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Results 251 - 300 of 1463
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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 ...
Wang Shenming - - 2008
To analyze at one institution the endovascular treatment for aortic arch and proximal thoracic aortic lesions, categorize open arch reconstruction, and make preliminary recommendations based on pathology (dissection vs aneurysm), and anatomical extent of disease. A retrospective review of aortic arch and descending thoracic aortic lesions managed with endovascular treatment ...
Kuntscher V - - 2008
Classical surgical therapy of dilatation disorders of the aortic arch require extracorporeal circulation, selective brain perfusion and/or deep hypothermia and it is still associated with very high mortality and morbidity. Endovascular therapy has until recently indicated only been in cases when the disease did not affect the area of the ...
Apostolakis Efstratios - - 2008
In spite of recent advances in thoracic aortic surgery, postoperative neurological injury still remains the main cause of mortality and morbidity after aortic arch operation. The use of cardiopulmonary bypass (CPB) and hypothermic circulatory arrest, temporary interruption of brain circulation, transient cerebral hypoperfusion, and manipulations on the frequently atheromatic aorta ...
Shimamura Kazuo - - 2008
OBJECTIVE: This report elucidates the long-term safety and effectiveness of extended aortic arch replacement with an open stent-grafting technique from our 12 years of experience. METHODS: From 1994 to 2004, 126 patients (mean age 67.8 years) with different pathologic conditions of the aortic arch with extension to the descending aorta ...
Dillman Jonathan R - - 2008
The objective of this article is to review the types, pathogenesis, MRI appearance, treatment, and prognosis of interrupted aortic arch (IAA). IAA is a rare congenital vascular anomaly. Although this entity has been evaluated traditionally with echocardiography and angiography, MRI can accurately diagnose and characterize the various forms of IAA ...
Farouk Ahmed - - 2008
OBJECTIVE: During repair of aortic coarctation, clamping of the transverse aortic arch proximal to the left common carotid artery occludes blood flow to the left carotid and vertebral arteries. The objective of the present study is to determine whether blood flow through the right carotid and vertebral arteries provides adequate ...
Vicchio Mariano - - 2008
Arterial tortuosity syndrome is a rare connective tissue disorder characterised by elongation, tortuosity, stenosis and aneurysms of the large and middle-sized arteries. The symptomatology is correlated to the artery affected by the pathology with correlated stenosis. We describe our hybrid surgical procedure in the treatment of a case of kinking ...
Cooley Marion A MA Department of Cell Biology and Anatomy, Medical University of South Carolina, 173 Ashley Avenue, Charleston, SC 29425, - - 2008
Here we report that mouse embryos homozygous for a gene trap insertion in the fibulin-1 (Fbln1) gene are deficient in Fbln1 and exhibit cardiac ventricular wall thinning and ventricular septal defects with double outlet right ventricle or overriding aorta. Fbln1 nulls also display anomalies of aortic arch arteries, hypoplasia of ...
Midorikawa Hirofumi - - 2008
OBJECTIVE: Our purpose was to examine the use of fully supported open stent grafting (OSG) with a Matsui-Kitamura (MK) stent for treatment of distal arch aneurysm (DAA). METHODS: Surgery was performed using a newly developed device in seven DAA patients (six men and one woman) from 58 to 86 years ...
Madhwal Surabhi - - 2008
OBJECTIVE: Although different aortic arch classifications exist to help determine carotid artery stenting (CAS) difficulty, they are not validated. We compared quantitative angiographic characteristics of aortic arch between easy and difficult CAS. METHODS: We defined difficult procedures as requiring the longest fluoroscopy time (FT) (90th percentile) and easy procedures as ...
Nakamura Hiroshige - - 2008
We report a rare case of left lung cancer in a patient with a right aortic arch. A 65-year-old woman was diagnosed to have an adenocarcinoma in the left upper lobe (S3) in addition to a right aortic arch (type II), with the left subclavian artery originating from the descending ...
