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    [Abdominal aorta aneurysms discovered in cardiac rehabilitation].
    Ann Cardiol Angeiol (Paris) 2017 Oct 16. Epub 2017 Oct 16.
    Service de réadaptation cardiovasculaire, centre hospitalier Loire-Vendée-Océan, boulevard des Régents, 44270 Machecoul, France.
    We reported two cases of unusual discovery of asymptomatic surgical abdominal aortic aneurysm (AAA) after a coronary artery bypass graft and a valve surgery. Attending cardiac rehabilitation, the patients were transferred for prompt surgery. Beyond these observations, it is of great importance that screening of AAA could be done during echocardiography. Read More

    Association of Quality Improvement Registry Participation With Appropriate Follow-up After Vascular Procedures.
    JAMA Surg 2017 Oct 11. Epub 2017 Oct 11.
    The Dartmouth Institute for Health Policy and Clinical Practice, Hanover, New Hampshire.
    Importance: Ensuring that patients undergo surveillance imaging after surgery is a key quality metric after many vascular procedures. It is unclear whether hospital participation in a national quality improvement registry such as the Vascular Quality Initiative (VQI) achieves this goal.

    Objective: To determine if hospital participation in the VQI registry is associated with increased rates of surveillance imaging after vascular procedures. Read More

    Endovascular treatment of Brucella-infected abdominal aortic aneurysm: A case report.
    Medicine (Baltimore) 2017 Oct;96(42):e7666
    Department of Interventional Therapy, First Affiliated Hospital of Dalian Medical University, Dalian, China.
    Rationale: In very rare cases, a primary infected abdominal aortic aneurysm (IAAA) is caused by a species of Brucella. In this report, we report such a case that was successfully treated with a novel approach. To the best of our knowledge, this was the first case occurring in China, in which an infection of the abdominal aortic aneurysm was caused by a Brucella species. Read More

    Deletion of the NR4A nuclear receptor NOR1 in hematopoietic stem cells reduces inflammation but not abdominal aortic aneurysm formation.
    BMC Cardiovasc Disord 2017 Oct 18;17(1):271. Epub 2017 Oct 18.
    Department of Medicine, Division of Cardiology, Pittsburgh Heart, Lung, Blood, and Vascular Medicine Institute, UPMC and University of Pittsburgh School of Medicine, Pittsburgh, PA, 15261, USA.
    Background: The NR4A3 orphan nuclear hormone receptor, NOR1, functions as a constitutively active transcription factor to regulate inflammation, proliferation, and cell survival during pathological vascular remodeling. Inflammatory processes represent key mechanisms leading to abdominal aortic aneurysm (AAA) formation. However, a role of NOR1 in AAA formation has not been investigated previously. Read More

    Increased Peak Wall Stress, but Not Maximum Diameter, Is Associated with Symptomatic Abdominal Aortic Aneurysm.
    Eur J Vasc Endovasc Surg 2017 Oct 15. Epub 2017 Oct 15.
    Angiology, Vascular Biology and Inflammation Laboratory, Institute of Biomedical Research (II-B Sant Pau), Barcelona, Spain; CIBER de Enfermedades Cardiovasculares (CIBERCV), Madrid, Spain. Electronic address:
    Objective: Maximum diameter (MD) is the established rupture predictor for abdominal aortic aneurysm (AAA). However, biomechanical markers from finite element analysis (FEA) could be more accurate predictors for these patients. In this study, the association between peak wall stress (PWS) and MD with symptoms of AAA was evaluated. Read More

    Meta-analysis of the association between peripheral artery disease and growth of abdominal aortic aneurysms.
    Br J Surg 2017 Oct 17. Epub 2017 Oct 17.
    Queensland Research Centre for Peripheral Vascular Disease, College of Medicine and Dentistry, Townsville, Queensland, Australia.
    Background: The role of atherosclerosis in the pathogenesis of abdominal aortic aneurysm (AAA) is controversial. Atherosclerosis-associated peripheral artery disease (PAD) has been reported to be a risk factor for AAA in population screening studies; its relationship with AAA growth is controversial.

