Surgical management of aortic pathologies has changed dramatically, and this essential book fills the void with up-to-date comprehensive information on the topic. Written by physicians at the Arizona Heart Institute, which pioneered the use of thoracic endoluminal grafts, Endovascular and Hybrid Management of the Thoracic Aorta presents clinical scenarios as well as controversies in this fascinating and rapidly developing field. Discussing the etiology, diagnostic tools and management and treatment of specific pathologies of the aorta, this book is ideal for cardiovascular and vascular surgeons from all over the world. It is also of interest to residents in vascular and cardiothoracic surgery who have an interest in thoracic aortic disease management and want to be at the forefront of endovascular technology.
Preface. Foreword: Patrick M. McCarthy (Northwestern Memorial Hospital). Foreword Rodney A.White (Harbor-UCLA Medical Centre). Acknowledgments. Introduction: Current Status of Thoracic Endografting. Section I: Thoracic aortic aneurysms. CASE 1 Endovascular repair of descending thoracic aortic aneurysms using the Gore TAG stent graft. CASE 2 Endovascular management of thoracic aortic aneurysm using a Cook Zenith TX2 endograft. CASE 3 Endovascular management of a thoracic aortic aneurysm using a Medtronic Talent thoracic graft (VALOR trial). CASE 4 Endovascular management of thoracic aortic aneurysms with coverage of the left subclavian artery. CASE 5 Endovascular management of a thoracic aortic aneurysm with tortuous aorta and calcified iliac arteries using the brachiofemoral wire approach. CASE 6 Endovascular management of a thoracic aortic aneurysm with small tortuous calcified iliac vessels (retroperitoneal conduit). CASE 7 Endovascular management of a ruptured thoracic aortic aneurysm. CASE 8 Total percutaneous endovascular management of a thoracic aneurysm with severe iliofemoral occlusive disease: use of an endoconduit in a high-risk patient. CASE 9 Complete endovascular management of a patient with multilevel aortic disease. CASE 10 Endovascular repair of a descending thoracic aneurysm with previous open resection of abdominal ortic aneurysm. Section II: Penetrating aortic ulcers. CASE 11 Endovascular management of penetrating aortic ulcer. CASE 12 Endovascular management of a penetrating aortic ulcer with rupture. Section III: Traumatic aortic injuries. CASE 13 Endovascular management of thoracic aortic disruption. CASE 14 Endovascular management of a traumatic pseudoaneurysm postcoarctation repair. CASE 15 Endovascular management of a traumatic pseudoaneurysm of the thoracic aorta. Section IV: Thoracic aortic dissections. CASE 16 Endovascular management of acute Stanford type B dissection. CASE 17 Endoluminal graft repair of chronic type B dissections. Case 18 Endovascular management of the aneurysmal false lumen distal to an interposition graft placed for ruptured Stanford type B dissection. CASE 19 Hybrid management of type A dissection with malperfusion of the lower extremities. CASE 20 Endovascular management of a type B dissection complicated by renovascular hypertension. CASE 21 Endovascular management of a chronic type B dissection complicated with a new dissection and left renal artery compromise. CASE 22 Hybrid management of a retrograde type B dissection after endoluminal stent grafting. Section V: Thoracic aortic pseudoaneurysms. CASE 23 Endovascular management of thoracic aortic pseudoaneurysms. CASE 24 Endovascular management of thoracic mycotic aneurysms. Section VI: Extending proximal landing zones. CASE 25 Hybrid management of an arch aneurysm with a carotid-carotid bypass and deployment of an endoluminal graft. CASE 26 Endovascular management of transverse arch aneurysms. CASE 27 Hybrid endovascular management of an arch pseudoaneurysm using an antegrade deployment approach. CASE 28 Hybrid management of a retrograde type B dissection. CASE 29 Hybrid management of a chronic type B dissecting aneurysm with ascending aortic aneurysm. Section VII: Extending distal landing zones. CASE 30 Hybrid repair of Extent II thoracoabdominal aneurysms. CASE 31 Hybrid repair of an extent V thoracoabdominal aneurysm. CASE 32 Hybrid (combined open and endovascular) repair of thoracoabdominal aneurysms. Section VIII: Thoracic aortic coarctations. CASE 33 Endovascular management of adult primary coarctation of the aorta. CASE 34 Endovascular management of the small thoracic aorta with postcoarctation pseudoaneurysm. CASE 35 Recurrent coarctation of the thoracic aorta. Section IX: Thoracic aortobronchial fistula. CASE 36 Endovascular management of aortobronchial fistulas. Section X: Complications of thoracic aortic endografting. CASE 37 Endovascular management of a type I endoleak. CASE 38 Endovascular management of a type II endoleak. CASE 39 Retrograde dissection following endovascular management of thoracic aortic aneurysm. Section XI: Ascending aortic pathologies. CASE 40 Endovascular management of an ascending aortic pseudoaneurysm. CASE 41 Endovascular management of aneurysm of a right coronary vein graft using an ascending aorta endoluminal graft. Section XII: Supra-aortic thoracic aortic aneurysms. CASE 42 Hybrid approach to the management of a type C innominate artery aneurysm. Section XIII: Future of thoracic aortic endografting. CASE 43 Remote wireless pressure sensing for postoperative surveillance of thoracic endoluminal grafts. CASE 44 Zenith Dissection. The Road Ahead. Index