27,970 results match your criteria Aortic Dissection


Reply to Puehler et al.

Authors:
Tadashi Kitamura

Eur J Cardiothorac Surg 2019 Mar 15. Epub 2019 Mar 15.

Department of Cardiovascular Surgery, Kitasato University School of Medicine, Kanagawa, Japan.

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http://dx.doi.org/10.1093/ejcts/ezz084DOI Listing

Long-term survival and frequency of reinterventions after proximal aortic surgery: a retrospective study†.

Eur J Cardiothorac Surg 2019 Mar 15. Epub 2019 Mar 15.

Department of Thoracic Surgery, Institution of Surgical Sciences, Uppsala University Hospital, Uppsala, Sweden.

Objectives: We sought to analyse perioperative outcome, long-term mortality, frequency and causes of reintervention, and survival benefit in a contemporary cohort of patients undergoing proximal thoracic aortic surgery.

Methods: Participants comprised all patients undergoing open surgery for proximal thoracic aortic aneurysm (TAA) (n = 319) and thoracic aortic dissection type A (TAD) (n = 229) during 2005-2014 at the Department of Thoracic Surgery, Uppsala University Hospital. Long-term survival was compared to age- and sex-matched controls. Read More

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http://dx.doi.org/10.1093/ejcts/ezz073DOI Listing

Rahimi or Samurai? Smooth cannulation and effective antegrade perfusion is the best perfusion strategy in the treatment of acute Stanford type A dissections.

Eur J Cardiothorac Surg 2019 Mar 15. Epub 2019 Mar 15.

Department of Cardiovascular Surgery, University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Germany.

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http://dx.doi.org/10.1093/ejcts/ezz083DOI Listing

Use of the Octopus Technique for Endovascular Treatment of Complex Aortic Lesions.

J Vasc Interv Radiol 2019 Mar 12. Epub 2019 Mar 12.

Division of Thoracic and Cardiovascular Surgery, Department of Surgery, Chang Gung Memorial Hospital at Linkou, and Chang Gung University, Taoyuan, Taiwan. Electronic address:

Purpose: To evaluate feasibility and effectiveness using the octopus endograft technique to treat complex aortic aneurysms (CAAs).

Materials And Methods: Endovascular repair of CAAs, including thoracoabdominal aneurysms (TAAAs) and dissections involving major side branches, was performed at a single center from June 2014 to June 2017. Patients included 9 men and 2 women (mean age, 60. Read More

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http://dx.doi.org/10.1016/j.jvir.2018.10.020DOI Listing

The Coagulopathy of Acute Type A Aortic Dissection: A Prospective, Observational Study.

J Cardiothorac Vasc Anesth 2019 Feb 11. Epub 2019 Feb 11.

Lund University, Skåne University Hospital, Department of Clinical Sciences, Lund, Department of Cardiothoracic Surgery, Lund, Sweden.

Objective: To evaluate the hemostatic system in patients undergoing surgery for acute type A aortic dissection (ATAAD) compared with those undergoing elective aortic procedures.

Design: This was a prospective, observational study.

Setting: The study was performed at a single university hospital. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10530770193014
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http://dx.doi.org/10.1053/j.jvca.2019.02.013DOI Listing
February 2019
1 Read

4D Flow MRI-Based Computational Analysis of Blood Flow in Patient-Specific Aortic Dissection.

IEEE Trans Biomed Eng 2019 Mar 13. Epub 2019 Mar 13.

Objective: Computational hemodynamics studies of aortic dissections usually combine patient-specific geometries with idealized or generic boundary conditions. In this study we present a comprehensive methodology for simulations of hemodynamics in type B aortic dissection (TBAD) based on fully patient-specific BCs.

Methods: Pre-operative 4D flow magnetic resonance imaging (MRI) and Doppler-wire pressure measurements (pre- and post-operative) were acquired from a TBAD patient. Read More

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http://dx.doi.org/10.1109/TBME.2019.2904885DOI Listing

Microsurgical Clip Reconstruction of a Ruptured Dissecting PICA Aneurysm: a 2D Operative Video.

World Neurosurg 2019 Mar 11. Epub 2019 Mar 11.

Department of Neurosurgery, University of Pennsylvania, Philadelphia, PA. Electronic address:

This case is a presentation of technical tenets for the microsurgical clipping of a ruptured posterior inferior cerebellar artery (PICA) aneurysm. The patient described in this case was a 19-year old male with a history of polysubstance abuse who presented from an outside hospital after being found unresponsive and admitted for a subarachnoid hemorrhage seven days earlier. Noninvasive vascular imaging completed at the outset hospital showed no clear intracranial aneurysm except some irregularity of left PICA proximally. Read More

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http://dx.doi.org/10.1016/j.wneu.2019.02.161DOI Listing

Bicuspid aortic valve, atherosclerosis and changes of lipid metabolism: Are there pathological molecular links?

