图书简介

Section 1. General Tips.- General Approach.- Cannulation Sites.- Bevel Your Distal Ascending or Hemi-Arch Anastomosis.- Aortic Wrap.- Carbon Dioxide Flooding of the Pericardial Well.- Innominate Vein Ligation.- Pericardial Bridge for Delayed Sternal Closure.- Pull Hard on Graft to Measure Length.- Reduction of Graft Diameter.- Increase of Graft Diameter.- Reinforcement of Posterior Wall of Aortic Anastomosis.- “Retrosternal Sponge” Re-entry Technique.- Reinforced Sternal Closure.- The Tightening Stitch.- Towel Clip Technique to Control Re-entry Bleeding.- Turn Off LV Vent Well Before Finishing Last Ascending Suture Line.- Conduct of DHCA.- Clamping the Aorta.- Other Cerebral Perfusion Strategies.- Swing Venous Line Down to Expose Aortic Root.- Intraoperative Malperfusion.- Surrounding the Ascending Aorta—Without Injuring the PA.- Do NOT obliterate a chronic flap.- Hugging but not Restricting the Innominate Artery with the Clamp.- Do Not Cut Too Close to the Clamp.- Graft Sizing.- “Valerie Stitch” for Exposure of the Aortic Root.- Cannulation of Left Inferior Pulmonary Vein.- Left Atrial Cannulation in Atrial Fibrillation.- The E-Rule: Never Start LA-FA Artery Perfusion w/o the Aorta Clamped.- Remember the Pulmonary Artery for “Venous” Return.- Mobilize the Posterior Wall Completely.- Mobilize the Descending Aorta from the Esophagus.- Sub-adventitial Hematoma.- Sienna graft for Mega-aorta.- The “Inclusion” Anastomotic Technique.- Big Needle for Thick Aortas.- Aneurysms of the Branches of the Aortic Arch.- Attaching Arch Graft to Ascending Graft (Configurations).- BioGlue on Graft-to-Graft Anastomoses.- Lung Adhesions.- Adherence of Aneurysm to Chest Wall.- Reoperative Adhesions.- Extracting old prosthetic valves.- Section 2. Ascending Aorta and Aortic Arch.- Aortic Morphology Determines Extent of Resection.- Use the Corner of the Commissure to Advantage.- Aortic Valve Repair.- Ascending Aortic Replacement (*deeper stitches on non-coronary sinus).- Composite Graft (Aortic Root Replacement) (Bentall Procedure).- Composite Graft (Aortic Root Replacement) (Bentall Procedure).- V-Shaped Aortic Root Remodeling.- Valve-Sparing Aortic Root Replacement.- Arch Replacement Options (2-vessel, 3-vessel, trifurcated graft).- Standard (Non-Frozen) Elephant Trunk Procedure.- Retrieving the Elephant Trunk—Four Options.- Stand-alone Elephant Trunk.- Acute Type A Aortic Dissection.- Ross Procedure.- Section 3. Descending and Thoracoabdominal Aorta.- Descending Aortic Replacement.- Acute Type B Aortic Dissection: Clinical Perspectives to Guide Surgery.- Fenestration Procedure.- Thoracoabdominal Aortic Replacement.- Abdominal aortic replacement.- Visceral artery aneurysms.- Pulmonary Artery Aneurysms.- Section 4. Vascular Rings.- General Comments.- Vascular Rings and Kommeril’s Diverticula.

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