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Ucak Alper - - 2010
Hybrid repair of an acute type B aortic dissection with endovascular stenting and aortic arch debranching is an acceptable treatment in complicated type B dissection. We present the case of a 71-year-old man presenting with acute type B aortic dissection and concomitant aneurysm of the distal aortic arch, who underwent ...
Gan Hwa Wooi - - 2010
Carotid stenting in difficult arch anatomy can be safely done by transradial route depending upon operator's experience. Left carotid artery stenosis with bovine arch anatomy can be approached by right arm approach (radial/brachial) easily. In cases with bovine arch anatomy, left arm approach by modified looping technique is still possible. ...
Mirat Jure - - 2010
Interrupted aortic arch (IAA) is a congenital defect characterized by loss of luminal continuity between the ascending and descending aorta1. It is a rare malformation with an estimated incidence of perinatally diagnosed cases of 3 per million live births3. The condition is considered extremely rare in adults. However, its true ...
Huang Fang Jiong - - 2010
The purpose of this study was to examine the safety and efficacy of cannulation of the innominate artery with a side graft in arch surgery. Between January 2004 and March 2009, 46 patients received arch surgery under hypothermia circulatory arrest (HCA) and hemispheric antegrade cerebral perfusion (HACP). There were 36 ...
Benedik J - - 2010
Acute aortic dissection is a life threatening disease, which is occasionally limited to an ascending aorta only (DeBakey type II). In majority of patients it involves the aortic arch and entire rest of the aorta (DeBakey type I). The standardized cannulation and operation strategy can not be used in cases, ...
Kobayashi Tohru - - 2010
We report a successful two-stage treatment for an infant with truncus arteriosus with aortic arch interruption. The treatment consisted of flow-adjustable bilateral pulmonary artery banding using clipping and postoperative balloon dilation, followed by staged repair. The merits of this strategy are as follows: (1) bilateral pulmonary artery banding is less ...
Macrina F - - 2010
A circuit was developed to allow for rapid reaction to the needs of perfusion during extracorporeal circulation (ECC) in surgery of the aortic arch and ascending aorta. From January 2008 through January 2010, a home-designed circuit was used on 30 patients with aortic dissection who underwent surgery to replace the ...
Aeba Ryo - - 2010
A right-sided interrupted aortic arch is rare, and it may have an associated aberrant left subclavian artery (ALSCA). An ALSCA is most often sacrificed at biventricular repair despite the potential danger of poor left upper-extremity growth. We report a case of ALSCA preservation with extensive dissection during aortic arch repair ...
Lee Cheul - - 2010
Isolation of the left innominate artery (IA) with right aortic arch is a rare congenital anomaly in which the IA loses its connection to the aorta and is connected to the pulmonary artery via a left ductus arteriosus. Here, we report a case of a 9-month-old girl with incomplete isolation ...
Yamana Koji - - 2010
BACKGROUND: The study objective was to investigate the efficacy of perfusion toward the aortic valve in patients who had undergone total arch replacement for atherosclerotic arch aneurysms. METHODS: Transesophageal echocardiography was used to measure the peak velocities of each perfusion method in the aortic arch. The latest 15 patients with ...
Loiselle Andrea - - 2010
Isolated large mobile mass in the thoracic aorta can be due to thrombus or, rarely, aortic tumor. We report the case of a 61-year-old man with no history of medical problems presenting with neurologic deficits and in whom a large mobile echogenic mass in the distal aortic arch was found ...
Ryckebüsch Lucile L INSERM UMR S910, Université de la Méditerranée, Faculté de Médecine, 27 Bd. Jean Moulin, Marseille, - - 2010
Loss of Tbx1 and decrease of retinoic acid (RA) synthesis result in DiGeorge/velocardiofacial syndrome (DGS/VCFS)-like phenotypes in mouse models, including defects in septation of the outflow tract of the heart and anomalies of pharyngeal arch-derived structures including arteries of the head and neck, laryngeal-tracheal cartilage, and thymus/parathyroid. Wild-type levels of ...
Takeda Kazuhisa - - 2010
A 84-year-old man with a surgical history of subtotal gastrectomy for gastric cancer was transferred to our department because of a disorder of consciousness. Septic shock due to obstructive suppurative cholangitis secondary to choledocholithiasis was diagnosed. Anemia was also present, and upper gastrointestinal tract endoscopy revealed blood emerging from the ...
