Thoraco-Abdominal Aorta Surgical and Anesthetic Management

The thoraco-abdominal aortic pathology is not uncommon and represents the ultimate challenge for vascular surgeons. Written by internationally renowned experts in vascular and cardiac surgery, in anesthesiology and in radiology, the volume  deals wit

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Roberto Chiesa • Germano Melissano Alberto Zangrillo Editors

Joseph S. Coselli Guest Editor

Thoraco-Abdominal Aorta: Surgical and Anesthetic Management

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Editors Roberto Chiesa Department of Vascular Surgery “Vita-Salute” University IRCCS H. San Raffaele Milan, Italy

Germano Melissano Department of Vascular Surgery “Vita-Salute” University IRCCS H. San Raffaele Milan, Italy

Alberto Zangrillo Department of Anaesthesia and Intensive Care “Vita-Salute” University IRCCS H. San Raffaele Milan, Italy

Guest Editor Joseph S. Coselli Texas Heart Institute at St. Luke’s Episcopal Hospital and Division of Cardiothoracic Surgery Michael E. DeBakey Department of Surgery Baylor College of Medicine Houston, Texas, USA

The publication and distribution of this volume have been supported by “Vita-Salute” San Raffaele University, Milan

ISBN 978-88-470-1856-3

e-ISBN 978-88-470-1850-0

DOI 10.1007/978-88-470-1850-0 Springer Milan Dordrecht Heidelberg London New York Library of Congress Control Number: 2010938728 © Springer-Verlag Italia 2011 This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilm or in any other way, and storage in data banks. Duplication of this publication or parts thereof is permitted only under the provisions of the Italian Copyright Law in its current version, and permission for use must always be obtained from Springer. Violations are liable to prosecution under the Italian Copyright Law. The use of general descriptive names, registered names, trademarks, 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. Product liability: The publishers cannot guarantee the accuracy of any information about dosage and application contained in this book. In every individual case the user must check such information by consulting the relevant literature. 9 8 7 6 5 4 3 2 1 Cover design: Ikona S.r.l., Milano Typesetting and production: Scienzaperta S.r.l. Publishing Services, Novate Milanese (Milano), Italy Printing and binding: Printer Trento S.r.l., Trento, Italy Printed in Italy Springer-Verlag Italia S.r.l, Via Decembrio 28, I-20137 Milano, Italy Springer is part of Springer Science+Business Media (www.springer.com)

To our families without whose years of selfness sacrifice and loving support this would not have been possible

Foreword

The editors, Roberto Chiesa, Germano Melissano, and Alberto Zangrillo, are to be congratulated for the continued success of their educational series, Aortic Surgery and Anesthesia “How To Do It”. Also this new volume, entitled Thoraco-Abdominal Aorta: Surgical and Anesthetic Management, will undoubtedly be much revered and provide an exceptional educational reference for all aortic surgeons. I had the good fortune of completing my residency under the