Gottlieb Danielle - - 2008
BACKGROUND: Overall mortality and reoperation risk for the arterial switch operation (ASO) for D-transposition of the great arteries (D-TGA) is low. D-TGA with ventricular septal defect (VSD) and aortic arch obstruction (AAO) is a higher risk subgroup in which we sought risk factors for mortality and reoperation after ASO. METHODS: ...
Minakawa Masahito - - 2008
Axillary artery perfusion is an attractive alternative to reduce the frequency of atheroembolism in extensive atherosclerotic aorta and aortic aneurysms. This study was conducted to evaluate the flow dynamics of axillary artery perfusion. Transparent glass models of a normal aortic arch and an aortic arch aneurysm were used to evaluate ...
Son Jae Sung - - 2008
Pseudocoarctation of the aorta is a rare congenital anomaly of the aortic arch, and it has been described as an elongation of the aortic arch with "kinking" at the level of the ligamentum arteriosum without a pressure gradient across the lesion. The treatment for this condition is controversial. We report ...
Rao Rohit P - - 2008
PHACES association is a spectrum of anomalies that might occur in infants with large facial hemangiomas. Most infants with PHACES association have segmental hemangiomas of the head or neck. Cardiac and cerebrovascular anomalies might be the most important association, as they carry a significant risk of complications. This article summarizes ...
Karck Matthias - - 2008
Patients with extensive aortic aneurysms involving the ascending aorta, aortic arch, and the descending aorta are still considered to be a challenge for many cardiovascular surgeons. The introduction of the elephant trunk technique by Borst et al. in 1983 has greatly facilitated surgery on this kind of pathology and this ...
Ashcraft Traci M - - 2008
BACKGROUND: The purpose of this study was to identify factors predicting risk of aortic arch recoarctation after the Norwood procedure. METHODS: Patient records were reviewed retrospectively for consecutive patients who underwent the Norwood procedure from 1996 to 2005. Preoperative and intraoperative parameters were identified for analysis. Aortic arch recoarctation was ...
Weidenbach Michael - - 2008
We are describing a most unusual variant of aortic arch interruption. The ascending aorta was atretic above the sinutubular junction forming a blind-ending pouch. The coronary arteries were the only vessels arising from the aortic trunk. All the brachiocephalic vessels were perfused in retrograde fashion through the arterial duct. The ...
Baldwin Zachary K - - 2008
PURPOSE: To report the use of commercially available stents and a stent-graft in coaxial orientation to extend the proximal limits of endografting within the aortic arch. CASE REPORT: A 70-year-old man was found to have an asymptomatic 7-cm saccular aortic arch aneurysm, extending distally from the origin of the left ...
Shimizu Hideyuki - - 2008
The utility of the clamshell approach, namely, a bilateral anterior thoracotomy incision for treating extensive thoracic aortic disease was described by Kouchoukos et al. in 2001 and by Doss et al. in 2003. We describe the utility of this approach for treating aortic arch aneurysm with Stanford type B aortic ...
Hokenek F - - 2008
Interrupted aortic arch is one of the rarest anomalies among the congenital cardiac defects. Patients must be treated early in life, otherwise death is inevitable. Reports on adult patients with aortic interruption are very rare in the literature. In this report, we present a 21-year-old patient with type A interrupted ...
Anderson Matthew J - - 2008
Aortic arch malformations are common congenital disorders that are frequently of unknown etiology. To gain insight into the factors that guide branchial aortic arch development, we examined the process by which these vessels assemble in wild type zebrafish embryos and in kurzschluss(tr12) (kus(tr12)) mutants. In wild type embryos, each branchial ...
Sulaiman Abdulrazzaq - - 2008
PURPOSE: To develop and validate a controlled patient-derived process for producing an in vitro, nonrigid model of aortic arch aneurysm. MATERIALS AND METHODS: A three-dimensional magnetic resonance (MR) angiogram derived from a patient with an aortic arch aneurysm was segmented by using a homemade software package, meshed and converted to ...
Kawarada Osami - - 2008
Critical limb ischemia is characterized by atherosclerotic disorder of the crural arteries. The occlusion of dorsalis pedis and paramalleolar posterior tibial arteries is a rare atherosclerotic pattern in the crural arteries. We present a successful case of retrograde posterior tibial artery crossing through the pedal arch after antegrade recanalization of ...