Authors:
Paolo Magni

J Mol Cell Cardiol 2019 Mar 11;129:231-235. Epub 2019 Mar 11.

Dipartimento di Scienze Farmacologiche e Biomolecolari, Universita' degli Studi di Milano, Via Balzaretti 9, 20133 Milano, Italy; IRCCS MultiMedica, via Milanese 300, 20099, Sesto S. Giovanni, Milano, Italy. Electronic address:

Bicuspid aortic valve (BAV) is recognized as a syndrome including aortic valve diseases and aortic wall alterations, such as aortic dilatation, dissection and rupture, but also coronary atherosclerosis. The current evidence, although partially controversial, suggests that several molecular mechanisms promoting atherosclerosis are activated in BAV patients and are involved in the progression of the related diseases, from aortic stenosis to aortopathies, along with altered hemodynamics. Among these factors, dyslipidemia (i. Read More

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http://dx.doi.org/10.1016/j.yjmcc.2019.03.004DOI Listing

iTalian RegIstry of doUble inner branch stent graft for arch PatHology (the TRIUmPH Registry).

J Vasc Surg 2019 Mar 11. Epub 2019 Mar 11.

Unit of Vascular Surgery, Department of Surgery "Pietro Valdoni", Sapienza University of Rome, Rome, Italy.

Objective: The objective of this study was to assess early and midterm results after endovascular aortic arch repair using a double inner branch stent graft (DIBSG) in patients with aortic arch aneurysm or dissection unfit for open surgery.

Methods: Between 2012 and 2018, there were 24 patients with aortic arch disease who were treated with a single model of a DIBSG (Terumo Aortic, Glasgow, United Kingdom) in nine Italian cardiovascular centers. We investigated technical success, mortality, occurrence of major complications, and need for reintervention in a multicenter, nonrandomized, retrospective fashion. Read More

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http://dx.doi.org/10.1016/j.jvs.2018.11.046DOI Listing

Cardiovascular morbidity and mortality after aortic dissection, intramural hematoma, and penetrating aortic ulcer.

J Vasc Surg 2019 Mar 11. Epub 2019 Mar 11.

Division of Vascular and Endovascular Surgery, Mayo Clinic, Rochester, Minn.

Objective: The nonaortic cardiovascular morbidity and mortality of patients with aortic dissection (AD), intramural hematoma (IMH), and penetrating aortic ulcer (PAU) is unknown. We aimed to define the rates of cardiovascular (CV) events in a cohort of patients with newly diagnosed AD, IMH, and PAU.

Methods: We performed a retrospective review of all Olmsted County, Minnesota, residents diagnosed with AD, IMH, and PAU from 1995 to 2015. Read More

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http://dx.doi.org/10.1016/j.jvs.2018.12.031DOI Listing

The natural history of type B aortic dissection in patients with PRKG1 mutation c.530G>A (p.Arg177Gln).

J Vasc Surg 2019 Mar 11. Epub 2019 Mar 11.

Division of Medical Genetics, Department of Internal Medicine, The University of Texas Health Science Center at Houston, Houston, Tex.

Objective: The c.530G>A (p.Arg177Gln) mutation in PRKG1 has been shown to be associated with thoracic aortic aneurysms and dissections. Read More

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http://dx.doi.org/10.1016/j.jvs.2018.12.032DOI Listing

Thoracic Aortic Dissection in Tetralogy of Fallot: A Review of the National Inpatient Sample Database.

J Am Heart Assoc 2019 Mar;8(6):e011943

1 Department of Cardiovascular Medicine Mayo Clinic Rochester MN.

Background Thoracic aortic aneurysm is common in patients with tetralogy of Fallot ( TOF ); the incidence of thoracic aortic dissection ( TAD ) is unknown, but generally considered to be uncommon. The purpose of this study was to determine incidence and risk factors for TAD in TOF patients. Methods and Results This work is a retrospective review of the National Inpatient Sample ( NIS ) database for cases of ascending TAD among all hospital admissions in adults with TOF , 2000-2014. Read More

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http://dx.doi.org/10.1161/JAHA.119.011943DOI Listing

Postpartum aortic dissection. A case report and review of literature.

Int J Surg Case Rep 2019 Mar 6;56:101-106. Epub 2019 Mar 6.

Surgical Science Department, Policlinico Umberto I, University of Rome "La Sapienza", Rome, Italy; Cardiac Surgery Unit, Cardiovascular, Respiratory, Nefrologic and Geriatric Department, Policlinico Umberto I, University of Rome "La Sapienza", Rome, Italy.

