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Results 201 - 250 of 1462
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Arrieta Elkin J - - 2009
Coarctation of aorta associated with severe hypoplastic aortic arch and ductus arteriosus dependent, often combined with complex cardiac malformations, should be looked upon as bordering of hypoplastic left heart syndrome. The crucial and first objective is the adequate reconstruction of aortic arch, continuing with the repair of cardiac malformations. The ...
von Sarnowski Bettina - - 2010
BACKGROUND AND PURPOSE: Due to the geometry of linear array transducers and the anatomy of the supraclavicular, and jugular fossa it is often impossible to get an appropriate ultrasonic view of the intrathoracic segments of the supraaortic arteries and their origin from the aortic arch. We aimed to compare a ...
Weigang Ernst - - 2009
PURPOSE: Conventional surgical therapy of aortic arch aneurysms consists of aortic arch replacement requiring cardiopulmonary bypass and deep hypothermic circulatory arrest. This method is associated with significant morbidity and mortality, mainly due to neurologic complications and the sequelae of deep hypothermic circulatory arrest. Thus, it makes sense to work on ...
Bradshaw Lucy L Institute of Human Genetics, Newcastle University, Newcastle upon Tyne, - - 2009
Splotch(2H) (Sp(2H)) is a well-recognized mouse model of neural crest cell (NCC) deficiency that develops a spectrum of cardiac outflow tract malformations including common arterial trunk, double outlet right ventricle, ventricular septal defects and pharyngeal arch artery patterning defects, as well as defects in other neural-crest derived organ systems. These ...
Zhao Shao-hong - - 2009
BACKGROUND: Damage to the spinal cord after the treatment of the descending thoracic and thoracoabdominal aortic aneurysms is an uncommon but devastating complication. The artery of Adamkiewicz (AKA) is the principal arterial supply of the anterior spinal artery (ASA) in the lower thoracic and lumbar level. The purpose of this ...
van Doesburg I A J - - 2009
We present a 61-year-old woman with hypovolemic shock due to a ruptured aneurysm of the superior posterior pancreatic-duodenal artery in whom recurrent syncopes were the first presenting sign of pancreatic-duodenal artery aneurysm (PDAA). PDAA is a rare but life-threatening condition. The widely varying symptomatology may lead to a delay in ...
Tateishi Atsushi - - 2009
We present here an infant with an aortopulmonary window associated with an interrupted aortic arch. Single-stage repair with a pulmonary autograft patch for augmentation of the interrupted aortic arch repair was performed. Transpulmonary patch closure was used to repair the aortopulmonary window. A computed tomography scan at the 1-month follow-up ...
Szeto Wilson Y - - 2009
Surgical management of aortic arch aneurysms remains a clinical challenge associated with significant perioperative morbidity and mortality. For the increasingly aging population with significant comorbidities, innovative hybrid aortic arch reconstructive techniques using thoracic endograft technology have been developed in an attempt to improve surgical outcome. With these hybrid arch reconstructive ...
Brown John W - - 2009
Transverse aortic arch hypoplasia involving some or all segments of the arch (tubular hypoplasia) may exist in association with intra-cardiac anomalies of varying severity. Surgical repair of the distal transverse aortic arch and isthmus are adequately managed by an extended end-to-end coarctation repair in most infants via a left thoracotomy. ...
Desai Nimesh D - - 2009
DeBakey type I aortic dissections pose significant challenges in operative and long-term management of the arch and distal thoracic aorta. Concerns regarding management of complex tears extending to the arch and descending thoracic aorta, malperfusion syndromes, and late aortic dilatation have provided an impetus to explore aortic repairs that involve ...
Song Jinyoung - - 2009
A right-sided circumflex retroesophageal aortic arch combined with a ventricular septal defect and severe coarctation is an extremely rare condition. Moreover, surgical correction is significant when performing an anatomical reconstruction of the left aortic arch by end-to-side and native tissue-to-tissue anastomosis instead of using a bypass graft. The authors describe ...
Mutrie Christopher J - - 2009
The incidence of penetrating trauma to the brachiocephalic artery and aortic arch is not known, because most patients die of hemorrhage before they receive adequate treatment. Furthermore, when torrential hemorrhage from penetrating trauma is present, the anatomy of the thoracic vasculature can present a challenge for gaining adequate exposure, achieving ...
