Aortic Aneurysms Pathogenesis and Treatment

As life expectancy is extended, the incidence and occurrence of Aortic Aneurysms are becoming increasingly common. Until recently, the treatment of aortic disease was primarily surgical, carrying a high mortality rate among the high risk elderly populatio

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Aortic Aneurysms Pathogenesis and Treatment

Edited by Gilbert R. Upchurch Jr. University of Michigan, Ann Arbor, MI, USA

Enrique Criado University of Michigan, Ann Arbor, MI, USA

Foreword by Raman Berguer

Editors Gilbert R. Upchurch Jr., MD University of Michigan Health System Department of Surgery Sec. Vascular Surgery 1500 E. Medical Center Dr. Ann Arbor MI 48109-0329 TC2210N USA

Enrique Criado, MD University of Michigan Health System Department of Surgery Sec. Vascular Surgery 1500 E. Medical Center Dr. Ann Arbor MI 48109-0329 TC2210N USA

ISBN: 978-1-60327-203-2 e-ISBN: 978-1-60327-204-9 DOI: 10.1007/978-1-60327-204-9 Library of Congress Control Number: 2008941006 © Humana Press, a part of Springer Science+Business Media, LLC 2009 All rights reserved. This work may not be translated or copied in whole or in part without the written permission of the publisher (Humana Press, c/o Springer Science+Business Media, LLC, 233 Spring Street, New York, NY 10013, USA), except for brief excerpts in connection with reviews or scholarly analysis. Use in connection with any form of information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed is forbidden. The use in this publication of trade names, trademarks, service marks, and similar terms, even if they are not identified as such, is not to be taken as an expression of opinion as to whether or not they are subject to proprietary rights. While the advice and information in this book are believed to be true and accurate at the date of going to press, neither the authors nor the editors nor the publisher can accept any legal responsibility for any errors or omissions that may be made. The publisher makes no warranty, express or implied, with respect to the material contained herein. Printed on acid-free paper springer.com

Foreword

This volume of the “Contemporary Cardiology” series updates the management of aneurysms of the descending thoracic and abdominal aorta, incorporating recent advances in the endovascular therapies that are becoming the first choice of treatment for aortic aneurysms. Aortic aneurysm has acquired new relevance in the practice of medicine. The shift from direct to endovascular repair continues to grow as the disease is diagnosed more frequently: the first wave of baby boomers passes now through the 65-year old mark and the ultrasound screening of aortas in the population at risk has become an accepted medical practice. The dramatic differences in treatment outcomes between intact and ruptured aortic aneurysms have stimulated the search for early diagnosis and treatment. The genetics of aneurysms have established the indications for familial screening. Internists and cardiologists are usually the first physicians to identify an aneurysm and should be aware of the new options for treatment available today. The fast-evolving knowledge on aortic aneurysms is thoroughly summarized i