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1

Luther, Bernd, Ralph I. Ru ckert, and Wolfgang Ru diger Hepp. Chirurgie der abdominalen und thorakalen Aorta. Springer-Verlag, 2010.

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2

Chiesa, Roberto, Germano Melissano, and Alberto Zangrillo, eds. Thoraco-Abdominal Aorta. Springer Milan, 2011. http://dx.doi.org/10.1007/978-88-470-1857-0.

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3

Williams, G. Melville. Atlas of aortic surgery. Williams & Wilkins, 1996.

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4

Stoney, Ronald J. Wylie's atlas of vascular surgery. J.B. Lippincott Co., 1992.

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5

Stoney, Ronald J. Wylie's atlas of vascular surgery. Lippincott, 1993.

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6

Aneurysmal Disease of the Thoracic and Abdominal Aorta. InTech, 2011.

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7

Bush, Ruth, ed. Aneurysmal Disease of the Thoracic and Abdominal Aorta. InTech, 2011. http://dx.doi.org/10.5772/1038.

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8

Chambers, John. Aortic aneurysm. Edited by Patrick Davey and David Sprigings. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780199568741.003.0102.

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The epidemiology and natural history of thoracic aortic aneurysm (TAA) and abdominal aortic aneurysm (AAA) are different. The thoracic aortic diameter is dependent on age and body habitus as well as the level at which it is measured. Average diameters are 2.1 cm/m2 for the ascending thoracic aorta, and 1.6 cm/m2 for the descending thoracic aorta, giving approximate thresholds for the diagnosis of a TAA of 40 mm and 35 mm, respectively. AAAs are defined by a diameter >30 mm and are mainly infrarenal, with only 2%–5% in a suprarenal position.
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9

J, Ballard David, ed. Abdominal aortic aneurysm surgery: A literature review and ratings of appropriateness and necessity. Rand, 1992.

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10

Hugh, Beebe, and Royal Society of Medicine, eds. Endovascular repair of AAA: An update on the use of Vanguard. Royal Society of Medicine, 1999.

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11

Prapa, Matina, and S. Yen Ho. Arterial wall remodelling in congenital heart disease. Edited by José Maria Pérez-Pomares, Robert G. Kelly, Maurice van den Hoff, et al. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780198757269.003.0024.

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The thoracic aorta is the second most common site of aneurysm formation after the abdominal aorta. Thoracic aortic aneurysms (TAAs) often result from medial wall degeneration secondary to genetic aberrations. Over recent decades, unprecedented research in the field of connective tissue disease has led to identification of key molecular pathways involved in TAA formation. Prolonged survival of congenital heart disease patients following successful reparative surgery has also led to increased incidence of TAA in this context with extensive investigations of underlying mechanisms. This chapter su
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12

Perkins, Jeremy. Peripheral arterial disease. Edited by Patrick Davey and David Sprigings. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780199568741.003.0104.

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Peripheral arterial disease is defined as an alteration to the blood supply to a limb, caused by an occlusion or stenosis in the arteries supplying that limb. The acuteness of the arterial compromise, and its severity and extent, will determine the symptoms experienced by the patient. Aneurysmal disease is defined as a localized dilatation of an artery and is most commonly seen in the infrarenal abdominal aorta. An infrarenal abdominal aorta is defined as being aneurysmal if its maximum anteroposterior diameter is 3 cm or greater.
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13

Grundmann, Reinhart, ed. Diagnosis and Treatment of Abdominal and Thoracic Aortic Aneurysms Including the Ascending Aorta and the Aortic Arch. InTech, 2011. http://dx.doi.org/10.5772/996.

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14

Michel, Jean-Baptiste. Biology of vascular wall dilation and rupture. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780198755777.003.0016.

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Arterial pathologies, important causes of death and morbidity in humans, are closely related to modifications in the circulatory system during evolution. With increasing intraluminal pressure and arterial bifurcation density, the arterial wall becomes the target of interactions with blood components and outward convection of plasma solutes and particles, including plasma zymogens and leukocyte proteases. Abdominal aortic aneurysms of atherothrombotic origin are characterized by the presence of an intraluminal thrombus (ILT), a major source of proteases, including plasmin, MMP-9, and elastase.
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15

Green, Lori. Imaging the Abdominal Aorta. Gulfcoast Ultrasound Institute, 2004.