Introduction: Aortic dissection is a rare cardiovascular complication in pregnancy. Most of the cases occur during the third trimester of pregnancy, whilst 33% of cases are reported during the postpartum period.

Presentation Of Case: We report the case of a multiparous 35-year-old patient with gestational hypertension treated for a type A aortic dissection on the second postpartum day. Read More

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http://dx.doi.org/10.1016/j.ijscr.2019.02.018DOI Listing

[Aortic dissection].

Rev Prat 2018 Sep;68(7):752

Service de radiologie, Hôpital européen, Marseille, France.

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September 2018

Surgical Trapping With Revascularization of Concomitant Cervical and Petrous Internal Carotid Artery Aneurysms: 2-Dimensional Operative Video.

Oper Neurosurg (Hagerstown) 2019 Mar 14. Epub 2019 Mar 14.

Department of Neurosurgery, Clinical Neurosciences Center, University of Utah, Salt Lake City, Utah.

Petrous internal carotid artery (ICA) aneurysms are rare, complicated lesions to treat. The management paradigms include observation, endovascular exclusion, or surgical trapping with or without revascularization. The case described in this video involved a 67-yr-old woman with a known history of chronic lymphocytic leukemia, who presented after a mechanical ground-level fall. Read More

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http://dx.doi.org/10.1093/ons/opz022DOI Listing

Hospital Results of a Single Center Database for Stentless Xenograft Use in a Full Root Technique in Over 970 Patients.

Sci Rep 2019 Mar 13;9(1):4371. Epub 2019 Mar 13.

Division of Cardiac Surgery, Medical University of Graz, Auenbrugger Platz 29, 8036, Graz, Austria.

Our aim was to analyse the hospital outcome for the worldwide largest series of stentless bioroot xenografts (Medtronic Freestyle) as full root replacement in a single centre over a period of 18 years. Retrospective data analysis was performed for the entire cohort of patients undergoing aortic root surgery with the Medtronic Freestyle valve prosthesis. Logistic regression analysis was performed to analyse predictors of in-hospital mortality. Read More

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http://dx.doi.org/10.1038/s41598-019-40772-7DOI Listing

Descending thoracic endovascular aortic repair does not require cardiothoracic surgery support.

Vascular 2019 Mar 13:1708538119836331. Epub 2019 Mar 13.

Division of Vascular Surgery, NYU Langone Hospital-Brooklyn, Brooklyn, NY, USA.

Objective: Descending thoracic endovascular aneurysm repair (D-TEVAR) is often performed by vascular surgeons. At many institutions, cardiothoracic surgery support is required for an elective TEVAR to take place. Oftentimes, this means a dedicated cardiopulmonary bypass team must be available. Read More

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http://dx.doi.org/10.1177/1708538119836331DOI Listing
March 2019
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Risk Factors Associated With Reintervention After Thoracic Endovascular Aortic Repair for Descending Aortic Pathologies.

Vasc Endovascular Surg 2019 Apr 13;53(3):181-188. Epub 2018 Dec 13.

1 Department of Thoracic and Cardiovascular Surgery, School of Medicine, Kyungpook National University, Kyungpook National University Hospital, Daegu, South Korea.

Background:: Thoracic endovascular aortic repair (TEVAR) is associated with several short-term benefits, including reduced morbidity and mortality; however, the long-term durability of TEVAR and the need for secondary aortic reintervention remain unclear. We aimed to determine the adverse outcomes, including aortic reintervention, after TEVAR for thoracic aortic aneurysms and dissection.

Methods:: Between October 2009 and July 2016, 130 patients underwent TEVAR at Kyungpook National University Hospital. Read More

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http://dx.doi.org/10.1177/1538574418814989DOI Listing

Spontaneous perforation of small intestine followed by rupture of the cystic artery: the natural history of Vascular Ehlers-Danlos Syndrome.

Autops Case Rep 2019 Jan-Mar;9(1):e2018054. Epub 2019 Jan 17.

Mount Sinai Medical Center, AM Rywlin MD Department of Pathology and Laboratory Medicine. Miami Beach, FL, United States of America.

Vascular Ehlers-Danlos Syndrome (VEDS) is a rare autosomal dominant disorder caused by mutations in the or genes. Its mortality is secondary to sudden and spontaneous rupture of arteries or hollow organs. The genotype influences the distribution of arterial pathology with aneurysms of intra-abdominal visceral arteries being relatively uncommon. Read More

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http://www.autopsyandcasereports.org/article/doi/10.4322/acr
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http://dx.doi.org/10.4322/acr.2018.054DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6394365PMC
January 2019
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Transesophageal echocardiography identification of aortic dissection during cardiac arrest and cessation of ECMO initiation.

