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Gil-Jaurena Juan-Miguel JM Pediatric Cardiac Surgery, Hospital Gregorio Marañón, Madrid, Spain. Electronic address: - - 2014
A neonate underwent arterial switch operation, supported on extracorporeal membrane oxygenation for 3 days. Two weeks later, a pseudoaneurysm was seen on an echocardiogram, and a free wall rupture was suggested. Prompt surgery was performed, a free wall rupture assessed, and a patch with BioGlue was applied successfully. One year ...
Karam Joseph - - 2014
We report a case of cryptococcal aortitis in a 59 year old male presenting as a symptomatic suprarenal abdominal aortic aneurysm. The patient underwent repair of his aneurysm using a Rifampin soaked graft with omental wrapping. Intra-operative gram stains showed yeast organisms, the cultures eventually grew Cryptococcus Neoformans with results ...
Pepper John J National Institute of Health Research (NIHR) Cardiovascular Biomedical Research Unit (BRU), Royal Brompton Hospital, London, - - 2014
In 2008, a 26-year old man had personalized external aortic root support (PEARS) with a macroporous mesh. He was the 16th of 46 patients to have this operation. He had a typical Marfan habitus. His mother died of this disease as did his brother, with an aortic dissection. The patient ...
Fujimoto Yoshifumi Y Department of the Pediatric Cardiac Surgery and the Cardiovascular Surgery, Shimane University, 89-1 Enya-cho, Izumo, Shimane, 693-8501, Japan, - - 2014
We report a case of a Senning operation for very low birth weight infant weighing 1,168 g with transposition of the great arteries. The patient underwent a Senning operation on 62 days, 1,700 g after the first palliation. In this case, the orifice of the left anterior descending artery was located in sinus ...
White Joseph M JM Walter Reed National Military Medical Center, Department of Vascular Surgery, Bethesda, - - 2014
We present a case series of three surgical procedures (two patients) in which intra-operative duplex ultrasound (IDUS) was used to determine whether the chronic compression of the popliteal artery caused by popliteal artery entrapment syndrome (PAES) had injured the artery to such a degree that interposition bypass was required. Patients ...
Greig Sarah L SL Springer, Private Bag 65901, Mairangi Bay 0754, Auckland, New Zealand, - - 2014
A bioequivalent formulation of intravenous epoprostenol containing the excipients arginine and sucrose (epoprostenol AS) (Veletri(®), Caripul(®)) is approved in the USA, UK, and other countries for the treatment of pulmonary arterial hypertension (PAH), and has improved thermal stability compared with epoprostenol containing glycine and mannitol (epoprostenol GM) (Flolan(®)). Epoprostenol, a ...
Varghese Roy R Institute of Cardiovascular Diseases, The Madras Medical Mission, Mogappair, Chennai, India. Electronic address: - - 2014
Conventional repair of the double-outlet left ventricle involves a complex intraventricular tunnel, extracardiac conduit, or the pulmonary artery translocation operation. We report an arterial switch operation and closure of ventricular septal defect for anatomic correction of this anomaly.
Sagayaraj A A Department of Otorhinolaryngology and Head and Neck Surgery, Sri Devaraj Urs Medical College, Kolar, Karnataka, India, - - 2014
The aim of this study was to highlight a medialized vagus in relation to common carotid artery as an operative marker to a non-recurrent laryngeal nerve during thyroid surgeries. Three patients who underwent thyroidectomy, in who per operative diagnosis of right non-recurrent laryngeal nerve was made and the findings were ...
Zhang Hongqiang - - 2014
Mitral Valve Aneurysm (MVA) is rarely reported and occurs most in association with infective endocarditis of the aortic valve. In our case, the 46-yr-old Chinese man was referred to our hospital with dyspnea and orthopnea. Transesophageal echocardiography during operation revealed a localized, thin-walled saccular structure in the anterior leaflet that ...
Kasama Keiichiro K Department of Cardiac Surgery, University Hospital Leuven, Leuven, Belgium - - 2014
A 4-day-old boy underwent an urgent operation for mixed total anomalous pulmonary venous connection with the left upper pulmonary vein draining into the innominate vein and the other pulmonary veins draining into the coronary sinus. The left upper pulmonary vein was left uncorrected at that time. After periodical follow-up for ...
Tanaka Koyu K Department of Cardiovascular Surgery, The Sakakibara Heart Institute of Okayama, Okayama, Japan. Electronic address: - - 2014
We present a hybrid surgical and endovascular repair for type A aortic dissection complicated with visceral ischemia. The patient had a history of coronary artery bypass grafting using the right gastroepiploic artery bypassed to the left anterior descending artery. Because of exacerbated metabolic acidosis and coronary ischemia caused by insufficient blood ...