    Methods: A systematic search of MEDLINE, Scopus, CINAHL and the Cochrane Central Register of Controlled Trials was conducted in April 2016 and repeated in January 2017. Read More

    Spontaneous isolated dissection of the superior mesenteric artery and aneurysm formation resulting from segmental arterial mediolysis: a case report.
    Diagn Pathol 2017 Oct 16;12(1):74. Epub 2017 Oct 16.
    Respiratory Medicine, National Hospital Organization Shibukawa Medical Center, 383 Shiroi, Shibukawa, Gunma, 377-0280, Japan.
    Background: Spontaneous isolated dissection of the superior mesenteric artery (SMA) can lead to bowel ischemia, aneurysm rupture, or even death. Studies have suggested that mechanical or hemodynamic stress on the vascular wall of the SMA may be a contributor, but its pathogenesis is unclear.

    Case Presentation: A 57-year-old Japanese man with a history of untreated hypertension and hyperuricemia was admitted to our hospital with the sudden onset of severe epigastric pain. Read More

    Mortality in endovascular and open abdominal aneurysm repair - trends in Germany.
    Vasa 2017 Oct 16:1-6. Epub 2017 Oct 16.
    1 Department of Vascular Medicine, HELIOS Klinikum Krefeld, Krefeld, Germany.
    Background: We analysed trends in mortality of endovascular (EVAR) and open aortic repair (OAR) in patients hospitalized for abdominal aortic aneurysms (AAA) in Germany from 2005 to 2015.

    Patients And Methods: We used national statistics published by the Federal Statistical Office in Germany to calculate mortality rate of patients hospitalized with ruptured (rAAA, n = 2,448 in 2005, n = 2,180 in 2015) and non-ruptured (iAAA, n = 11,626 in 2005, n = 14,205 in 2015) AAA.

    Results: Considering only those who were treated with EVAR or OAR, treatment rates of iAAA with EVAR increased to 78. Read More

    In Situ Reconstruction with Extended Debridement in Patients with Mycotic Abdominal Aortic Aneurysms.
    Ann Vasc Dis 2017 Jun;10(2):159-163
    Division of Vascular Surgery, Department of Surgery, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
    The surgical outcomes in patients with mycotic aortic aneurysm are still poor. In situ reconstruction and extra-anatomical bypass are the 2 main surgical options used in these patients, both of which have postoperative complications: recurrence of infection and aortic stump blowout, respectively. We performed in situ reconstruction in 25 consecutive patients with mycotic abdominal aortic aneurysms together with extended debridement using an irrigation device, omental flap coverage, rifampicin-soaked prosthetic graft, and sufficient antibiotics administration. Read More

    Suture Line Dehiscence after Endovascular Aneurysm Repair in a Patient with Marfan Syndrome.
    Ann Vasc Dis 2017 Jun;10(2):149-151
    Department of Cardiovascular Surgery, Kawasaki Municipal Hospital, Kawasaki, Kanagawa, Japan.
    A 68-year-old man with Marfan syndrome developed de-novo leakage after endovascular aneurysm repair of a Dacron graft. Findings at subsequent reoperation suggested that the rebound force on the endograft generated by marked longitudinal deformation in the Dacron graft may have placed stress on the suture line, leading to partial dehiscence. The Dacron graft seemed to provide a stable proximal landing zone. Read More

    Description of the Surgical Strategy Used for the Treatment of a Complex Disease: Report of a Case.
    Ann Vasc Dis 2017 Jun;10(2):146-148
    Department of Surgery 2, Kochi Medical School, Nankoku, Kochi, Japan.
    We report a rare case in which a patient required three surgeries with competing priorities. In a 68-year-old man diagnosed with an abdominal aortic aneurysm (AAA), computed tomography (CT) revealed an infrarenal AAA, unusual thickening of the sigmoid colon that suggested cancer, and a filling defect in the left atrium. We considered the disease stage, which affects prognosis, and the risk of complications that could interfere with the treatment of the other pathologies and developed a three-stage surgical strategy: (i) endovascular aortic repair, (ii) sigmoid colectomy, and (iii) resection of the left atrial mass. Read More