Xydas Steve - - 2010
OBJECTIVE: Total aortic arch replacement typically requires hypothermic circulatory arrest, carrying risks of cerebral ischemia. We recently introduced left carotid-subclavian bypass before total aortic arch replacement with thoracic stent grafting to achieve hybrid arch reconstruction with short periods of selective antegrade cerebral perfusion. METHODS: From 2004 to 2009, 332 patients ...
Umegaki Takeshi - - 2010
A 2-month old male was admitted due to repeated cyanotic attacks. He had suffered from stridor and retractive breathing since birth. Double aortic arch was diagnosed and the vascular ring formed by the double aortic arch was compressing the trachea. Multirow detector computed tomography showed that he had a right-dominant ...
Shudo Yasuhiro - - 2010
Reoperative surgical intervention for a new-onset aortic arch dissection following a Bentall procedure or graft replacement for the ascending aorta is often difficult, especially in elderly patients. Herein, we report a re-do arch replacement method using a trifurcate-branched graft and long elephant trunk anastomosis at the composite root graft on ...
Iwata Keiji - - 2010
In aortic arch surgery, two pumps are required for systemic perfusion and selective cerebral perfusion (SCP). A new technique with a single centrifugal pump for systemic perfusion and SCP was developed and its efficacy and safety evaluated. This technique was adopted for total arch replacement in 22 consecutive patients with ...
Karabulut Ozlen - - 2010
The variations in the aortic arch and its branches are of surgical interest. Many anomalies of the aortic arch and great vessels are uncovered as serendipitous findings on imaging studies, in the anatomy laboratory, or at surgery. A 56-year-old woman had an arch angiogram as part of an evaluation for ...
Roche-Nagle Graham - - 2010
Cases of mural aortic arch thromboses are generally associated with diffuse atherosclerosis of the aortic arch and have primarily been detected in elderly patients. However, the presence of mural thrombi in the aortic arch in young patients without diffuse atherosclerosis has rarely been reported. We describe a case of a ...
Verhaert David - - 2010
Truncus arteriosus (TA) is a rare congenital condition defined as a single arterial vessel arising from the heart that gives origin to the systemic, pulmonary and coronary circulations. We discuss the unique case of a 28 year-old female patient with unrepaired TA and interruption of the aortic arch who underwent ...
Obitsu Yukio - - 2010
Aortic anomaly in which a right-sided aortic arch associated with Kommerell's diverticulum and aberrant left subclavian artery is rare. The present report describes a patient with type-B aortic dissection accompanying aortic anomalies consisting of right-sided aortic arch and the left common carotid and left subclavian artery arising from Kommerell's diverticulum. ...
Piggott J R - - 2010
Pulmonary emboli are rare, yet serious, complications of body contouring surgery. When they occur, they more often follow as complications of long, invasive procedures in adults. The present report details a case of bilateral pulmonary emboli in an obese 15-year-old boy with hypogonadism undergoing bilateral mastectomy for gynecomastia. The diagnosis ...
Karimi Mohsen - - 2010
We report a case of a high-risk neonate with interrupted aortic arch (IAA) and ventricular septal defect who underwent a successful hybrid palliative procedure using a ductal stent and bilateral branch pulmonary artery banding. This case represents not only a successful use of hybrid approach in high-risk neonates with IAA, ...
Watanabe Yusuke Y Department of Developmental Biology, URA CNRS 2578, Institut Pasteur, 25 rue du Dr. Roux 75015 Paris, - - 2010
The genes encoding fibroblast growth factor (FGF) 8 and 10 are expressed in the anterior part of the second heart field that constitutes a population of cardiac progenitor cells contributing to the arterial pole of the heart. Previous studies of hypomorphic and conditional Fgf8 mutants show disrupted outflow tract (OFT) ...
Seo Hyun Kyong - - 2010
Double aortic arch is a rare anomaly of the aortic arch and this may cause tracheal damage by compressing the trachea during the first year of life. We report here on three fetal cases of double aortic arch and their outcomes. These malformations presented as an isolated right aortic arch ...