Folkmann Sandra - - 2014
A lesion of the circumflex artery (RCX) is one of the potential complications of mitral valve (MV) surgery. An intraoperative transoesophageal echocardiography (TEE) should be performed for early detection of potential myocardial damage. We report on an emergency PCI after minimally invasive mitral valve replacement in a redo operation. The ...
Wang Chunxi C Department of General Surgery, Clinical Division of Surgery, Chinese PLA (People's Liberation Army) General Hospital, Beijing 100853, - - 2014
The celiomesenteric trunk is a rare anomaly characterized by a common origin of the celiac axis and superior mesenteric artery from the aorta, which accounts for less than 1% of all celiac artery anomalies, so the aneurysm occurred in such trunk is even rarer. There have been few reports on ...
Yang Long - - 2013
A persistent left superior vena cava (PLSVC) is formed by the remains of the oblique vein of the left atrium, which is not completely degenerated during embryonic development. The incidence is approximately 0.3% in the general population. Approximately 80-92% of PLSVCs drain into the right atrium through the coronary sinus. ...
Wang Qiang - - 2012
Inflammation is involved in various types of human pulmonary arterial hypertension (PAH), especially in PAH-associated connective tissue diseases. Although the pathogenesis of pulmonary hypertension has still remained largely unclear, TNF-α has been reported as a key pro-inflammatory cytokine in severe pulmonary hypertension and emphysema. The aim of this study was ...
González-Calle Antonio - - 2012
A patient had a history of a Ross-Konno procedure, stenting of the pulmonary homograft, and an aortic valve replacement. Pressure necrosis developed in the tissues in between the stent and the prosthetic valve. This resulted in a defect between the right and left ventricular outflow tracts that required a complex ...
Dulai Rajdip R Centre for Sports and Exercise Medicine, Barts, and The London School of Medicine and Dentistry, Mile End Hospital, London, - - 2012
There is evidence that patients with rheumatoid arthritis (RA) have a higher arterial stiffness than their age-matched healthy counterparts and thus have a higher cardiovascular risk. Under National Institute for Clinical Excellence guidelines, tumor necrosis factor-α (TNF-α) antagonists are indicated clinically in patients with severe active rheumatoid disease. TNF-α antagonists ...
Tian Lian L Department of Mechanical Engineering, University of Colorado, Boulder, CO, USA. - - 2012
Understanding the mechanical behavior of proximal pulmonary arteries (PAs) is crucial to evaluating pulmonary vascular function and right ventricular afterload. Early and current efforts focus on these arteries' histological changes, in vivo pressure-diameter behavior and mechanical properties under in vitro mechanical testing. However, the in vivo stretch and stress states ...
Haskett Darren - - 2011
Aortic aneurysm is predominantly found in the ascending aorta in patients with Marfan syndrome (MFS). However, descending aortic disease has emerged as a problem since people are living longer because of improved medical and surgical management of the ascending aorta. Diagnostic procedures before disease onset and the mechanisms involved in ...
Pierson Daniel - - 2011
Metal stents are commonly used to revascularize occluded arteries. A bioabsorbable metal stent that harmlessly erodes away over time may minimize the normal chronic risks associated with permanent implants. However, there is no simple, low-cost method of introducing candidate materials into the arterial environment. Here, we developed a novel experimental ...
Amin Mazyar - - 2011
Determining arterial mechanical properties is important for understanding the work done by the heart and how it changes with cardiovascular disease. Ex vivo tests are necessary to apply various loads to the artery and obtain data to model and predict the behavior under any load. Most ex vivo tests are ...
Wang Xiaohong - - 2011
Endovascular aneurysm repair (EVAR) is considered as a promising alternative technique for the treatment of aortic aneurysm. However, complications often occur after EVAR. In this paper, the influence of the physiological factors on the biomechanical behaviors of stented and non-stented thoracic aortic aneurysm (TAA) were presented. Representative TAA models with ...
Gutzeit Andreas - - 2011
OBJECTIVE: To prospectively determine the diagnostic value of electrocardiography-triggered non-contrast-enhanced magnetic resonance angiography (TRANCE) of the lower extremities including the feet versus DSA. METHODS: All 43 patients with symptomatic peripheral arterial occlusive disease (PAOD) underwent TRANCE before DSA. Quality of MRA vessel depiction was rated by two independent radiologists on ...
