Aortic Surgery by Joseph S. Coselli MD, Scott A. LeMaire MD

By Joseph S. Coselli MD, Scott A. LeMaire MD

Focusing completely at the surgical administration of aortic arch sickness in adults, this concise reference offers authoritative assistance on either average and replacement ways from the world over famous experts.
Topics include:
general rules of aortic diseases
imaging techniques
intraoperative management
neurologic safety strategies
options for aortic repair
surgical remedy of particular problems
- complications
Abundant illustrations show major imaging research findings and depict key ideas and strategies.
With its certain descriptions and thorough causes of a large choice of ways to imaging, mind safety and tracking, and aortic reconstruction, Aortic Arch surgical procedure: rules, ideas and results provides practising and potential thoracic and cardiovascular surgeons entry to the complete armamentarium of administration thoughts. Anesthesiologists, perfusionists, neurologists, radiologists, and others who've a different curiosity in treating sufferers with thoracic aortic illness also will locate this e-book a useful resource of in charge info.

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Sample text

Surg Clin North Am 1989; 69:713-720. Frame PS, Fryback DG, Patterson C. Screening for abdominal aortic aneurysms in men ages 60-80 years: A cost-effective analysis. Ann Intern Med 1993; 119:411-416. Richardson EL. The creative balance. New York: Holt, Rinehart and Winston 1977:138. Scott RAP. Ultrasound screening in the management of abdominal aortic aneurysms. Int Angiol 1986; 5:263-266. Collin J. Screening for abdominal aortic aneurysms. Br J Surg 1985; 72:851-853. Thurnmond AS, Semler HJ. Abdominal aortic aneurysm: Incidence in a population at risk.

S. K. 28 Based on their data and several assumptions, these authors concluded that in order to save one life from a ruptured AAA, 2,000 men would need to be screened and 10 elective operations performed. 3 22 Aortic Surgery Economic Deliberations 3 The economic cost of ruptured aneurysms is staggering. 30 Postoperative length of stay, net revenue, total standard charges and net profit or loss margins were the principal analyzed variables. A net loss of $409,459 was noted for the entire series. Although emergent operations (mostly for ruptured AAAs) made up only 12% of the procedures, they accounted for 73% of the losses, with an average loss of $24,655 per patient.

O. 5. 6% incidence in men; incidence of rupture reduced by 55% in screened men compared with controls 4 1090 patients with known small AAAs randomized to early surgery or serial follow-up; early surgery provided no long-term advantage 5 AAA 4 cm or larger 31 3 32 3 Aortic Surgery by US screening are categorized by size. 9 cm are followed using serial abdominal ultrasonography. 4 cm in diameter (as confirmed by CT scan) are carefully evaluated with respect to operative risk. If they are good candidates for operative repair, these patients are randomized to expeditious elective surgery or serial ultrasonography/CT scans.

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