HJ, Jurmann MJ, Laas J, Borst HG.

Ando Y, Minami H, Muramoto H, Narita M, Sakai S. Rupture of thoracic aorta caused by penetrating aortic ulcer. Chest. 1994;106:624–626. 22. Nienaber CA. Pathophysiology of acute aortic syndromes. In: Baliga RR, Nienaber CA, Isselbacher EM, Eagle KA, eds. Aortic Dissection and Related Syndromes. 1st ed. NewYork: Springer Science; 2007:17–44. 23. Botta DM, Elefteriades JA. Matrix metalloproteinases in aortic aneurysm and dissection. In: Elefteriades JA, ed. Acute Aortic Disease. 1st ed. NewYork: Informa Healthcare; 2007:131–146.

49 Long-term results are not known at this time. Natural History and Prognosis The outcomes of patients treated for AAS have improved significantly, although there still remains a high mortality rate in the acute phase. 50 Early clinical suspicion and greater surgical expertise appear to be the most important factors in reducing mortality. Type A aortic dissections are highly lethal. Overall, mortality at 1 month is 20% with and 50% without surgical treatment for type A dissections. The risk of death is higher if there are complications of pericardial tamponade, involvement of the coronary arteries causing acute myocardial ischemia, or a malperfusion syndrome.

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