Wagner H P - - 2011
Cerebrovascular disease continues to be responsible for significant morbidity and mortality. There is, therefore, a pressing need to understand better the biomechanics of both intracranial arteries and the extracranial arteries that feed these vessels. We used a validated four-fiber family constitutive relation to model passive biaxial stress-stretch behaviors of basilar ...
Kozeis Nikolaos - - 2011
We present an interesting and rare case of subcapsular cataract coexisting with ipsilateral narrowing of the inferior temporal retinal artery in a young woman. The possible role of retinal vessel malformation in cataract pathophysiology is discussed.
Bain Mark D - - 2011
Cardiac emboli are a feared complication for patients with left ventricular assist devices (LVAD). Septic emboli are rare but carry a poor prognosis in the setting of large artery occlusion. We report the case of a 24-year-old woman who presents with a left internal carotid artery terminus occlusion secondary to ...
Vergouwen Mervyn D I - - 2011
To characterize the vessel wall imaging findings and enhancement patterns in the middle cerebral artery of patients with presumed atherosclerotic disease and recent infarction in the territory of the affected artery. Case series. University hospital. Patients  We included patients with (1) 2 or more risk factors for atherosclerotic disease; (2) ...
Uchino Akira - - 2011
INTRODUCTION: The craniovertebral junction is clinically important. The vertebral artery (VA) in its several variations runs within this area. We report the prevalence of these VA variations on magnetic resonance angiography (MRA). METHODS: We retrospectively reviewed MRA images, obtained using two 1.5-T imagers, of 2,739 patients, and paid special attention ...
Aznaouridis Konstantinos - - 2011
The beneficial effect of placement of intra-aortic balloon (IAB) pump before revascularization in patients with high-risk coronary anatomy and impaired left ventricular systolic function is documented. However, the conventional insertion of IAB pump via the common femoral artery may be contraindicated or may be even impossible in patients with severe ...
Liu Shu-Qin - - 2010
Re-stenosis or remodeling of coronary and peripheral arteries remains a major complication following balloon-angioplasty or stenting. This study was designed to investigate the effect of nesiritide, a recombinant B-type natriuretic peptide (BNP), on vascular remodeling following balloon-induced endothelial injuries. Twenty-eight male New Zealand rabbits were divided into nesiritide-treated (0.1 mg/kg/day, ...
Fusaro Massimiliano - - 2010
Arterial perforation is a well-recognized complication of attempted percutaneous revascularization of a chronic totally occluded tibial artery and typically necessitates termination of the procedure. This report describes a step-by-step approach on how to perform a direct posterior tibial artery puncture and a sheathless wire introduction, to salvage a case of ...
Jin Sung-Chul - - 2010
Traditional carotid artery stenting (CAS) consists of predilatation, optional deployment of embolic protection devices, stenting, and poststent angioplasty. Each step carries a risk of thromboembolism. To design a new and simplified procedural protocol, suboptimal balloon angioplasty without routine poststenting balloon dilatation, and to describe the efficacy this protocol in terms ...
El-Said Howaida - - 2011
The study aimed to assess the feasibility and safety of increasing pulmonary artery band (PAB) diameter by catheter-based PAB balloon dilation (PABBD). Eight dilations were performed between October 2006 and December 2008. Hemoclips were used to fix PABs surgically in a procedure designed to permit progressive clip dislodgment in a ...
Umakanthan Ramanan - - 2010
The management of acute myocardial infarction with resultant acute ischemic mitral regurgitation and acute multi-organ failure can prove to be a very challenging scenario. The presence of concomitant vascular disease can only serve to further compromise the complexity of the situation. We demonstrate a new indication for the transthoracic intra-aortic ...
Pappy Reji - - 2010
The AngioSculpt PTCA Scoring Balloon Catheter is an FDA-approved device for plaque modulation. We describe the first case of AngioSculpt EX catheter entrapment and detachment in the right coronary artery during PCI that was successfully managed with stent jailing of the entrapped balloon catheter and its shaft against the vessel ...
Bowers Bruce S - - 2010
Percutaneous closure of large-bore arterial sheaths remains a clinical challenge. We report a case of facilitated large-bore closure using a low-profile valvuloplasty balloon for aortic occlusion. This technique enhanced percutaneous closure device deployment and improved hemostasis during arteriotomy closure.
Rastan Ardawan Julian - - 2010
Intraaortic balloon pump (IABP) therapy is a widely used method of circulatory support. Based on frequent findings of balloon malposition with visceral arterial compromise on computerized tomographic (CT) imaging studies, we conducted a systematic review of cardiac surgical IABP patients with available CT scans to determine reasons, incidence, and clinical ...