    Characteristics of Abdominal Aortic Aneurysm in Japanese Patients Aged 50 Years or Younger.
    Ann Vasc Dis 2017 Jun;10(2):119-124
    Department of Cardiovascular Surgery, Saitama Medical Center, Jichi Medical University, Omiya, Saitama, Japan.
    Objective: We investigated the characteristics and surgical outcomes of abdominal aortic aneurysm (AAA), which typically occurs in elderly persons, in Japanese patients aged 50 years or younger. Materials and Methods: Clinical records of 999 patients who underwent open or endovascular repair for AAA at our hospital between 2007 and 2015 were reviewed to identify the clinical characteristics and surgical outcomes of young patients with AAA. The cohort included 14 patients aged 50 years or younger (mean, 40. Read More

    Replacement of the Thoracoabdominal Aorta after Endovascular Abdominal Aneurysm Repair for Ruptured Infected Aneurysm: A Case Report.
    Ann Vasc Dis 2017 Mar 31;10(1):63-65. Epub 2017 Mar 31.
    Department of Cardiovascular Surgery, The Sakakibara Heart Institute of Okayama, Okayama, Okayama, Japan.
    A 73-year-old man underwent emergency endovascular abdominal aneurysm repair (EVAR) for a ruptured infected abdominal aortic aneurysm. Two years after EVAR, he was admitted with a spiking fever and left lower back pain. Computed tomography scan revealed not only recurrent graft infection with psoas abscess but also infection around the orifice of the superior mesenteric artery. Read More

    Hybrid Repair of an Abdominal Aortic Aneurysm: Debranching with Endovascular Aneurysm Repair in a Patient with Horseshoe Kidney.
    Ann Vasc Dis 2017 Mar 31;10(1):41-43. Epub 2017 Mar 31.
    Department of Cardiovascular Surgery, Osaka General Medical Center, Osaka, Osaka, Japan.
    Abdominal aortic aneurysm (AAA) with associated horseshoe kidney (HSK) poses a technical challenge when performing conventional open surgical repair because of possible complications including renal infarction, neuralgia, and collecting system disruption. Endovascular aortic repair (EVAR) is considered the first-line treatment for this pathology, allowing for aneurysm repair without isthmus bisection. However, whether to sacrifice commonly presenting aberrant renal arteries during EVAR is a point of controversy. Read More

    Surgical Management of Mycotic Aortic Aneurysms.
    Ann Vasc Dis 2017 Mar 31;10(1):29-35. Epub 2017 Mar 31.
    Department of Thoracic and Cardiovascular Surgery, Hiro-saki University Graduate School of Medicine, Hirosaki, Aomori, Japan.
    Purpose: A mycotic aneurysm is an uncommon disease associated with a high mortality rate when managed surgically. This study reviewed our experiences in the surgical management of mycotic aortic aneurysms. Methods: In total, 26 patients who underwent surgery for a mycotic aneurysm were retrospectively reviewed. Read More

    Improved Outcomes for Ruptured Abdominal Aortic Aneurysms Using Integrated Management Involving Endovascular Clamping, Endovascular Replacement, and Open Abdominal Decompression.
    Ann Vasc Dis 2017 Mar 31;10(1):22-28. Epub 2017 Mar 31.
    Department of Thoracic and Cardiovascular Surgery, Hirosaki University Graduate School of Medicine, Hirosaki, Aomori, Japan.
    Objective: Endovascular repair has become the treatment of choice for ruptured abdominal aortic aneurysms (RAAAs). To improve surgical outcomes, preoperative management is important. In 2011, we introduced integrated management, which involves endovascular aneurysm repair, stabilization of hemodynamics by endovascular clamping, and open abdominal decompression to address abdominal compartment syndrome (ACS). Read More

    Open Abdomen Therapy with Vacuum and Mesh Mediated Fascial Traction After Aortic Repair: an International Multicentre Study.
    Eur J Vasc Endovasc Surg 2017 Oct 12. Epub 2017 Oct 12.
    Department of Surgical Sciences, Section of Vascular Surgery, Uppsala University, Uppsala, Sweden.
    Objectives: Open abdomen therapy may be necessary to prevent or treat abdominal compartment syndrome (ACS). The aim of the study was to analyse the primary delayed fascial closure (PDFC) rate and complications after open abdomen therapy with vacuum and mesh mediated fascial traction (VACM) after aortic repair and to compare outcomes between those treated with open abdomen after primary versus secondary operation.