Augoustides John G T - - 2010
Significant innovations have defined the approach to the proximal thoracic aorta. Aortic proteolysis predisposes to dissection and aneurysm. Losartan may prevent aortic root dilation in Marfan syndrome. The Loeys-Dietz syndrome mandates early aortic intervention. Because genetic aortopathies have a multicenter registry, further aortic molecular advances are likely. Acute intramural hematoma ...
Kotani Shinsuke - - 2010
We report an uncommon case of thrombogenesis in the distal aortic arch after apicoaortic conduit (AAC) for severe aortic stenosis (AS). A 71-year-old woman underwent AAC with a bioprosthetic valve for severe AS because of heavy calcification of the ascending aorta. Although anticoagulant therapy with warfarin was performed, a postoperative ...
Hughes G Chad - - 2009
BACKGROUND: Aneurysms of the transverse aortic arch, especially those involving the mid to distal arch, are technically challenging to repair with conventional open techniques. We present our results with a combined open/endovascular approach ("hybrid repair") in such patients. METHODS: From August 11, 2005, to September 18, 2008, 28 patients underwent ...
Wakamatsu Hiroki - - 2009
OBJECTIVE: Simultaneous aortic arch repair and coronary artery bypass are associated with considerable morbidity and mortality. We retrospectively analyzed our experience with on- and off-pump coronary artery bypass (CAB) combined with aortic arch repair. METHODS: Before aortic arch repair, distal coronary artery anastomosis was constructed on the arrested heart under ...
Anyanwu G E - - 2009
OBJECTIVE OF THE STUDY: To determine the relevance of the transverse aortic arch diameter in the evaluation of early aortic and cardiac enlargements. SUBJECT AND METHOD: A total of 1818 chest radiographs of male and female normotensive and hypertensive Nigerians of age range 4-80 and 10-80 years respectively were used ...
Wang Wei - - 2009
We report a case of aortic arch reconstruction with an autologous pulmonary arterial-roll tube in a 4-year-old child with a type A interrupted aortic arch. The autologous pulmonary arterial-roll tube dilated progressively after the operation, and some severe complications occurred, including formation of an aneurysm. A second operation was performed ...
Song In Wook - - 2009
Pedunculated thrombus in the aortic arch that is associated with cerebral infarction is very rare requires prompt diagnosis and treatment to prevent occurrence of another devastating complication. Transesophageal echocardiography is useful for detecting source of embolism including aortic thrombi. The treatment options of aortic thrombi involves anticoagulation, thrombolysis, thromboaspiration, and ...
Minakawa Masahito - - 2010
This study was designed to analyze flow pattern, velocity, and strain on the aortic wall of a glass aortic arch aneurysm model during the extracorporeal circulation, and to elucidate the characteristics of flow pattern in three different aortic cannulae. Different patterns of large vortices and helical flow were made by ...
Hayashi George - - 2010
We report the first case of prenatally diagnosed aortopulmonary window (APW) with interrupted aortic arch. The mother was referred for fetal echocardiography at 29 weeks' gestation because of suspected congenital heart disease. On the short-axis view, we clearly imaged the aortopulmonary septal defect at the proximal pulmonary artery and type ...
Murzi Michele - - 2010
Aneurysms of the right aortic arch with an aberrant left subclavian artery are rare. We report the case of a 77-year-old woman with a Kommerell's diverticulum aneurysm, who underwent a successful hybrid repair, combining surgical off-pump bypass of the aortic arch vessels followed by endovascular aneurysm repair.
Holmes Gerard - - 2010
Although persistent, fifth aortic arch (P5A) is an uncommon anomaly. Its incidence is unknown due largely to failure of recognition. Fundamental to its diagnosis is an adequate understanding of the various settings in which P5A may manifest. One of the more frequently reported manifestations of this unusual anomaly is a ...
Hashmi Syed Faisal - - 2009
This case report describes a rare example of double aortic arch with a dominant left aortic arch, patent minor right aortic arch, left descending aorta, and right ligamentum arteriosum causing tracheobronchial compression in a twin baby girl with DiGeorge syndrome. She also had large right subclavian artery arising from right-sided ...