Am J Emerg Med 2019 Feb 27. Epub 2019 Feb 27.

University of Utah, Department of Anesthesiology, United States of America.

Cardiac arrest is a challenging clinical presentation that emergency medicine providers often encounter. Aortic dissection is an uncommon etiology in all-comers presenting in cardiac arrest. The use of bedside point of care echocardiography to aid in resuscitative efforts is expanding, particularly with the increasing use of transesophageal echocardiography (TEE) by emergency medicine providers. Read More

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http://dx.doi.org/10.1016/j.ajem.2019.02.039DOI Listing
February 2019

Health-related quality of life one year after surgical treatment of the type I chronic aortic dissection.

Int Angiol 2019 Feb;38(1):46-53

E. Meshalkin National Medical Research Center of the Ministry of Health of the Russian Federation, Novosibirsk, Russia.

Background: The purpose of our study was to assess the health-related quality of life (HRQoL) in patients with type I chronic aortic dissection before and one year after prosthetics of the aorta, and to test the hypothesis that long-term postoperative parameters of HRQoL are affected by clinical determinants related to the underlying disease, intraoperative characteristics, and complications of the early postoperative period.

Methods: This prospective cohort study included 82 patients with type I chronic aortic dissection. HRQoL parameters were examined using the Short-Form 36 Health Survey Questionnaire before and one year after surgery. Read More

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http://dx.doi.org/10.23736/S0392-9590.18.04009-9DOI Listing
February 2019

Incidence, technical safety and feasibility of coronary angiography and intervention following self-expanding transcatheter aortic valve replacement.

Cardiovasc Revasc Med 2019 Feb 14. Epub 2019 Feb 14.

Interventional Cardiology Unit, San Raffaele Scientific Institute, Milan, Italy; Division of Cardiology, Department of Medicine, University of Cape Town, Cape Town, South Africa; Department of Cardiology, Montefiore Medical Center, New York, USA. Electronic address:

Background: Transcatheter aortic valve replacement (TAVR) is a well-established treatment option for severe aortic stenosis (AS). AS and coronary artery disease frequently coincide, and therefore some patients may require coronary angiography (CAG) and/or intervention (PCI) post-TAVR. Due to valve stent design, most self-expanding prostheses always cover the coronary ostium, and therefore may hinder future access. Read More

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http://dx.doi.org/10.1016/j.carrev.2019.01.026DOI Listing
February 2019

The "thoracic endovascular aortic repair-first" strategy for acute type A dissection with mesenteric malperfusion: Initial results compared with conventional algorithms.

J Thorac Cardiovasc Surg 2019 Feb 11. Epub 2019 Feb 11.

Division of Cardiothoracic Surgery, Department of Surgery, Emory University School of Medicine, Atlanta, Ga.

Objective: Acute type A dissection with mesenteric malperfusion is a rare but lethal variant of aortic dissection. This study examines outcomes from various treatment algorithms.

Methods: A review from 2003 to 2017 of the Emory Aortic Database identified 34 patients who presented with acute type A dissection with mesenteric malperfusion. Read More

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http://dx.doi.org/10.1016/j.jtcvs.2019.01.116DOI Listing
February 2019

Thrombus risk versus bleeding risk: a clinical conundrum.

BMJ Case Rep 2019 Mar 8;12(3). Epub 2019 Mar 8.

School of Medicine, University of Notre Dame, Fremantle, Western Australia, Australia.

A 62-year-old man presented to the Emergency Department with dyspnoea and central pleuritic chest pain radiating posteriorly to between the scapulae. His medical history included hypertension, osteoporosis and chronic kidney disease secondary to focal segmental glomerulosclerosis with relapsing nephrotic syndrome. Significant examination findings included a loud palpable P2 and a displaced apex beat. Read More

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http://dx.doi.org/10.1136/bcr-2018-228344DOI Listing
March 2019
1 Read

Coil embolization of intercostal arteries accessed by surgical exposure for type II endoleak after thoracic endovascular aortic repair.

J Vasc Surg 2019 Mar 6. Epub 2019 Mar 6.

Cardiovascular Center, Yokohama City University Medical Center, Yokohama, Japan.

Many patients with type II endoleak after thoracic endovascular aortic repair (TEVAR) are closely observed without secondary intervention. Herein, we report a new technique of coil embolization for type II endoleak from intercostal arteries after TEVAR for ruptured acute type B aortic dissection. A hybrid procedure of exposing intercostal arteries via subcostal incision in the prone position and transcatheter technique enables embolization of intercostal arteries at their origin from the aorta. Read More

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http://dx.doi.org/10.1016/j.jvs.2018.11.040DOI Listing
March 2019
1 Read

False lumen embolization in chronic aortic dissection promotes thoracic aortic remodeling at midterm follow-up.