    Methods: This was a retrospective cohort, multicentre study in Sweden, Finland, and Norway, including consecutive patients treated with open abdomen and VACM after aortic repair at six vascular centres in 2006-2015. Read More

    Survival Disparity Following Abdominal Aortic Aneurysm Repair Highlights Inequality in Ethnic and Socio-economic Status.
    Eur J Vasc Endovasc Surg 2017 Oct 10. Epub 2017 Oct 10.
    Department of Surgery, University of Otago, Christchurch, New Zealand.
    Objectives: Socio-economic status (SES) and ethnicity have been reported as markers influencing the likelihood of increased mortality. The aim of this study was to investigate how SES and ethnicity impacted patient survival after abdominal aortic aneurysm (AAA) repair.

    Methods: Consecutive patients undergoing open and endovascular AAA repair during a 14. Read More

    Open versus endovascular repair of ruptured abdominal aortic aneurysms: What have we learned after more than 2 decades of ruptured endovascular aneurysm repair?
    Surgery 2017 Oct 10. Epub 2017 Oct 10.
    Division of Vascular Surgery, University of Virginia School of Medicine, Charlottesville, VA. Electronic address:
    Background: Ruptured abdominal aortic aneurysm is one of the most difficult clinical problems in surgical practice, with extraordinarily high morbidity and mortality. During the past 23 years, the literature has become replete with reports regarding ruptured endovascular aneurysm repair.

    Methods: A variety of study designs and databases have been utilized to compare ruptured endovascular aneurysm repair and open surgical repair for ruptured abdominal aortic aneurysm and studies of various designs from different databases have yielded vastly different conclusions. Read More

    Extended Serum Lipid Profile Predicting Long-Term Survival in Patients Treated for Abdominal Aortic Aneurysms.
    World J Surg 2017 Oct 12. Epub 2017 Oct 12.
    Department of Vascular Surgery, Tampere University Hospital, PO Box 2000, 33521, Tampere, Finland.
    Background: Individuals treated for abdominal aortic aneurysms (AAAs) are high-risk patients in whom better risk prediction could improve survival. Contemporary serum lipid parameters, such as apolipoproteins and lipoprotein subfractions, may improve or complement the prognostic value of traditional serum lipids. The aim of this study was to ascertain the extended serum lipid profiles, long-term prognosis and their association in AAA patients. Read More

    Spontaneous dissection limited to left gastric artery.
    Clin Case Rep 2017 Oct 11;5(10):1712-1713. Epub 2017 Aug 11.
    Department of General MedicineSaga University HospitalJapan.
    Spontaneous dissection without an aneurysm limited to left gastric artery is fairly rare. Physicians should be alert to the possibility of this condition in patients with sudden-onset abdominal pain. Read More

    [Endovascular Treatment of a Gastroduodenal Artery Pseudoaneurysm Rupture after a Car Accident].
    Acta Med Port 2017 Sep 29;30(9):658-661. Epub 2017 Sep 29.
    Unidade de Radiologia de Intervenção. Centro Hepato-Bilio-Pancreático e de Transplantação. Hospital Curry Cabral. Centro Hospitalar de Lisboa Central. Lisboa. Portugal.
    The authors present a case of a 39-year-old man with alcoholic chronic pancreatitis that was admitted in the emergency department after a car accident, complaining of abdominal pain and looking pale. The patient was hemodinamically unstable, requiring blood transfusions. He underwent computed tomography angiogram of the abdomen and pelvis, showing a pseudoaneurysm of the gastroduodenal artery and a hemoperitoneum. Read More

    Single-center mid-term experience with chimney-graft technique for the preservation of flow to the supra-aortic branches.
    Vascular 2017 Jan 1:1708538117723200. Epub 2017 Jan 1.
    Department of Vascular Surgery, University Hospital of Cologne, Cologne, Germany.
    Objectives To investigate the feasibility and the mid-term outcomes of the chimney-graft technique for the revascularization of supra-aortic branches in patients with thoracic aortic pathologies involving the aortic arch. Methods A retrospective analysis of a prospectively maintained database between January 2010 and July 2016 was performed. Primary endpoints were 30-day and overall mortality. Read More