Sefidbakht S - - 2009
The authors report an interesting case of right retroesophageal aortic arch (REAA) with pulmonary embolism that presented like the dissection of the aortic aneurysm but eventually diagnosed by means of spiral CT. Right REAA should be considered as a rare cause of mediastinal widening in the patients in whom significant ...
Desai Nimesh D - - 2009
PURPOSE OF REVIEW: Open aortic arch surgery is highly invasive and may result in significant morbidity. Recent innovations in thoracic stent-graft technology have facilitated methods of replacing the aortic arch without deep hypothermic circulatory arrest or even cardiopulmonary bypass. We present a review of the current techniques and results of ...
Spina Amedeo - - 2009
AB A 27-year-old man with history of ventricular septal defect repair in infancy presented with aneurysm of Edwards type IIIB right aortic arch. Karyotype analysis excluded chromosome 22 anomalies. The lesion was repaired using beating heart partial cardiopulmonary bypass via a clamshell incision. Postoperative course was uneventful.
Kumar Thittamaranahalli Kariyappa S - - 2009
We report a case of interrupted aortic arch and origin of the left pulmonary artery from the aorta with bilateral ductus arteriosus and discuss its possible embryological basis. To the best of our knowledge, this combination of anomalies has not been reported in the English medical literature.
Dasi Lakshmi P LP Wallace H. Coulter School of Biomedical Engineering, Georgia Institute of Technology, Atlanta, GA 30332-0535, - - 2010
Pulmonary artery size is a crucial determinant of hemodynamic energy loss in total cavopulmonary connections. We investigated the effect of aortic arch reconstruction on left pulmonary artery size based on their anatomic proximity. Thirty-two patients undergoing the Fontan operation, 16 with hypoplastic left heart syndrome and 16 with non-hypoplastic left ...
Manning Brian J - - 2010
In situ fenestration of aortic stent grafts has the potential to allow for continued perfusion of supra-aortic trunks, without the need for extra-anatomic bypass, and without the need for custom-made devices. Angulation of the target vessel relative to the arch is an obstacle to success with this technique. In this ...
Kajihara Noriyoshi - - 2010
The success rate of right-heart bypass surgery in patients with a functionally single ventricle (f-SV) and systemic obstruction is low. In patients with a high risk of subaortic stenosis, we performed an initial step of pulmonary artery banding (PAB) and arch reconstruction before placing a bidirectional cavopulmonary shunt (BCPS) in ...
Lazar Harold L - - 2010
We report the case of a patient who presented with sudden onset of paraplegia following an acute ascending aortic dissection extending to the arch, descending, and abdominal aorta. The paraplegia was fully reversed following an emergent replacement of the ascending aorta and hemi-arch repair.
Reece T Brett - - 2010
Kommerell's diverticulum of an aberrant left subclavian artery associated with a right-sided aortic arch is a rare congenital aortic anomaly. This communication reports two cases of this congenital anomaly leading to severe dysphagia. Both cases were successfully repaired with a staged open approach rather than an endovascular approach, which would ...
Barcudi Silvina - - 2010
A right aortic arch with a left descending aorta and an aberrant left innominate artery is a rare but recognized vascular anomaly that can result in compression of the trachea and the esophagus. This vascular anomaly has been diagnosed using cardiac catheterization and angiography. Recently, computed tomography and magnetic resonance ...
Panchal Anand P - - 2010
We feel the original description of Kaplan's cardinal line provides a more accurate reference point to the superficial palmar arterial arch. We sought to anatomically correlate the relationship of Kaplan's cardinal line to the superficial palmar arch. Sixty hands (30 cadavers) were dissected after Kaplan's original description was drawn on ...
Lu Jimmy C - - 2010
We describe an extremely rare combination of tetralogy of Fallot (TOF), right-sided cervical aortic arch with long-segment hypoplasia, and other vascular anomalies. A two-stage surgical approach included aortic arch reconstruction followed by right ventricular muscle bundle division and ventricular septal defect closure a few weeks later. The initial clinical presentation, ...
Lagan? D - - 2009
PURPOSE: This study sought to assess the feasibility and effectiveness of hybrid treatment of isolated aortic arch aneurysms. MATERIALS AND METHODS: Between December 2000 and December 2006, we selected 14 patients affected by 14 isolated aortic arch aneurysms. All patients had involvement of the left subclavian artery, four of the ...
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