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16

Kahn, S. Lowell. Use of Two Bifurcated Stent Grafts for Creation of an Aorto-Uni-Iliac Endograft. Edited by S. Lowell Kahn, Bulent Arslan, and Abdulrahman Masrani. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780199986071.003.0010.

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Abdominal aortic aneurysms are a common pathology encountered by the interventionalist. Most endovascular repairs are performed with conventional bifurcated devices. However, there are situations in which the use of an aorto-uni-iliac (AUI) device is required because the use of a bifurcated graft is not feasible. Standard indications for use of an AUI include a narrow aortic segment precluding delivery and adequate expansion of a bifurcated graft, unilateral iliac occlusion, tortuosity, severe stenosis, and the presence of iliac aneurysmal disease. Occasionally, an AUI may be used for aortoili
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17

Chiesa, Roberto, Alberto Zangrillo, and Germano Melissano. Thoraco-Abdominal Aorta: Surgical and Anesthetic Management. Springer, 2013.

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18

Abdominal aorta: A patient-specific hemodynamic model and histomorphometric analysis. National Library of Canada, 2002.

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19

Wylie's Atlas of Vascular Surgery: Thoracoabdominal Aorta and Its Branches. Lippincott Williams & Wilkins, 1992.

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20

Lancellotti, Patrizio, and Bernard Cosyns. Diseases of the Aorta. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780198713623.003.0015.

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This chapter considers evaluation of the aorta as a routine part of the standard echocardiographic examination. It looks as TTE as an excellent modality for imaging the aortic root, and in the serial measurement of maximum aortic root diameters, aortic regurgitation evaluation, and timing of elective surgery for several entities. In some patients, the right parasternal long-axis view can provide supplementary information of the ascending aorta. Of major importance for evaluation of the thoracic aorta is the suprasternal view. Although the entire thoracic descending aorta is not well imaged by
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21

Prótesis endovascualres (Stent Grafts) en el tratamiento de los aneurismas de aorta abdominal. Instituto de Salud Carlos III, 1997. http://dx.doi.org/10.4321/repisalud.4919.

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22

Uso tutelado del tratamiento intraluminal de los aneurismas de aorta abdominal mediante prótesis intavasculares. Instituto de Salud Carlos III, 2005. http://dx.doi.org/10.4321/repisalud.4990.

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23

Lacroix, Hendrik. The Optimal Surgical Approach for Elective Reconstruction of the Infra- and Juxta-renal Abdominal Aorta. Leuven University Press, 1997.

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24

Yaqoob, Muhammad M., Katherine Bennett-Richards, and Islam Junaid. Retroperitoneal fibrosis. Edited by Adrian Woolf. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199592548.003.0357.

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Retroperitoneal fibrosis (RPF) is a rare but multifaceted disease which encompasses a range of conditions characterized by the presence of a fibro-inflammatory tissue, which usually surrounds the abdominal aorta, iliac arteries, and extends into the retroperitoneum to entrap ureters with resultant unilateral or bilateral obstruction, usually at the junction between the middle and lower thirds of the ureter. The condition is progressive: initially, the fibrous tissue is fairly cellular, later becoming relatively acellular. The mechanism by which obstruction occurs is probably due to loss of per
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25

Dake, Michael D. Transcaval Aortic Catheterization for Transcatheter Aortic Valve Replacement and Thoracic Endovascular Aortic Repair Device Delivery. Edited by S. Lowell Kahn, Bulent Arslan, and Abdulrahman Masrani. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780199986071.003.0014.

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During the past decade, development of catheter-based techniques for treatment of thoracic aortic and aortic valve pathologies has required that interventionalists focus on the anatomic suitability of vascular access to allow safe introduction of large size devices. Both thoracic endovascular aortic repair (TEVAR) and transcatheter aortic valve implantation (TAVI) procedures require 20 French and larger sheaths and most of major complications during these procedures have been access related. This chapter reviews transcaval aortic access techniques for delivering large devices during TEVAR and
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