    Biodegradable Magnesium Stent Treatment of Saccular Aneurysms in a Rat Model - Introduction of the Surgical Technique.
    J Vis Exp 2017 Oct 1(128). Epub 2017 Oct 1.
    Department of Neurosurgery, Kantonsspital Aarau; Neuro Lab, Research Group for Experimental Neurosurgery and Neurocritical Care, Department of Intensive Care Medicine, University Hospital and University of Bern.
    The steady progess in the armamentarium of techniques available for endovascular treatment of intracranial aneurysms requires affordable and reproducable experimental animal models to test novel embolization materials such as stents and flow diverters. The aim of the present project was to design a safe, fast, and standardized surgical technique for stent assisted embolization of saccular aneurysms in a rat animal model. Saccular aneurysms were created from an arterial graft from the descending aorta. Read More

    Randomized feasibility trial of high-intensity interval training before elective abdominal aortic aneurysm repair.
    Br J Surg 2017 Oct 9. Epub 2017 Oct 9.
    Department of Academic Anaesthesia, James Cook University Hospital, Middlesbrough, UK.
    Background: This study assessed the feasibility of a preoperative high-intensity interval training (HIT) programme in patients awaiting elective abdominal aortic aneurysm repair.

    Methods: In this feasibility trial, participants were allocated by minimization to preoperative HIT or usual care. Patients in the HIT group were offered three exercise sessions per week for 4 weeks, and weekly maintenance sessions if surgery was delayed. Read More

    On the effect of computed tomography resolution to distinguish between abdominal aortic aneurysm wall tissue and calcification: A proof of concept.
    Eur J Radiol 2017 Oct 26;95:370-377. Epub 2017 Aug 26.
    Centre for Applied Biomedical Engineering Research (CABER), Health Research Institute (HRI), School of Engineering, Bernal Institute, University of Limerick, Lonsdale Building, Limerick, Ireland. Electronic address:
    Purpose: The purpose of this study is to determine the optimal target CT spatial resolution for accurately imaging abdominal aortic aneurysm (AAA) wall characteristics, distinguishing between tissue and calcification components, for an accurate assessment of rupture risk.

    Materials And Methods: Ruptured and non-ruptured AAA-wall samples were acquired from eight patients undergoing open surgical aneurysm repair upon institutional review board approval and informed consent was obtained from all patients. Physical measurements of AAA-wall cross-section were made using scanning electron microscopy. Read More

    Abdominal Aortic Emergencies.
    Emerg Med Clin North Am 2017 Nov;35(4):847-867
    Department of Emergency Medicine, New York University Medical Center, Bellevue Hospital Center, 462 First Avenue, Room 345A, New York, NY 10016, USA.
    This article discusses abdominal aortic emergencies. There is a common thread of risk factors and causes of these diseases, including age, male gender, hypertension, dyslipidemia, and connective tissue disorders. The most common presenting symptom of these disorders is pain, usually in the chest, flank, abdomen, or back. Read More

    Contrast-enhanced ultrasound (CEUS) of the abdominal vasculature.
    Abdom Radiol (NY) 2017 Oct 5. Epub 2017 Oct 5.
    Department of Radiology, King's College London, King's College Hospital, Denmark Hill, SE59RS, London, England, UK.
    Vascular diseases account for a significant proportion of abdominal pathology and represent a common referral source for abdominal ultrasonographic examinations. B-mode, color Doppler, and spectral Doppler analyses are well-established in the evaluation of abdominal blood vessels although they may occasionally be limited by lower sensitivity for slow flow visualization or the deeper location of abdominal vascular structures. The introduction of microbubbles as ultrasonographic contrast agents has rendered contrast-enhanced ultrasound (CEUS), a valuable complementary ultrasonographic technique, which is capable of addressing clinically significant problems and guiding patient management. Read More

    Increased galectin-3 levels are associated with abdominal aortic aneurysm progression and inhibition of galectin-3 decrease elastase-induced AAA development.
    Clin Sci (Lond) 2017 Oct 5. Epub 2017 Oct 5.
    Fundacion Instituto de Investigaciones Sanitarias, ciber-cv, Madrid, 28040, Spain
    Abdominal aortic aneurysm (AAA) evolution is unpredictable. Moreover, no specific treatment exists for AAA, except surgery to prevent aortic rupture. Galectin-3 has been previously associated with CVD, but its potential role in AAA have not been addressed. Read More