Atallah Joseph - - 2008
Interrupted aortic arch is a rare congenital cardiovascular anomaly with a wide spectrum of anatomical and clinical presentation. We report the case of a newborn presenting at 11 days of age with a type B-2 aortic arch interruption, a closed ductus arteriosus, and an unusual large collateral vessel arising from ...
Amico Alessio - - 2008
With the progressive aging of Western populations, cardiac surgeons are increasingly faced with octogenarians. In these high-risk patients, owing to high mortality, the surgical strategy has to be adapted to the patient's age. We describe a method by which the cross-clamping technique is associated with a safe and simple maneuver, ...
Gao F - - 2008
The patients with aortic aneurysm, especially aortic arch aneurysm, are prone to have aortic dissection. For investigation of the effect of aneurysm and wall stiffness on wall stress distribution, both the nonaneurysm arch model and the aneurysm arch model are constructed. The fluid structure interaction in the arch model of ...
Moon Michael C - - 2008
Stent graft repair of aortic pathology involving the distal aortic arch requires precise device deployment based on excellent imaging and stable hemodynamics. An inadequate proximal seal may result in a type I endoleak, which may require an additional device or even conversion to open surgery to control. This case report ...
Palma José Honório - - 2008
This brief report describes an unusual hybrid approach complication of aortic arch disease. An acute stent kinking in the first post-operative day promoted ventricular fibrillation and death. Adequate oversizing was achieved and intraoperative angiogram showed no proximal or distal leaks. Unfavorable outcomes are highly under-reported and describing complications are a ...
Holzer Ralf J - - 2008
OBJECTIVE: To present our institutional experience of endovascular stent therapy in patients with complex aortic arch lesions. BACKGROUND: The management of aortic arch obstructions is complex and many physicians are either reluctant to treat mild-moderate aortic arch lesions associated with systemic hypertension or instead refer to high-risk surgical alternatives. Reported ...
Ming Zhu - - 2008
BACKGROUND: Because of the rarity of right aortic arch coarctation there are few reports of large groups of patients. OBJECTIVE: To characterize the frequency and type of right aortic arch coarctation in a large group of pediatric patients. MATERIALS AND METHODS: From June 1997 through May 2007, 11,276 consecutive children ...
Watanuki Hirotaka - - 2008
In our institution, total arch replacement for distal arch aneurysms is performed through a median sternotomy with antegrade selective cerebral perfusion. The distal anastomosis to the completely transected descending aorta is made through the aneurysmal sac. We report on three interesting cases presenting late dilatation of the aneurysmal sac due ...
Rokkas Chris K - - 2008
We describe a 75-year-old woman who underwent right axillary artery cannulation in preparation for reconstruction of the aortic arch and the proximal descending aorta for athesosclerotic aortic aneurysm via a 'clamshell' incision. As soon as cardiopulmonary bypass was established, the ascending aorta and the aortic arch was dissected. The innominate ...
Xu Shang Dong - - 2008
Difference between arch diameter and true lumen diameter in the descending aorta was studied in patients with type B aortic dissection. The diameters of the aortic arch (Proximal ) and mid-descending aorta (Distal ) were measured on computer tomography angiography (CTA) in 20 healthy adults. Forty-two patients with type B ...
Ceyhan Meltem - - 2008
Hemangioma is a rare tumor of the mediastinum. There are a very small number of patients identified with a combination of mediastinal hemangioma and aortic arch anomaly in the medical literature review. Here we present a fatal case of a 2-month-old female infant having mediastinal hemangioma compressing the trachea accompanied ...
Panos Aristotelis - - 2008
We present our initial experience in 5 patients for open aortic arch repair with continuous antegrade perfusion of the brain and of the lower body by means of direct cannulation of the right axillary artery and of the descending aorta with a venous cannula (DLP 91037 cannula [Medtronic Inc, Minneapolis, ...
Boente María del Carmen Mdel - - 2008
This is a follow-up report on a boy with phacomatosis pigmentokeratotica. At the age of 10 years he had, in addition to a sebaceous nevus and a speckled lentiginous nevus, multiple lesions of a collagen nevus localized on the chin and in the lumbar area. On the left shoulder, a ...