J Vasc Surg 2019 Mar 5. Epub 2019 Mar 5.

Vascular Surgery Department, Bichat Hospital, Assistance Publique-Hopitaux de Paris, Paris, France; Paris-Diderot University, Paris, France.

Objective: Failure of thoracic endovascular aortic repair (TEVAR) in chronic aortic dissections can be partially explained by retrograde false lumen (FL) flow through distal re-entry tears. After implantation of a thoracic stent graft, FL thrombosis occurs in less than 50% of the cases. The objectives of this study were to describe the feasibility and outcomes of FL embolization in patients with chronic aortic dissections. Read More

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http://dx.doi.org/10.1016/j.jvs.2018.11.038DOI Listing
March 2019
1 Read

Medical Management of Three Patients with an Acute Type A Aortic Dissection: Case Series and a Review of the Literature.

Aorta (Stamford) 2018 Aug 8;6(4):98-101. Epub 2019 Mar 8.

Department of Thoracic and Cardiovascular Surgery, NYU Winthrop Hospital, Mineola, New York.

The model of surgery first and always for Type A aortic dissections has continued to evolve. During the last three decades, various studies have demonstrated that in select patients, surgery should be delayed or avoided. This case series examines three cases in which patients were medically treated. Read More

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http://dx.doi.org/10.1055/s-0039-1679870DOI Listing

New Flexible Internal Annular Fixation Rings for Tricuspid Aortic Valves.

Innovations (Phila) 2019 Feb 20;14(1):60-65. Epub 2019 Feb 20.

1 St. Luke's International Hospital, Tokyo, Japan.

Objectives: Although aortic annulus repair has a long history, there are still no ideal devices to control an aortic annulus. We have developed a new method involving the use of an expanded polytetrafluoroethylene graft with the support of a metallic ring holder during implantation from inside an aorta, with no dissection of the surrounding aortic annulus.

Methods: We used aortic annular rings of 18 to 24 mm made of Gore-Tex tubed grafts (W. Read More

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http://dx.doi.org/10.1177/1556984519828018DOI Listing
February 2019
1 Read

Dermatologic complication following axillary cannulation for aortic dissection repair.

Clin Case Rep 2019 Feb 9;7(2):343-345. Epub 2019 Jan 9.

Anesthesia University of Mississippi Medical Center Jackson Mississippi.

It is important to be aware of complications associated with axillary artery cannulation, especially the more common ones that can compromise limb integrity. Pulse oximeter and arterial line placed on the right upper extremity can aid in perfusion of the right arm during right axillary artery cannulation. Read More

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http://dx.doi.org/10.1002/ccr3.1969DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6389479PMC
February 2019

How should we treat uncomplicated subacute type B aortic dissection in octogenarians?

J Cardiothorac Surg 2019 Feb 26;14(1):44. Epub 2019 Feb 26.

Second Department of Surgery, Yamagata University Faculty of Medicine, Yamagata, Japan.

Background: Preemptive thoracic endovascular aortic repair (TEVAR) is an advanced treatment that has possibility to improve late outcomes in patients with subacute type B aortic dissection. However, it may not be the treatment of choice for elderly patients with uncomplicated subacute type B aortic dissection because of their inherent frailty and increased risk of periprocedural complications.

Methods: Data were collected between July 2004 and October 2017 in Yamagata university hospital and between February 2016 and May 2018 in Nihonkai General hospital. Read More

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https://cardiothoracicsurgery.biomedcentral.com/articles/10.
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http://dx.doi.org/10.1186/s13019-019-0869-zDOI Listing
February 2019
1 Read

Multicentre experience with two frozen elephant trunk prostheses in the treatment of acute aortic dissection†.

Eur J Cardiothorac Surg 2019 Mar 7. Epub 2019 Mar 7.

Department of Cardiovascular Surgery, Landeskrankenhaus Salzburg, Paracelsus Medical University, Salzburg, Austria.

Objectives: The aim of this study was to evaluate early- and mid-term outcome and aortic remodelling in patients undergoing implantation of 2 different frozen elephant trunk prostheses, either the Thoraflex™ hybrid (Vascutek, Inchinnan, UK) and the E-vita Open (Jotec Inc., Hechingen, Germany) for acute aortic dissection.

Methods: All consecutive patients [n = 88; median age 59 (49-67) years; 69% male] undergoing surgery with a frozen elephant trunk prosthesis for acute aortic dissection from August 2005 until March 2018 were included in this study. Read More

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http://dx.doi.org/10.1093/ejcts/ezz037DOI Listing
March 2019
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Iliomesenteric bypass and thrombectomy for Stanford type B aortic dissection with thrombus of the superior mesenteric artery.