    The role of IL-6 in pathogenesis of abdominal aortic aneurysm in mice.
    PLoS One 2017 5;12(10):e0185923. Epub 2017 Oct 5.
    Division of Cardiovascular Medicine, Department of Internal Medicine, Kurume University School of Medicine, Kurume, Japan.
    Although the pathogenesis of abdominal aortic aneurysm (AAA) remains unclear, evidence is accumulating to support a central role for inflammation. Inflammatory responses are coordinated by various soluble cytokines of which IL-6 is one of the major proinflammatory cytokines. In this study we examined the role of IL-6 in the pathogenesis of experimental AAA induced by a periaortic exposure to CaCl2 in mice. Read More

    Alcohol consumption and mortality from aortic disease among Japanese men: The Japan Collaborative Cohort study.
    Atherosclerosis 2017 Sep 21;266:64-68. Epub 2017 Sep 21.
    Public Health, Department of Social Medicine, Osaka University Graduate School of Medicine, Osaka, Japan. Electronic address:
    Background And Aims: Only a few population-based prospective studies have examined the association between alcohol consumption and abdominal aortic aneurysm, and the results are inconsistent. Moreover, no evidence exists for aortic dissection. We examined the effect of alcohol consumption on risk of mortality from aortic diseases. Read More

    Renal artery aneurysm rupture during post-partum period: A case report.
    Electron Physician 2017 Aug 1;9(8):5138-5141. Epub 2017 Aug 1.
    M.D., Assistant Professor of obstetrics and Gynecology, Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences (MUMS), Mashhad, Iran.
    Renal artery aneurysm has an incidence of lower than one in 1000 of the general population. The risk of aneurysm rupture increases during pregnancy due to hormonal and hemodynamic changes. Therefore, these patients often refer to physicians with abdominal pain that is followed by shock. Read More

    Tryptophan-Derived 3-Hydroxyanthranilic Acid Contributes to Angiotensin II-Induced Abdominal Aortic Aneurysm Formation in Mice In Vivo.
    Circulation 2017 Oct 4. Epub 2017 Oct 4.
    Section of Molecular Medicine, Department of Medicine, Department of Biochemistry and Molecular Biology, University of Oklahoma Health Science Center, Oklahoma City, OK & Center for Molecular and Translational Medicine, Georgia State University, Atlanta, GA
    Background -Abnormal amino acid metabolism is associated with vascular disease. However, the causative link between dysregulated tryptophan metabolism and abdominal aortic aneurysm (AAA) is unknown. Methods -Indoleamine 2,3-dioxygenase (IDO) is the first and rate-limiting enzyme in the kynurenine pathway of tryptophan metabolism. Read More

    Single-centre experience with the frozen elephant trunk technique in 251 patients over 15 years.
    Eur J Cardiothorac Surg 2017 Aug 1. Epub 2017 Aug 1.
    Department of Diagnostic and Interventional Radiology, Klinikum Oldenburg, Oldenburg, Germany.
    Objectives: Our goal was to present our 15-year experience (2001-2015) with the frozen elephant trunk (FET) technique.

    Methods: A total of 251 patients (82 with aortic aneurysms, 96 with acute aortic dissection type A, 4 with acute type B dissections, 52 with chronic aortic dissection type A, 17 with chronic type B dissection and 67 redo cases) underwent FET implantation with either the custom-made Chavan-Haverich ( n  = 66), the Jotec E-vita ( n  = 31) or the Vascutek Thoraflex hybrid ( n  = 154) prosthesis. The cases were assigned to an early period (2001-2011) and a contemporary period (2012-present). Read More

    Association between renal cysts and abdominal aortic aneurysm: A case-control study.
    Rev Assoc Med Bras (1992) 2017 Aug;63(8):681-684
    Division of Urology, Medical School, Universidade Estadual de Feira de Santana (UEFS), Feira de Santana, BA, Brazil.
    Objective: To investigate the positive association between the presence of simple renal cysts (SRCs) and abdominal aortic aneurysm (AAA).