Raman Jai - - 2010
Intraaortic balloon pump insertion is traditionally performed through the femoral artery in the groin. However, this restricts the patient to bed rest, and prolonged implantation can be associated with infections in the groin crease. We describe a technique of insertion of a balloon pump through the subclavian artery, which allows ...
Pósa Anikó A Department of Cardiology, Medical University of Vienna, - - 2010
The aim of this preclinical study was to optimize the use of drug-eluting balloon (DEB) DIOR(2nd) (generation) by measurements of tissue and plasma paclitaxel concentrations in porcine coronary artery overstretch and prove efficacy in inhibition of neointimal growth without complementary use of stent. The usually recommended DEB 60 sec inflation ...
Abe Tomonobu - - 2010
Severe calcification of the ascending aorta and the aortic arch complicates cardiac surgery. The optimal approach in such patients is unknown. Four valve surgeries were performed with balloon occlusion without hypothermic circulatory arrest. All patients had femoral arterial cannulation, and all 3 patients who required an aortotomy had right axillary ...
Cholkraisuwat Engcanit - - 2010
BACKGROUND: Balloon pulmonary valvuloplasty and its benefit on the growth of pulmonary annulus and pulmonary artery in tetralogy of Fallot (TOF) patients remains controversial. The purpose ofthe present study was to determine the growth of pulmonary valve annulus and pulmonary artery and to evaluate the need of transannular patch during ...
Kuo Shu-Min - - 2010
Three-dimensional computed tomography (3D-CT) not only allows accurate preoperative delineation of the lesions but also provides precise pathomechanic diagnosis for planning the most effective treatment to avoid respiratory compromise. In a 10-month-old baby girl, who was ventilator-dependent after successful correction of double outlet right ventricle (DORV), flexible fiberoptic bronchoscopy (FFB) ...
Fornaro Jürgen - - 2010
Acute iatrogenic arterial dissection is a known complication of endovascular techniques and can be treated with prolonged ballooning, stent placement, or balloon fenestration. Treatment of common femoral artery (CFA) dissection needs special attention because of the potential compromise of either the deep or superficial femoral artery origin and the enhanced ...
Hill Sarah J - - 2010
A child had a percutaneous endoscopic gastrostomy tube removed by transecting it at skin level. The internal portion ("the bolster") was allowed to pass in the GI tract. She subsequently had odynophagia. Magnetic resonance imaging identified a foreign body within the lower thoracic esophagus. During esophagoscopy, the bolster was removed. ...
Stabile Eugenio - - 2010
AIMS: Transcatheter aortic valve implantation (TAVI) is becoming a safe and effective technique for treating symptomatic aortic valvular stenosis (AVS) as an alternative to surgery in very high-risk patients. A possible consequence of valve implantation is the obstruction of coronary ostia. METHODS AND RESULTS: Here we report five cases of ...
El Tahlawi Mohammad - - 2010
In patients with hypoplastic left heart syndrome who experience the Norwood surgical palliative program, development of the pulmonary artery branches is crucial. Balloon dilation and stenting may relieve potential stenosis but complete occlusion remains difficult to address with transcatheter therapy. We report the use of radiofrequency followed by balloon dilation ...
Gogola Laisha - - 2010
A 7-year-old girl with Williams-Beuren syndrome had undergone multiple percutaneous interventions for resistant peripheral pulmonary arterial stenoses with primarily conventional high-pressure balloon dilatation, but also with use of a cutting balloon. On this occasion, we used the AngioSculpt (AngioScore, Alameda, California) to remodel her distal vessels bilaterally with good effect. ...
Yamen Eric - - 2010
OBJECTIVES: To determine the safety and immediate efficacy after balloon aortic valvuloplasty (BAV) with a new, low-profile balloon. BACKGROUND: BAV has a continuing role in the management of high-risk patients with severe aortic stenosis (AS). BAV with traditional noncompliant balloons requires a large femoral arteriotomy and is associated with high ...
Martinelli Thomas - - 2010
OBJECTIVE: The purpose of this study was to describe a blinded intra-aortic balloon occlusion (IABO) procedure in pelvic fractures (PF) for patients with critically uncontrollable hemorrhagic shock (CUHS). METHODS: Of 2,064 patients treated for PF, 13 underwent IABO during initial resuscitation to control massive pelvic bleeding leading to CUHS. Our ...
Yi Kyong Wook - - 2010
Abnormal attachment of the placenta (Placenta accreta, increta, and percreta) is an uncommon but potentially lethal cause of maternal mortality from massive postpartum hemorrhage. A 33-yr-old woman, who had been diagnosed with a placenta previa, was referred at 30 weeks gestation. On ultrasound, a complete type of placenta previa and ...
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