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Aortic Arch Aneurysms

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Diseases of the Aorta

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Abstract

Aortic arch aneurysms present a special challenge to the cardiovascular surgeon because of the complicated anatomy of the aortic arch and critical need to protect the brain from ischemic and embolic injury during aortic arch aneurysm repair. Over the past 30 years, advances in operative technique and neuroprotective strategies have made routine repair of aortic arch aneurysms feasible. The development of endostents to treat aortic arch aneurysms has been delayed by anatomic constraints, such as the curvature of this aortic segment and critical branches to the brain that need to be reconstructed. The initial use of endostents to treat aortic arch pathology has been primarily in the context of hybrid endovascular-open procedures. Ongoing development of branched endografts will add to the therapeutic options for the treatment of the aortic arch aneurysms and improve the safety and outcomes of this procedure.

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Author information

Authors and Affiliations

  1. Division of Cardiothoracic Surgery, University of California at Davis, Sacramento, CA, USA

    Victor M. Rodriguez

  2. Aortic Program, Knight Cardiovascular Institute, Division of Vascular Surgery, Oregon Health & Sciences University, Portland, OR, USA

    Cherrie Abraham

  3. Division of Cardiothoracic Surgery, Oregon Health and Science University, Portland, OR, USA

    Howard K. Song

Authors
  1. Victor M. Rodriguez
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  2. Cherrie Abraham
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  3. Howard K. Song
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Editor information

Editors and Affiliations

  1. Interventional Cardiology, Vascular and Endovascular Medicine, Loyola University Medical Center, Maywood, IL, USA

    Robert S. Dieter

  2. Cardiovascular and Thoracic Surgery, Northwestern University at Cadence Health Emeritus, Winfield, IL, USA

    Raymond A. Dieter Jr.

  3. University of Tennessee Medical Center, Cardiovascular and Thoracic Surgery, Knoxville, TN, USA

    Raymond A. Dieter III

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Rodriguez, V.M., Abraham, C., Song, H.K. (2019). Aortic Arch Aneurysms. In: Dieter, R., Dieter Jr., R., Dieter III, R. (eds) Diseases of the Aorta . Springer, Cham. https://doi.org/10.1007/978-3-030-11322-3_12

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  • DOI: https://doi.org/10.1007/978-3-030-11322-3_12

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-11321-6

  • Online ISBN: 978-3-030-11322-3

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