Aortic Regurgitation

1. Auflage 2018
ISBN: 978-3-319-74212-0
Verlag: Springer International Publishing

Buch, Englisch, 305 Seiten, HC runder Rücken kaschiert, Format (B × H): 183 mm x 260 mm, Gewicht: 1046 g

This title is a comprehensive resource of aortic regurgitation suitable for both the novice and experienced practitioner. Detailed attention is given to the recently growing field of aortic valve-sparing surgery and aortic valve repair. Guidelines are also provided for general practitioners on how to treat patients after various aortic procedures. Also included are many operative photos, original medical illustrations and schematics.

Aortic Regurgitation synthesizes current knowledge of aortic valve repair into an easy-to-follow, illustration-rich text. It is therefore an indispensable guide suitable for use by cardiologists and trainees in cardiology, cardiac surgeons, echocardiographers, general practitioners and radiologists.

Zielgruppe

Professional/practitioner

Autoren/Hrsg.

Vojacek, Jan

Dominik, Jan

Zacek, Pavel

Fachgebiete

• Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Chirurgie Herz- & Thoraxchirurgie
• Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Klinische und Innere Medizin Kardiologie, Angiologie, Phlebologie

Inhaltsverzeichnis

Foreword

Terminology and list of abbreviations

Intermezzo I: Leonardo

P. Žácek

Chapter 1 Clinical and surgical anatomy of the aortic root

H. Muresian

Chapter 2 Living anatomy of the aortic root

R. H. Anderson, D. E. Spicer, S. Mori

Intermezzo II: Eponyms related to aortic regurgitation

P. Žácek

Chapter 3 Functional anatomy of the aortic valve and dynamics of the aortic root

E. Lansac, I. Di Centa

3.1 Experimental data on dynamic anatomy of the aortic root

3.2 Echocardiographic anatomy of the normal aortic root

3.3 Dynamic approach to aortic valve reconstruction

Chapter 4 Congenital anomalies of the aortic valve

J. Vojácek, P.
Žácek, J. Dominik, T. Holubec


4.1 Bicuspid aortic valve

4.1.1 Morphology

4.1.2 Natural history

4.1.3 Stenosis of BAV

4.1.4 Regurgitation of BAV

4.1.5 Endocarditis of BAV

4.1.6 Dilation of the ascending aorta

4.1.7 Treatment

4.2 Unicuspid aortic valve

4.2.1 Morphology

4.2.2 Natural history

4.2.3 Treatment

4.3 Quadricuspid aortic valve

4.3.1 Natural history

4.3.2 Treatment

Intermezzo III: Dominic John Corrigan (1802–1880)

P. Žácek

Chapter 5 Aortic regurgitation: from diagnosis towards indication

M. Brtko

5.1 Incidence, prevalence and etiology of aortic regurgitation

5.2 Pathophysiology of aortic regurgitation and natural history

5.3 Clinical manifestation

5.4 Diagnostics

5.5 Quantification of aortic regurgitation

5.6 Indication for operation


5.7 Medical treatment and follow-up of asymptomatic patients

5.8 Acute aortic regurgitation

Chapter 6 Connective tissue disorders

M.-C. Morgant, I. El-Hamamsy

6.1 Vascular wall connective tissue

6.1.1 Fibrillin

6.1.2 Collagen

6.1.3 Elastin

6.2 Vascular smooth muscle cells (VSMC)

6.3 Thoracic aortic aneurysms (TAA)

6.3.1 Syndromic diseases

6.3.2 Non-syndromic thoracic aortic aneurysms

Chapter 7 Echocardiography of the
aortic valve


M. Tuna

7.1 Assessment of the valve morphology

7.2 Cusp analysis, bicuspid and unicuspid aortic valve

7.3 Degenerative, postrheumatic and postinfective aortic valve lesions

7.4 3D echocardiography of the aortic valve

7.5 Dilation of the aortic root and the ascending aorta

7.6 Doppler examination of the aortic valve

7.7 Preoperative and postoperative echocardiographic assessment of the aortic valve

Intermezzo IV: Alfred de Musset (1810–1857)

P. Žácek

Chapter 8 Computed tomography and magnetic resonance of the aortic valve and ascending aorta