    Method: In a retrospective case-control study including subjects aged > 50 years, we evaluated the incidence of SRCs on computed tomography (CT) scan. We compared 91 consecutive patients with AAA referred from the Division of Vascular Surgery and 396 patients without AAA, randomly selected after being matched by age and gender from 3,186 consecutive patients who underwent abdominal CT. Read More

    [Approach to aortic aneurysms in the elderly].
    Turk Kardiyol Dern Ars 2017 Sep;45(Suppl 5):93-95
    Department of Cardiology, Uludağ University Faculty of Medicine, Bursa, Turkey.
    There is an increase in the number of older persons worldwide. Because of this in the future we will much more manage the diseases which are more commonly seen in elderly in daily practice. One of the mortal diseases commonly seen in elderly patients is aortic aneurysm. Read More

    Aneurysm formation after stent grafting in vascular Behcet's Disease.
    Arthritis Rheumatol 2017 Oct 3. Epub 2017 Oct 3.
    Department of Rheumatology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo, Japan.
    A 40-year-old man with a history of oral and ileocecal ulcers, acneiform lesions, erythema nodosum and deep vein thrombosis presented with fever, abdominal pain and a pulsatile mass in the right groin. Two months prior to the presentation, he underwent stent grafting via the right femoral artery for an abdominal aortic aneurysm. Enhanced computed tomography disclosed aneurysms at the both ends of the stent (blue and green arrows in the panels A and B) and at the right femoral puncture site (blue arrowhead). Read More

    A constitutive BCL2 down-regulation aggravates the phenotype of PKD1-mutant induced polycystic kidney disease.
    Hum Mol Genet 2017 Sep 11. Epub 2017 Sep 11.
    UMR1231 Inserm, Université de Bourgogne Franche Comté, Dijon, France.
    The main identified function of BCL2 protein is to prevent cell death by apoptosis. Mice knock-out for Bcl2 demonstrate growth retardation, severe polycystic kidney disease (PKD), gray hair and lymphopenia, and die prematurely after birth. Here, we report a 40-year-old male referred to for abdominal and thoracic aortic dissection with associated aortic root aneurysm, PKD, lymphocytopenia with a history of T cell lymphoblastic lymphoma, white hair since the age of 20, and learning difficulties. Read More

    Role of myeloperoxidase in abdominal aortic aneurysm formation: mitigation by taurine.
    Am J Physiol Heart Circ Physiol 2017 Sep 29:ajpheart.00296.2017. Epub 2017 Sep 29.
    Medical College of Georgia at Augusta University
    Oxidative stress plays a fundamental role in abdominal aortic aneurysm (AAA) formation. Activated polymorphonuclear leukocytes (PMNs or neutrophils) are associated with AAA and express myeloperoxidase (MPO), which promotes inflammation, matrix degradation and other pathological features of AAA including enhanced oxidative stress through generation of reactive oxidant species. Both plasma and aortic MPO levels are elevated in patients with AAA, but the role of MPO in AAA pathogenesis has heretofore never been investigated. Read More

    Estimating the error of CT-based measurements of aortic lumen volume used in endovascular planning.
    Radiography (Lond) 2017 Nov 1;23(4):287-291. Epub 2017 Sep 1.
    Liverpool Vascular & Endovascular Service, Liverpool, UK. Electronic address:
    Introduction: Planning of endovascular sealing of abdominal aortic aneurysms requires measurement of the aortic lumen volume. The aim of this study was to investigate mathematically the effect of intra- and inter-observer variability error, as well as cardiac cycle-related variability, on these measurements.

    Methods: Mean (±2SD) intra- and inter-observer error in lumen measurements and mean (+2SD) cardiac cycle-related variability were obtained from published literature and added to the measurement of the flow lumen volume of a 57 mm abdominal aortic aneurysm to calculate average and extreme error possibilities. Read More

    In Vivo High-Frequency Ultrasound for the Characterization of Thrombi Associated with Aortic Aneurysms in an Experimental Mouse Model.
    Ultrasound Med Biol 2017 Sep 28. Epub 2017 Sep 28.
    Division of Imaging Sciences, King's College London, London, United Kingdom; Department of Radiology, Charité, Berlin, Germany.
    The development of abdominal aortic aneurysm (AAA) associated thrombi plays an important role during the onset and progression of AAAs. The aim of this study was to evaluate the potential of high-frequency ultrasound for characterization of AAA associated thrombi in an apolipoprotein-E-deficient mouse-model. Ultrasound measurements were performed using a high-resolution ultrasound system (Vevo770, FUJIFILM VisualSonics, Inc. Read More

    A registry-based rationale for discrete intervention thresholds for open and endovascular elective abdominal aortic aneurysm repair in female patients.
    J Vasc Surg 2017 Sep 27. Epub 2017 Sep 27.
    Department of Vascular Surgery, Leiden University Medical Center, Leiden, The Netherlands. Electronic address:
    Objective: An evidence-based consensus for a female-specific intervention threshold for abdominal aortic aneurysms (AAAs) is missing. This study aims to analyze sex-related differences in the epidemiology of ruptured AAA to establish an intervention threshold for women.