Estrella Emmanuel P - - 2008
Aneurysms of the hand are uncommon lesions. The most common location is the ulnar artery. We present a case of a young female who consulted us for a hand mass with a history of trauma to the hand. Pre-operative arteriogram showed a superficial palmar arch aneurysm. The mass was excised ...
Omay Oguz - - 2008
A 72-year-old woman was admitted to the intensive care unit with a diagnosis of acute coronary syndrome. An aneurysm in the aortic arch was detected in the radiologic investigations. The aortic arch was replaced with a Dacron graft with the patient under total circulatory arrest. A pathology evaluation revealed an ...
Mitsumori Yoshitaka - - 2008
Cervical aortic arch (CAA) is a rare vascular malformation which sometimes accompanies other cardiovascular malformations. Surgical approaches such as a lateral thoracotomy and a median sternotomy are selected depending on the position and type of aneurysm and other associated malformations. We herein report the case of a CAA patient who ...
Ou Phalla - - 2008
OBJECTIVE: We sought to investigate the mechanism whereby a particular deformity of the aortic arch, an angulated Gothic shape, might lead to hypertension late after anatomically successful repair of aortic coarctation. METHODS: Fifty-five normotensive patients with anatomically successful repair of aortic coarctation and either a Gothic (angulated) or a Romanesque ...
O'Sullivan John - - 2008
The following is an account of a 58-year-old lady who presented to our institution with two episodes of acute limb ischemia: one upper, which required embolectomy; and one lower, which required a below knee amputation. We subsequently performed transesophageal echocardiography (TOE), which revealed very large mobile echogenic masses adherent to ...
Huang Shao-Chi - - 2008
Truncus arteriosus, a double aortic arch, and a cervical aortic arch are all rare cardiovascular anomalies. We experienced a unique female newborn with the rare combination of truncus arteriosus with a cervical double aortic arch, which probably resulted from abnormal persistence of the bilateral 2nd or 3rd rather than the ...
Narin Cuneyt - - 2008
A saccular aortic arch aneurysm that is secondary to aortic arch coarctation and that is accompanied by a ventricular septal defect is a rare combination in the adolescent patient. Total simultaneous repair of all of these conditions is desirable, because of the higher morbidity and mortality rates of staged procedures-particularly ...
Nair Girija - - 2008
We report a case of a 65 year old man who presented with haemoptysis. X-ray chest PA view shows mediastinal widening suggestive of mediastinal mass. A CT scan of thorax shows a large aneurysm of ascending aorta & arch of aorta. This an-eurysm is eroding the trachea and abutting the ...
Lumia Domenico - - 2008
Multidetector computed tomography has been shown to be accurate in noninvasive assessment of chest vascular disease. The motion artifacts of the thoracic aorta and the supra-aortic vessels were significantly reduced in the electrocardiogram (ECG)-gated data acquisition. This positive effect of ECG synchronization is more pronounced in the region of the ...
McLean Kia M KM Division of Plastic and Reconstructive Surgery, University of Pittsburgh, Pittsburgh, PA 15261, - - 2008
Knowledge of the relationship of the palmar arches to anatomical landmarks would decrease iatrogenic injuries, facilitate treatment of vascular occlusive disease, and ease interpretation of abnormal arteriograms. The purpose of this study was to identify the location of the palmar arches in relation to surface and bony landmarks. The palmar ...
Schäfers Hans-Joachim - - 2008
Surgical treatment of acute aortic dissection has been largely standardized, but some patients develop late complications that require repeat surgery. The 10-year freedom from proximal and distal reoperation is approximately 70-80%, and the risk of proximal reoperation is approximately 10%. Aggressive resection of the aortic root has not been proven ...
Ramaswamy Prema - - 2008
Tetralogy of Fallot is generally considered to be the most common congenital heart defect associated with an aberrant subclavian artery (ASA), but the prevalence of ASA in patients with other cardiac anomalies is not well described. The pediatric echocardiography database, with 15,871 initial echocardiograms, was searched for all patients with ...
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