J Card Surg 2019 Mar 6. Epub 2019 Mar 6.

Department of Cardiovascular Surgery, Nihon University School of Medicine, Tokyo, Japan.

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http://dx.doi.org/10.1111/jocs.14013DOI Listing

Clinical Significance of Aortic Root Modification Associated With Bicuspid Aortic Valve in Marfan Syndrome.

Circ Cardiovasc Imaging 2019 Mar;12(3):e008129

Centre National de Référence pour le syndrome de Marfan et apparentés, Paris, France (O.M., F.A., C. Bouleti, G.D., M.L., M.T., C. Boileau, G.J.).

Background: Both bicuspid aortic valve (BAV) and Marfan syndrome have been associated with aortic dissection risk, but it is unknown whether the presence of BAV is associated with an increased aortic risk in patients with an FBN1 gene mutation. We evaluated aortic diameters, aortic valve function, and aortic shape in Marfan syndrome patients with and without BAV and reported aortic events during follow-up.

Methods: All patients with an FBN1 gene mutation evaluated in our clinic were included. Read More

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http://dx.doi.org/10.1161/CIRCIMAGING.118.008129DOI Listing

The Potential Beneficial Effects of Resveratrol on Cardiovascular Complications in Marfan Syndrome Patients⁻Insights from Rodent-Based Animal Studies.

Int J Mol Sci 2019 Mar 5;20(5). Epub 2019 Mar 5.

Department of Medical Biochemistry, Amsterdam UMC, Academic Medical Center, Amsterdam Cardiovascular Sciences, University of Amsterdam, 1105 AZ Amsterdam, The Netherlands.

Marfan syndrome (MFS) patients are at risk for cardiovascular disease. In particular, for aortic aneurysm formation, which ultimately can result in a life-threatening aortic dissection or rupture. Over the years, research into a sufficient pharmacological treatment option against aortopathy has expanded, mostly due to the development of rodent disease models for aneurysm formation and dissections. Read More

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http://dx.doi.org/10.3390/ijms20051122DOI Listing
March 2019
2 Reads

Strain mapping from 4D ultrasound reveals complex remodeling in dissecting murine abdominal aortic aneurysms.

J Biomech Eng 2019 Mar 6. Epub 2019 Mar 6.

Weldon School of Biomedical Engineering, Purdue University, 206 S. Martin Jischke Drive, West Lafayette, IN 47907, USA.

Current in vivo abdominal aortic aneurysm imaging approaches tend to focus on maximum diameter but do not measure 3D vascular deformation or strain. Complex vessel geometries, heterogeneous wall compositions, and surrounding structures can all influence aortic strain. Improved understanding of complex aortic kinematics has the potential to increase our ability to predict aneurysm expansion and eventual rupture. Read More

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http://dx.doi.org/10.1115/1.4043075DOI Listing

Management of type B aortic dissection with an isolated left vertebral artery.

J Vasc Surg 2019 Mar 2. Epub 2019 Mar 2.

Department of Cardiology, Vascular Center, Guangdong Cardiovascular Institute, Guangdong Provincial Key Laboratory of Coronary Heart Disease Prevention, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China. Electronic address:

Objective: The objective of this study was to report our single-center experience of thoracic endovascular aortic repair (TEVAR) and concomitant procedures in patients with type B aortic dissection (TBAD) with an isolated left vertebral artery (ILVA) and the early to midterm outcomes in these patients.

Methods: Between March 2011 and June 2018, there were 31 patients (27 men; median age, 55 years; range, 31-66 years) with TBAD and an ILVA who received TEVAR and concomitant procedures in our center. Demographics, coexisting medical conditions, imaging features, operation details, and follow-up outcomes in these patients were retrospectively collected and analyzed. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S07415214193016
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http://dx.doi.org/10.1016/j.jvs.2018.11.052DOI Listing
March 2019
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How Much Malperfusion Is Too Much in Acute Type A Aortic Dissections?

J Clin Med 2019 Mar 4;8(3). Epub 2019 Mar 4.

Department of Cardiovascular Surgery, Institute for Cardiovascular Diseases, Str. Gh. Adam nr. 13A, 300310 Timisoara, Romania.

(1) Background: Malperfusion is a central limiting factor in the setting of acute Type A aortic dissections (AAAD). We sought to find preoperative metabolic acidosis thresholds that might influence decision-making in this setting. (2) Methods: We retrospectively reviewed consecutive patients operated on with AAAD between January 2002 and December 2017. Read More

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http://dx.doi.org/10.3390/jcm8030304DOI Listing
March 2019
3 Reads

Preventing a Catastrophe: Increasing Awareness of Loeys-Dietz Syndrome.