    Methods: The Dutch Surgical Aneurysm Audit (DSAA) is a compulsory, nation-wide registry of AAA repairs in The Netherlands. Read More

    Long-term fate of renal function after open surgery for juxtarenal and pararenal aortic aneurysm.
    J Vasc Surg 2017 Sep 27. Epub 2017 Sep 27.
    Division of Vascular Surgery, Department of Surgery, Graduate School of Medicine, Nagoya University, Nagoya, Japan.
    Background: Although the indications for endovascular aneurysm repair for abdominal aortic aneurysm have been expanding, our primary strategy for pararenal and juxtarenal abdominal aortic aneurysm (P/JRAA) is open surgery (OS). One consequence of OS for P/JRAA is transient renal ischemia owing to renal artery clamping, which can be followed by acute kidney injury (AKI). Prior studies referred to the impact of renal ischemia on AKI, but they have rarely evaluated longer-term renal function. Read More

    The use of thoracic stent grafts for endovascular repair of abdominal aortic aneurysms.
    Vascular 2017 Jan 1:1708538117733909. Epub 2017 Jan 1.
    1 Department of Vascular Surgery, 10215 OLVG , Amsterdam, the Netherlands.
    Objectives Stent grafts for endovascular repair of infrarenal aneurysms are commercially available for aortic necks up to 32 mm in diameter. The aim of this study was to evaluate the feasibility of endovascular repair with large thoracic stent grafts in the infrarenal position to obtain adequate proximal seal in wider necks. Methods All patients who underwent endovascular aneurysm repair using thoracic stent grafts with diameters greater than 36 mm between 2012 and 2016 were included. Read More

    Aorto-Uni-Iliac Stent Grafting and Femoro-Femoral Bypass in a Patient with a Failed and Catastrophic Endovascular Aortic Aneurysm Repair.
    Vasc Specialist Int 2017 Sep 30;33(3):117-120. Epub 2017 Sep 30.
    Department of Thoracic and Cardiovascular Surgery, Eulji University Hospital, Eulji University School of Medicine, Daejeon, Korea.
    A 78-year-old man presented at Eulji University Hospital due to an abdominal aortic aneurysm with maximum diameter of 52 mm, which had been increased from 45 mm over 6 months. He underwent embolization of the left internal iliac artery with vascular plug, prior to endovascular abdominal aortic repair with a bifurcated stent graft system. Unfortunately, the inserted vascular plug was maldeployed and protruded into left external iliac artery, and caused acute limb ischemia. Read More

    Evaluation of Preoperative Predictors of 30-Day Mortality in Patients with Ruptured Abdominal Aortic Aneurysm.
    Vasc Specialist Int 2017 Sep 30;33(3):93-98. Epub 2017 Sep 30.
    Department of Thoracic and Cardiovascular Surgery, Gyeongsang National University Hospital, Gyeongsang Nationtal University School of Medicine, Jinju, Korea.
    Purpose: Ruptured abdominal aortic aneurysm (RAAA) is a rare, extremely dangerous condition. Previous studies have published preoperative, intraoperative, and postoperative data; however, there are not enough studies on the preoperative factors alone. Here we studied the preoperative predictors of 30-day mortality in patients with RAAA. Read More

    Aneurysm Wall Enhancement Detected by Contrast Computed Tomography Scan Is Associated With Aneurysm Shrinkage After Endovascular Aneurysm Repair for Abdominal Aortic Aneurysm.
    Circ J 2017 Sep 27. Epub 2017 Sep 27.
    Department of Vascular Surgery, The Jikei University School of Medicine.
    Background: Aneurysm expansion, and consequent endoleaks, after endovascular aneurysm repair (EVAR) is a major problem. Accurate prediction of aneurysm expansion is demanding for surgeons and remains difficult.Methods and Results:We retrospectively analyzed 157 cases of EVAR for abdominal aortic aneurysm (AAA) using a bifurcated main-body stent-graft. Read More

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