Aortic Root Enlargement
The goal of aortic valve replacement (AVR) for aortic stenosis is to relieve transvalvular gradients in order to increase survival and improve symptoms. Occasionally however, the prosthesis that is accommodated by the native aortic annulus may not in fact
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Surgical Management of Aortic Pathology
Olaf H. Stanger · John R. Pepper Lars G. Svensson Editors
Surgical Management of Aortic Pathology Current Fundamentals for the Clinical Management of Aortic Disease
Editors Olaf H. Stanger Fmr Royal Brompton Hospital London UK
John R. Pepper Royal Brompton Hospital London UK
Lars G. Svensson Heart and Vascular Institute Cleveland Clinic Cleveland Ohio USA
ISBN 978-3-7091-4872-3 ISBN 978-3-7091-4874-7 (eBook) https://doi.org/10.1007/978-3-7091-4874-7 Library of Congress Control Number: 2019932806 © Springer-Verlag GmbH Austria, part of Springer Nature 2019 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors, and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. This Springer imprint is published by the registered company Springer-Verlag GmbH, AT part of Springer Nature. The registered company address is: Prinz-Eugen-Str. 8-10, 1040 Wien, Austria
Foreword
Treating aortic disease has always been an important but often complex area of cardiovascular surgery. This is not only because of the aorta’s role as the body’s largest and most vital artery but also because aortic disease can take a variety of forms with a broad range of consequences, from slowly progressive, asymptomatic disease to sudden death by rupture. The surgical treatment of aortic disease, particularly aortic aneurysm, is one of my long-time interests. In 1949, during my residency at Johns Hopkins, I was assisting surgeon Grant Ward with an emergency procedure and ended up performing one of the first excisions of an aortic aneurysm. Later, during my early years at Baylor College of Medicine in the 1950s, my friend and mentor Michael E. DeBakey and I, along with some of our colleagues, developed techniques for replacing aneurysmal aortic segments, first with homografts and later with synthetic grafts. In addition to treating aortic aneurysm, we used these techniques in the first successful repair