Tex Heart Inst J 2019 02 1;46(1):41-43. Epub 2019 Feb 1.

Loeys-Dietz syndrome is a genetic disorder that predisposes patients to aortic aneurysms. If left untreated, the natural history of the associated aortopathy often culminates in fatal aortic dissection. We describe the case of a 21-year-old man who was diagnosed with Loeys-Dietz syndrome after 2 family members died of aortic dissection. Read More

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http://dx.doi.org/10.14503/THIJ-17-6387DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6379001PMC
February 2019
1 Read

Influence of Body Mass Index on Outcomes of Patients Undergoing Surgery for Acute Aortic Dissection: A Propensity-Matched Analysis.

Tex Heart Inst J 2019 02 1;46(1):7-13. Epub 2019 Feb 1.

To determine whether body mass index ≥30 kg/m affects morbidity and mortality rates in patients undergoing surgery for type A acute aortic dissection, we conducted a retrospective study of 201 patients with type A dissection. Patients were divided into 2 groups according to body mass index (BMI): nonobese (BMI, <30 kg/m; 158 patients) and obese (BMI, ≥30 kg/m; 43 patients). Propensity score matching was used to reduce selection bias. Read More

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http://dx.doi.org/10.14503/THIJ-17-6365DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6378991PMC
February 2019
1 Read

Acute ischemic stroke due to painless long-segmental aortic dissection.

Neurology 2019 Mar;92(10):484-485

From the Department of Neurology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

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http://dx.doi.org/10.1212/WNL.0000000000007049DOI Listing

Technical details and preliminary results of a full robotic type II endoleak treatment with the da Vinci Xi.

J Robot Surg 2019 Mar 4. Epub 2019 Mar 4.

EndoCAS (Center for Computer Assisted Surgery), University of Pisa, Pisa, Italy.

Type II endoleak (T2E) represents a frequent and often challenging complication of endovascular aneurysm repair (EVAR). Endovascular treatment is the standard and most used strategy, but the recurrence after it remains high, especially due to lumbar arteries (LA) and inferior mesenteric artery (IMA) feeding. While conventional laparoscopy has been considered as an emerging method, robotic surgery is not reported yet for this indication. Read More

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http://dx.doi.org/10.1007/s11701-019-00944-zDOI Listing
March 2019
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[Transesophageal echocardiography in emergency and intensive care medicine : Indication and implementation].

Med Klin Intensivmed Notfmed 2019 Mar 4. Epub 2019 Mar 4.

Klinik und Poliklinik für Kardiologie, Universitätsklinikum Leipzig, Liebigstr. 20, 04103, Leipzig, Deutschland.

Transesophageal echocardiography (TEE) in emergency and intensive care medicine represents an additional semi-invasive method to confirm or rebut suspected diagnoses in critically ill patients. Three-dimensional (3D)-TEE investigations are established in the clinical workflow of emergency and intensive care units because 3D-TEE investigations permit a differentiation of artifacts due to oblique views by simultaneous documentation of sectional planes and en face views of characteristic cardiac structures. Thus, the level of diagnostic validity can be significantly increased by 3D-TEE investigation. Read More

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http://dx.doi.org/10.1007/s00063-019-0549-8DOI Listing
March 2019
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Valvular Disease in Marfan Syndrome: Surgical Considerations and Management.

Curr Cardiol Rep 2019 Mar 4;21(4):23. Epub 2019 Mar 4.

Division of Thoracic and Cardiovascular Surgery, Duke University Medical Center, DUMC BOX 3051, Durham, NC, 27710, USA.

Purpose Of Review: Detail the current strategies for the management of valve dysfunction in Marfan syndrome (MFS), understand the limitations of surgical interventions, and delineate the likely direction of future innovations.

Recent Findings: Significant advances in both medical and surgical management of MFS have been made over the last 50 years. This has resulted in improved overall outcomes. Read More

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http://dx.doi.org/10.1007/s11886-019-1110-3DOI Listing

Aortic Dissection Repair Using the STABILISE Technique Associated with Arch Procedures: Report of Two Cases.

EJVES Short Rep 2019 13;42:26-30. Epub 2019 Feb 13.

Vascular Surgery Department, Heart and Vessels Division, Hospital de Santa Maria (CHLN), Lisbon, Portugal.

Introduction: The stent assisted balloon induced intimal disruption and relamination in aortic dissection repair (STABILISE) technique is being increasingly used for the treatment of complicated aortic dissections. However, as it is a fairly recent technique, the scientific information is limited.