Okada Kenji - - 2009
OBJECTIVE: To present our experience of total aortic arch replacement through a left posterolateral thoracotomy. METHODS: Sixteen patients (13 males; mean age 62.1+/-11.3 years) with extended thoracic aortic aneurysms, including those in the thoracoabdominal aorta, underwent replacement through a left posterolateral thoracotomy. The pathology of the diseased aorta was non-dissecting ...
Navabi Mohammad Ali - - 2010
A 10-year-old girl came to our cardiac clinic complaining of chest pain. She had a history of aortic arch reconstruction 9 years ago. On chest X-ray, a calcified dilated aortic arch was found. Additionally, using a multislice computed tomography scan, the dimensions of the aneurysm were better illustrated. During the ...
Sun Lizhong - - 2008
BACKGROUND: The purpose of the study was to assess the efficacy of total arch replacement combined with stented elephant trunk implantation for Marfan patients with acute Stanford type A aortic dissection involving the aortic arch. METHODS: Between January 2004 and April 2006, 13 consecutive Marfan patients (4 female, 9 male) ...
Song Min-Ho - - 2008
In total arch-replacement surgery, careful attention must be paid to the presence of anomalous arch vessels, because their presence may require surgeons to change the brain-protection strategy during deep hypothermic circulatory arrest and selective cerebral perfusion. The anomaly we most often encounter is an isolated left vertebral artery (ILVA). We ...
Cheng Hung-Wei - - 2008
Cerebral ischemia or infarction caused by several equivocal mechanisms is a major complication after aortic arch replacement. Here, we report a 28-year-old male who underwent total replacement of the aortic arch and concomitant tributaries for hypoplasia of the transverse aortic arch and aortic branches. Continuous cerebral oxygen saturation (rSO2) monitoring ...
Sun Dandan - - 2009
Atraumatic, spontaneous aortic rupture is a rare but potentially lethal event. In this report, we present two unusual cases of aortic arch pseudoaneurysm resulting from spontaneous aortic rupture. The appearance of aortic arch pseudoaneurysm and the rupture area was clearly visualized with echocardiography, as well as by three-dimensional reconstruction of ...
Tuo Giulia - - 2009
The purpose of this study was to describe our experience in the ultrasound visualization and management of prenatally diagnosed isolated vascular rings. From January 2002 to December 2007, a total of 19 fetuses had a sonographic diagnosis of isolated vascular rings in 2 reference centers at a mean gestational age ...
Natsis Konstantinos I - - 2009
BACKGROUND: The variations of vessels arising from the aortic arch are numerous. The purpose of the present study is the description of the aortic arch branches' variations, in order to offer useful data to anatomists, radiologists, vascular, neck and thorax surgeons. In addition, literature has been reviewed so as to ...
Benedik Jaroslav - - 2009
Uncontrolled bleeding post root, ascending aorta and aortic arch operations can occur. Various techniques for getting bleeding under control have already been published in the literature. This life-threatening complication happens especially during acute aortic dissection and acute endocarditis operations, the former sometimes requiring complex mobilization of the aortic arch and ...
Klonaris Chris - - 2009
This case report describes the endovascular repair of a right-sided descending thoracic aortic aneurysm associated with a right aortic arch and an aberrant left subclavian artery. A 76-year-old male with multiple comorbidities was incidentally found to have a right-sided descending thoracic aortic aneurysm with a maximum diameter of 6.2 cm. ...
Grimminger P - - 2009
We present the successful management of an esophageal perforation after aortic arch aneurysm replacement in a 64-year-old patient. Four weeks after surgical repair of a perforated aortic arch aneurysm, a contained perforation of the thoracic esophagus on the prosthesis was detected. A subtotal esophagectomy and reconstruction by pull-up of the ...
Choh Tomoki - - 2009
The patient was a 52-year-old man. A plain chest radiograph showed widening of the superior mediastinum. Three-dimensional computed tomography revealed a thoracic aortic aneurysm involving an incomplete double aortic arch (Stewart's IB type 4) with a patent ductus arteriosus. An aneurysmectomy with replacement of the ascending aorta, aortic arch and ...
Lee Edward Y - - 2008
OBJECTIVE: The purpose of this study is to determine the prevalence of tracheomalacia (TM) associated with different types of mediastinal aortic vascular anomalies in symptomatic children using paired inspiratory-expiratory multidetector computed tomography (MDCT). MATERIALS AND METHODS: The study group consisted of 15 consecutive symptomatic pediatric patients (12 males/3 females; mean ...
