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As societies have aged and aortic diseases have become more prevalent, advances in diagnostic imaging and surgical techniques have brought significantly improved results for patients. In cardiovascular surgery, important questions remain to be addressed, however. "Strategy for Cardio-aortic and Aortic Surgery" was the theme of the 7th Keio University International Symposium for Life Sciences and Medicine. Meeting in Tokyo, researchers and specialists in cardiac surgery from around the world discussed crucial issues in their field. Papers from the symposium, collected in this volume, cover a broad range of topics, including recent advances in diagnostic imaging, brain protection during aortic surgery, spinal protection during thoracoabdominal aneurysm repair, treatment of type A acute aortic dissection, and stent-grafts and less-invasive aortic surgery. This unique book provides valuable information especially for aortic, cardiovascular, and thoracic surgeons.
1 The Science and Art of Aortic Disease.- The Natural History of Thoracic Aortic Aneurysms.- Pathophysiology of Aortic Dissection and Abdominal Aortic Aneurysm.- Advances in Diagnostic Imaging During Aortic Surgery: Impact of Three-Dimensional Diagnosis by Multislice Computed Tomography.- 2 Surgery of the Aortic Root.- Stentless Aortic Valve Replacement.- Valve-Preserving Root Replacement.- Endoscopic Assessment of Valve-Sparing Aortic Root Reconstruction: Root Aneurysm Versus Ascending Aneurysm.- Valve-Sparing Operation Versus Bentall Operation: Comparison at Medium-Term Follow-Up.- 3 Brain Protection.- Physiology of Hypothermic Circulatory Arrest and Retrograde Cerebral Perfusion.- Brain Protection with the Use of Antegrade Selective Cerebral Perfusion and Aortic Surgery.- Continuous Retrograde Cerebral Perfusion: Brain Protection During Aortic Surgery with Hypothermic Circulatory Arrest.- Prevention of Stroke Related to Ascending Aortic and Aortic Arch Atherothrombotic Material: Review.- 4 Surgery of the Ascending and/or Transverse Aorta.- Surgery of the Ascending and/or Transverse Aorta.- Aortic Arch Surgery and Methods of Protection.- Strategy for Redo Surgery on the Thoracic Aorta.- Surgery of the Ascending Aorta and/or Aortic Arch Using Deep Hypothermic Circulatory Arrest with Retrograde Cerebral Perfusion and Open Technique.- Operative Procedures and Surgical Outcomes of Patients Undergoing Repair of the Ascending Aorta and/or Transverse Aortic Arch.- 5 Surgery of the Aortic Arch and Distal Descending Aorta.- Arch and Thoracoabdominal Replacement.- Surgery of the Aortic Arch Involving the Descending Aorta.- Surgical Approaches to Nondissecting Atherosclerotic Aneurysms of the Distal Aortic Arch or Proximal Descending Aorta Using Deep Hypothermic Circulatory Arrest with Retrograde Cerebral Perfusion: Midsternotomy and Left Lateral Thoracotomy.- Strategy for Avoiding Cerebral Complications During Surgery for Arch and Distal Arch Aneurysm.- Surgical Treatment of the Distal Aortic Arch Aneurysm Using Selective Cerebral Perfusion.- 6 Management of Mycotic Aneurysms and Graft Infection.- Management of Mycotic Aneurysms and Graft Infection.- Mycotic Aneurysms of the Thoracic and Thoracoabdominal Aorta.- Graft Infection After Aortic Surgery: Strategy and Outcome.- Surgical Treatment of Mycotic Aortic Aneurysms and Management of Aortic Graft Infections.- 7 Spinal Protection.- Monitoring of Spinal Cord Function During Descending Thoracic and Thoracoabdominal Aneurysm Repair.- Spinal Cord Protection Including Localization of Arterial Radicularis Magna.- Enhancement of HSP72 Gene Expression in Spinal Cord After Preconditioning for Transient Ischemia in Rabbits.- Glutamate Neurotoxicity in Spinal Cord Injury.- Strategies for Preventing Spinal Cord Ischemia During Descending or Thoracoabdominal Aortic Aneurysm Surgery: Preoperative Visualization of the Adamkiewicz Artery and Intraoperative Motor-Evoked Potentials.- 8 Strategy of Type I and II Thoracoabdominal Aortic Replacement.- Strategy of Surgery for Repair of Thoracoabdominal Aneurysms.- Surgical Repair of Thoracoabdominal Aortic Aneurysms.- Atypical Thoracoabdominal Aortic Coarctation.- Impact of Segmental Aortic Clamp and Distal Aortic Perfusion on Postoperative Paraplegia During Thoracoabdominal Aortic Graft Replacement.- Surgical Treatment for Thoracoabdominal Aortic Aneurysm. Strategy for Spinal Cord/Visceral Protection in Type I or Type II Thoracoabdominal Aortic Replacement.- Prevention of Spinal Cord Injury During Thoracic and Thoracoabdominal Aortic Repairs.- 9 Treatment of Type A Acute Aortic Dissection.- Acute Type A Aortic Dissection and Early Hazard Mortality: New Statistical Approaches and Room for Improvement.- Surgical Management of Acute Aortic Dissection Type A.- Surgical Treatment of Acute Type A Dissections in Profound Hypothermic Circulatory Arrest.- Treatment of Type A Acute Aortic Dissection in Saitama.- Is Concomitant Total Arch Replacement Justified for Acute Type A Dissection?.- 10 New Treatments: Stent Grafts and Less Invasive Surgery.- Endovascular Stent-Grafts for Descending Thoracic Aortic Aneurysms and Acute Type B Aortic Dissections.- Does Minimally Invasive Endovascular Grafting for Abdominal and Thoracic Aortic Aneurysms Induce Less Inflammatory Response?.- Endovascular Grafting for Various Conditions of the Descending Thoracic Aorta.- Minimal Access Aortic Surgery.- Key Word Index.