Report: In this paper we report two cases of the STABILISE technique associated with procedures in the ascending aorta and supra-aortic trunks, consisting of a "frozen elephant trunk" procedure in one case and in the other, a carotid endarterectomy associated with reimplantation of the vertebral artery and partial arch debranching. Read More

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http://dx.doi.org/10.1016/j.ejvssr.2019.01.003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6383177PMC
February 2019

[Diagnosis and treatment of a case of acute severe Stanford type A aortic dissection].

Zhonghua Wei Zhong Bing Ji Jiu Yi Xue 2019 Feb;31(2):238-240

Department of Cardiovascular Surgery, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450000, Henan, China. Corresponding author: Zhao Wenzeng, Email:

Objective: Patients with acute myocardial infarction (AMI) complicated with acute Stanford type A aortic dissection after percutaneous coronary intervention (PCI) are critically ill, with a very high fatality rate, and few cases are successfully treated clinically. A case with AMI admitted to the First Affiliated Hospital of Zhengzhou University complicated with acute left cardiac insufficiency after PCI, Stanford type A aortic dissection, pericardial and pleural infection, recurrent AMI was reviewed. In the condition of coexistence of many diseases, through timely adjustment of treatment strategy and exploratory application of drugs to improve cardiac function, the patient successfully received operation and discharged from the hospital. Read More

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http://dx.doi.org/10.3760/cma.j.issn.2095-4352.2019.02.024DOI Listing
February 2019

Transcatheter treatment of pure aortic regurgitation in a horizontal aorta complicated by valve embolization and aortic dissection.

Cardiovasc Revasc Med 2018 Dec 15. Epub 2018 Dec 15.

Interventional Cardiology Unit, GVM Care & Research Maria Cecilia Hospital, Cotignola, Italy.

A 83-year-old female with severe aortic regurgitation (AR) and an horizontal ascending aorta was scheduled for a transcatheter aortic valve replacement. After the complete deployment, a Portico 29 mm valve embolized in the ascending aorta due to the unfavorable anatomy of the anchoring zone. A second Portico 29 mm was successfully implanted using the embolized valve for superior anchoring. Read More

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http://dx.doi.org/10.1016/j.carrev.2018.12.013DOI Listing
December 2018
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Predictability of acute aortic dissection: A dream in evolution.

J Thorac Cardiovasc Surg 2019 Feb 27. Epub 2019 Feb 27.

Aortic Institute at Yale-New Haven Hospital, Yale University School of Medicine, New Haven, Conn.

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http://dx.doi.org/10.1016/j.jtcvs.2019.01.097DOI Listing
February 2019

The Epidemiology, Pathophysiology, and Novel Treatment of Calcific Arterial Disease.

Surg Technol Int 2019 Mar 1;34. Epub 2019 Mar 1.

Division of Vascular Surgery, Icahn School of Medicine at Mount Sinai The Mount Sinai Medical Center, New York, New York.

Endovascular treatment of arterial diseases has become first-line in most cases due to improved technology. However, until recently, excessive atherosclerotic calcification has been a major limiting factor in the endovascular management of peripheral arterial disease, as well as vascular access for endovascular aneurysm repair (EVAR) and transcatheter aortic valve replacement (TAVR). The Peripheral Intravascular Lithotripsy (IVL) System (Shockwave Medical, Inc. Read More

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Modelling of predissection aortic size in acute descending aortic dissection†.

Interact Cardiovasc Thorac Surg 2019 Mar 1. Epub 2019 Mar 1.

Department of Cardiovascular Surgery, University of Freiburg, Faculty of Medicine, Heart Center Freiburg University, Freiburg, Germany.

Objectives: Large aortic diameter is considered the most frequent cause of aortic dissection. However, this assumption relies on postdissection imaging of the aorta. We recently showed that acute dissection leads to a 23% increase in the descending aortic diameter. Read More

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http://dx.doi.org/10.1093/icvts/ivz028DOI Listing

Hybrid and frozen elephant trunk for total arch replacement in DeBakey type I dissection.

J Thorac Cardiovasc Surg 2019 Jan 21. Epub 2019 Jan 21.

The State Key Laboratory of Cardiovascular Disease, Fuwai Hospital, National Center for Cardiovascular Disease, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.

Objective: The study objective was to determine whether hybrid aortic repair yields superior outcomes compared with the conventional surgical approach for DeBakey type I aortic dissection.

Methods: A retrospective analysis of patients with DeBakey type I dissection admitted to Fuwai Hospital between January 2010 and December 2016 showed that 815 patients (86.9%) underwent open total arch replacement with frozen elephant trunk (frozen elephant trunk group) and 122 (13. Read More

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http://dx.doi.org/10.1016/j.jtcvs.2019.01.020DOI Listing
January 2019
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