M. Solar, Z. Belobrádek

8.1 Technical aspects of CT and MR imaging

8.1.1 History of cardiac CT imaging


8.1.2 Cardiac CT parameters in comparison with other imaging modalities

8.1.3 Iodine contrast agents

8.1.4 CT imaging artifacts

8.1.5 Current possibilities of cardiac CT

8.1.6 Magnetic resonance imaging

8.1.7 Technical possibilities of MR in aortic root imaging

8.2 Role of CT and MR in specific diagnostics of aortic regurgitation and aortic disease

8.2.1 Quantification of aortic regurgitation

8.2.2 Assessment of aortic valve and root morphology

8.2.3 Assessment of left ventricular morphology and function.208

Chapter 9 Therapy

9.1 Aortic valve replacement

J. Dominik, P. Žácek, J. Vojácek

9.1.1 Historical development and types of aorti
c valve replacement devices


9.1.2 Persistent problems after aortic valve replacement

9.2 Transcatheter aortic valve implantation (TAVI)

M. Brtko

9.3 Valve allograft in aortic valve surgery

J. Špatenka, J. Burkert

9.3.1 Definition

9.3.2 History

9.3.3 Processing of allogeneic valve grafts

9.3.4 Surgical technique

9.3.5 Indication for use of valve allografts

9.3.6 Results

9.4 Ross procedure

I. El-Hamamsy

9.4.1 Historical overview

9.4.2 Concept

9.4.3 Results

9.4.4 Surgical principles and factors influencing technical success
9.5 Bentall procedure


J. Dominik, P. Žácek, J. Vojácek

9.5.1 Historical overview of Bentall procedure modifications

9.5.2 Results

9.5.3 Bentall procedure or a valve sparing procedure?

9.6 Development of conservative surgical treatment of aortic regurgitation

P. Žácek, J. Vojácek, J. Dominik

9.7 Valve preserving surgery in aortic regurgitation

J. Vojácek, P. Žácek, J. Dominik

9.7.1 Surgical correction of sinotubular junction dilation

9.7.2 Surgical correction of annular dilation

9.7.3 Surgical interventions on the aortic leaflets

9.7.4 Procedures on the aortic root and ascending aorta

9.7.5 Perioperative assessment of aortic valve function

9.7.6 Results of aortic valve sparing procedures

9.7.7 ’Conservative’ surgical procedures

Intermezzo V: Lincoln sign

P. Žácek


Chapter 10 Longterm results of aortic valve replacement and repair

B. Arabkhani, J. J. M. Takkenberg

10.1 Indication for operation for aortic regurgitation

10.2 Surgical treatment options

10.2.1 Mechanical valve prostheses

10.2.2 Biological valve prostheses

10.2.3 Aortic valve repair and valve sparing procedures on the aortic root

10.3 Results after aortic valve replacement and aortic valve repair

10.3.1 Results after mechanical aortic valve replacement and Bentall procedure

10.3.2 Results after aortic valve replacement with a stented bioprosthesis

10.3.3 Results after aortic valve replacement with a stentless bioprosthesis

10.3.4 Results after aortic v
alve and root replacement with an allograft

10.3.5 Results of the Ross procedure


10.3.6 Results of aortic valve-sparing root procedures

10.3.7 Results of aortic valve repair

10.4 Quality of life after aortic valve surgery

10.5 Choice of optimal strategy for an individual patient with aortic regurgitation

Intermezzo VI:

Taliesin Golesworthy, the inventor of treatment of his own disease

P. Žácek

Chapter 11 Recommendations for out-patient care after aortic valve surgery

M. Brtko

11.1 Out-patient follow-up

11.2 Antithrombotic treatment after aortic valve surgery

11.3 Infective endocarditis prophylaxis

Index

Summary

Über Autor(innen)

Professor Jan Vojacek operates as the Vice-chief of the Department of Cardiac Surgery, University Hospital Hradec Kralove, Medical Faculty Hradec Kralove, Charles University in Prague. He is also a consultant in vascular and cardiac surgery, and is an active member of many societies, including The European Society for Vascular Surgery, the European Association for Cardio-Thoracic Surgery, and acts as an Honorary member of Peruvian Society for Thoracic and Cardiovascular Surgery. He is the author or co-author of over 65 scientific papers, author of chapters in two foreign language textbooks, and author of many international lectures. He specialises in reconstructive valve surgery.
Professor Pavel Zacek works as a consultant cardiac surgeon for adult cardiac surgery. He also teaches medical students at the Faculty of Medicine in Hradec Kralove. He is the author and co-author of 107 papers and a main author of a multimedia electronic textbook Interactive Cardiac Surgery, Springer Heidelberg 2005, and co-author of Heart Valve Surgery - An Illustrated Guide, Springer Heidelberg 2010.


Professor Jan Dominik specialises in heart valve surgery. He is the author of the textbook Kardiochirurgie (Karolinum, Prague, 1997) and the monograph Kardiochirurgie (Grada Publishing, Prague, 1998), and a co-author of Interactive Cardiac Surgery (Springer, 2005), author of Chirurgie srdecních chlopní (Grada, 2008) and Heart Valve Surgery (An Illustrated Guide), Springer Heidelberg 2010. He is the Honorary Member of the Czech Society of Cardiology and a fellow of several international scientific societies.Between 1991 and 2005 he was the Head of the Department of Cardiac Surgery, Charles University Hospital, Hradec Kralove, Czech Republic, and between 1997 and 2003 he was also the vice-dean of the Faculty of Medicine in Hradec Králové.