Aortic Root Surgery: The Biologic Solution - Couverture rigide

Couverture rigide

ISBN 10 : 3798518688 ISBN 13 : 9783798518681

Editeur : Steinkopff Darmstadt, 2009

Synopsis

The surgical results of bioprosthetic aortic valve replacement in the 1960s and 1970s were not very satisfactory. The search for the ideal substitute for the diseased aortic valve led Donald Ross to develop the concept of the aortic allograft in 1962 and the pulmonary autograft in 1967 for subcoronary implantation, and later, in 1972, as a full root for replacing the aortic root in the infected aortic valve with a root abscess. The aortic al- graft and pulmonary autograft surgical procedures were revo- tionary in the history of cardiac valve surgery in the last m- lennium because they compete well with the bioprosthesis, are nonthrombogenic (thus, requiring no postoperative anticoa- lation), are resistant to infection, restore the anatomic units of the aortic or pulmonary outflow tract, and offer unimpeded blood flow and excellent hemodynamics, giving patients a b- ter prognosis and quality of life. Surgery for congenital, degenerative, and inflammatory aortic valve and root diseases has now reached a high level of maturity; yet an ideal valve for valve replacement is not available. The- fore, surgeons are focusing their skills and their clinical and s- entific knowledge on optimizing the technical artistry of val- sparing procedures.

A propos du livre

Présentation de l'éditeur

The surgical treatment of the aortic valve and root disease, organic and ischemic mitral regurgitation, and endocarditis has made great strides. Still, there is the well-known dilemma: on the one hand the need for anticoagulation in patients with mechanical valves that otherwise guarantee long-term functioning and, on the other, the unpredictable durability of biological substitutes and of valve repair procedures which, per se, do not require anticoagulation. The choice of procedure is determined by factors such as patients' age, metabolic and bleeding disorders, and bleeding preconditions, as well as such critical issues as the desire to bear children in young women. The book contains a collection of proceedings of The Berlin Heart Valve Symposium 2008 and The Berlin Mitral Valve Repair Symposium at the joint meeting of the Society for Heart Valve Disease and the Heart Valve Society of America in June 2009. It will be attended by internationally renowned experts who will focus on current surgical approaches to and evolving trends in aortic and mitral valve repair, aortic root and valve replacement with pulmonary autograft, aortic allograft, stentless and stented bioprostheses. Further contributions will deal with recent advances in catheter-based percutaneous and transapical techniques, ablation techniques for atrial fibrillation, tissue engineering of heart valves, multi-modality imaging, and anticoagulation.

Détails de l'édition

• Éditeur: Steinkopff Darmstadt
• Date d'édition: 2009
• Langue: anglais
• ISBN 10: 3798518688
• ISBN 13: 9783798518681
• Reliure: Relié
• Nombre de pages: 640
• Éditeur: Yankah Charles Abraham, Weng Yu-Guo, Hetzer Roland
• Coordonnées du fabricant: non disponible
• Personne responsable: CMN Printpool Inh. Mathis Neumann; https://www.also.com/ec/cms5/en_6000/6000/index.jsp; ; Friedrich-Karl-Str. 9; Hamburg; Allemagne