Gottardi Roman R Department of Cardiothoracic Surgery, University of Vienna Medical School, Vienna, - - 2008
Supra-aortic transpositions in various extents followed by endovascular stent graft placement are now an established tool in the treatment of various pathologies affecting the aortic arch. Results remain to be determined. From 1996 through 2007, 73 patients (median age, 71 years) presented with aortic arch pathology (atherosclerotic aneurysms, n = ...
Talwar Sachin - - 2009
Two cases of tetralogy of Fallot (TOF) with double aortic arch and absent left pulmonary artery are reported. Single-stage repair was performed using a left thoracotomy for division of the non-dominant arch followed by complete repair through a median sternotomy. In both patients, the left pulmonary artery was reconstructed using ...
De Filippo C - - 2011
A 49-year-old operated for aortic coartaction patient presented with thoracic and ascending aortic aneurysm. He was asymptomatic. Angio-magnetic resonance nuclear scan and angiography revealed an ascending aortic aneurysm (5.2 cm), bicuspid aortic valve, 6-cm proximal descending aortic pseudoaneurysm at the site of the previous operation with involvement of the left ...
Faggioli Gianluca - - 2009
Carotid artery stenting (CAS) leads to frequent embolic brain lesions; their source has not been clearly identified yet. In order to investigate this phenomenon, we have evaluated embolic brain lesions (BL) after CAS and correlated them with aortic arch (AA) characteristics. The AAs of 59 patients undergoing CAS under distal ...
Vadikolias Konstantinos - - 2009
We describe an interesting pattern of transcranial Doppler (TCD) intracranial blood flow waveforms in a patient with an acute aortic arch type A dissection. A 49-year-old patient presented with a low blood pressure after a syncopal episode, severe chest pain, and mild left hemiparesis. Contrast-enhanced computed tomography revealed the aortic ...
Bhamidipaty V M - - 2008
We present a case of a 78-year-old gentleman who was found to have a large saccular aneurysm of the inner aortic arch after complaining of change in the character of his voice. This lesion was successfully excluded using purely fenestrated endovascular techniques without compromising the origins of supra-aortic vessels. A ...
Agematsu Kota - - 2008
A successful surgical palliative procedure, consisting of an arterial switch operation, pulmonary artery banding, and arch repair, was performed in a neonate with Taussig-Bing anomaly and aortic arch interruption, subaortic stenosis, and multiple muscular ventricular septal defects. Such anatomical complexity made treatment difficult. This palliative procedure allows future biventricular repair.
Ohkado Akihiko - - 2008
In total aortic arch replacement, distal aortic anastomosis is often remarkably difficult because of the deep operative field. Once bleeding from the anastomotic area occurs, it is intractable not only because of technical problems but also decreased coagulability due to deep hypothermia and the fragility of the aortic wall. We ...
Estrera Anthony L - - 2008
BACKGROUND: The benefit of retrograde cerebral perfusion (RCP) with profound hypothermic circulatory arrest has been subject to much debate. We examined our experience with ascending and transverse arch repairs to determine the impact of retrograde cerebral perfusion on stroke and mortality. METHODS AND RESULTS: Between August 1991 and June 2007, ...
Fujiu Ayuko - - 2008
BACKGROUND: Because cardiovascular disease is the major cause of death in dialysis patients, the correlation between diastolic left ventricular (LV) dysfunction and arterial sclerosis, including thoracic aortic calcification, was studied in chronic hemodialysis (HD) patients. METHODS AND RESULTS: The enrolled study subjects were 142 (73 men, 69 women) maintenance HD ...
Lentini Salvatore - - 2009
We present a case where we repaired the aortic arch, by the transposition of the left carotid artery to the ascending aorta. A 52-year-old man presented to our department with a penetrating chest wound by a gunshot in the attempt of suicide. The aortic arch and the insertion of the ...
Ji Shangyi - - 2008
The innominate artery cannulation (IAC) through the same sternotomy incision was used for 68 patients with aneurysm, involving the ascending aorta or the aorta arch. The IAC can get adequate flows during cooling and re-warming of cardiopulmonary bypass. It can also provide sufficient antegrade perfusion for brain during hypothermia circulation ...
Rubio Alvaro - - 2008
Real-time readings of the regional oxygen saturation (rSO(2)) using near-infrared spectroscopy (NIRS) during the aortic arch surgery can provide an early detection of perfusion or oxygenation abnormalities. BACKGROUND: Aortic arch repair techniques using low-flow antegrade selective cerebral perfusion have been standardized to a certain degree. However, some of the often-stated ...
Gokce Mustafa - - 2010
Interrupted aortic arch (IAA) is a scarce and generally lethal congenital malformation. Patients with complete IAA scarcely reach adult age without previous surgical intervention. In this case, we presented a 40-year-old isolated IAA case with hypertension and angina pectoris. IAA just distal to left subclavian artery and markedly developed collateral ...
Santoro Giuseppe - - 2009
A neonate with severe aortic coarctation showed a double lumen transverse aorta (persistent fifth aortic arch) with both channels joining at the isthmus where the obstruction was confirmed by echocardiography and cardiac catheterization. Surgical repair was performed with a pantaloon-shaped patch. Persistent fifth aortic arch does not result in a ...
Kimura Naoyuki - - 2008
A previously healthy 77-year-old woman with a 4-week history of back pain and fever was admitted to our hospital for chronic type A aortic dissection. The aortic arch was enlarged to 7.5 cm in diameter, and the large dissecting aortic aneurysm involved all three branches of the aortic arch and ...
Diehm N - - 2008
Diabetes mellitus (DM) and renal insufficiency (RI) were shown to be associated with an obstructive lesion pattern favouring distal lower limb arterial segments in patients with peripheral arterial disease (PAD). We hypothesized that presence of DM is associated with pronounced involvement of the tibioperoneal arteries, whereas RI predominantly affects the ...
Kassaian Seyed Ebrahim - - 2008
PURPOSE: To report the utility of a coronary technique to facilitate carotid stenting in patients with difficult arch anatomies. TECHNIQUE: When confronted with challenging arch anatomy that prevents engaging the common carotid artery (CCA) with the guiding sheath using standard techniques, an 8-F left Amplatz guiding catheter (AL1) is placed ...
Yamaguchi Satoshi - - 2008
OBJECT: The vertebral artery (VA) often takes a protrusive course posterolaterally over the posterior arch of the atlas. In this study, the authors attempted to quantify this posterolateral protrusion of the VA. METHODS: Three-dimensional CT angiography images obtained for various cranial or cervical diseases in 140 patients were reviewed and ...
Khoury Nabil J - - 2008
Cervical aortic arch (CAA) is a rare congenital aortic anomaly. It can be associated with several cardiovascular abnormalities including aortic aneurysm, valvular disease, and pseudocoarctation. In this report, we present a case of CAA with combined association of both aneurysm formation and pseudocoarctation. This combination of anomalies is extremely uncommon, ...
Morita Shigeki - - 2008
BACKGROUND: The assessment of intracranial arterial communication is important to prevent a stroke from occurring during an aortic arch operation. Bilateral axillary artery perfusion was used with the left common carotid artery perfusion for selective cerebral perfusion. A preoperative left carotid artery compression test with measurement of the left middle ...
Chen I-Ming - - 2008
Residual Stanford type A dissecting aortic aneurysm was frequently encountered several years after emergent repair. Surgical approach remained challenging and hazardous, not only due to the extensive involvement of the dilated false lumen but also the high comorbidity of redo sternotomy and extensive thoraco-abdominal procedure. We present a modified hybrid ...
Chan Yiu Che - - 2008
Hybrid technique with open surgical supra-aortic extra-anatomical bypasses (to provide a suitable proximal landing zone) and simultaneous or staged thoracic endovascular stent grafting is less invasive than open surgery in the treatment of complex aortic arch pathology. The aim of this study is to report our hybrid experience. Retrospective review ...
Minatoya Kenji - - 2008
There is no agreement at present as to which is the optimal site for artery cannulation for cardiopulmonary bypass in repair of acute aortic dissection (AAD). We have employed right axillary artery cannulation (RAAC) in combination with femoral artery cannulation to overcome the drawbacks of single cannulation. From January 2000 ...
McBrien Angela - - 2008
This is the second reported case of coarctation in a right aortic arch with an aberrant left brachiocephalic artery. In this patient, the right subclavian artery is aneurysmal, making this case unique. There is a pressure gradient of 34 mm Hg between ascending and descending aorta. Both the conventional and ...
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