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    Transarterial embolization of a late common hepatic artery pseudoaneurysm secondary to Stanford type B aortic dissection treated with thoracic endograft.
    Hellenic J Cardiol 2018 Jan 15. Epub 2018 Jan 15.
    Cardiovascular and Thoracic Surgery Department, Evangelismos General Hospital of Athens, 45 - 47 Ipsilantou Street, Kolonaki, Athens, Greece.

    Asymptomatic Ascending Aorta Aneurysm With Severe Aortic Regurgitation Caused by Multiple Intimal-Medial Tears Unassociated With Aortic Dissection.
    Am J Cardiol 2017 Dec 12. Epub 2017 Dec 12.
    Division of Cardiology, Department of Internal Medicine, Baylor University Medical Center at Dallas, Dallas, Texas; Baylor Jack and Jane Hamilton Heart and Vascular Hospital, Dallas, Texas; Department of Internal Medicine, Texas A&M College of Medicine, Dallas Campus, Dallas, Texas; Department of Pathology, Baylor University Medical Center at Dallas, Dallas, Texas.
    A 62-year-old man was found to have an asymptomatic ascending aortic aneurysm (6.6 cm) associated with severe aortic regurgitation. Operative resection of the wall of the aneurysm disclosed its cause to be multiple healed intimal-medial tears without dissection involving a previously normal aorta. Read More

    Relationship between serum cortisol level and degree of false lumen thrombosis in patients with uncomplicated type B aortic dissection.
    Sci Rep 2018 Jan 19;8(1):1215. Epub 2018 Jan 19.
    Department of Vascular Surgery, Changhai Hospital, Second Military Medical University, Shanghai, 200433, China.
    Partial thrombosis of the false lumen in uncomplicated type B aortic dissection (uTBAD) is associated with an increased late mortality risk. Whether the serum cortisol level can affect false lumen thrombosis in patients with uTBAD has not been well characterized. This study was performed on 87 patients with uTBAD. Read More

    Emergency fast Bentall operation.
    Interact Cardiovasc Thorac Surg 2018 Jan 16. Epub 2018 Jan 16.
    Universita' degli Studi di Siena, Unita' Operativa di Chirurgia del Cuore e dei Grossi Vasi, Siena, Italy.
    We herein report an emergency technique of composite Bentall operation using a fast release valve. The technique was successfully performed in 2 emergency cases after failed supracoronary ascending aortic replacement in acute Type A aortic dissection. The speed and ease of execution are the main advantages of the procedure. Read More

    Prevention of Aortic Dissection Suggests a Diameter Shift to a Lower Aortic Size Threshold for Intervention.
    Cardiology 2018 Jan 19;139(3):139-146. Epub 2018 Jan 19.
    Background: Multiple studies have quantified the relationship between aortic size and risk of dissection. However, these studies estimated the risk of dissection without accounting for any increase in aortic size from the dissection process itself.

    Objectives: This study aims to compare aortic size before and after dissection and to evaluate the change in size consequent to the dissection itself. Read More

    Role of Macrophage Socs3 in the Pathogenesis of Aortic Dissection.
    J Am Heart Assoc 2018 Jan 17;7(2). Epub 2018 Jan 17.
    Division of Cardiovascular Medicine, Department of Internal Medicine, Kurume University School of Medicine, Kurume, Japan.
    Background: Aortic dissection (AD) is a life-threatening medical emergency caused by the abrupt destruction of the intimomedial layer of the aortic walls. Given that previous studies have reported the involvement of proinflammatory cytokine interleukin-6 in AD pathogenesis, we investigated the role of signal transduction and activator of transcription 3 signaling, a downstream pathway of interleukin-6 in macrophages in pathogenesis of AD.

    Methods And Results: We characterized the pathological and molecular events triggered by aortic stress, which can lead to AD. Read More

    Hybrid aortic arch and frozen elephant trunk reconstruction: bridging the gap between conventional and total endovascular arch repair.
    Expert Rev Cardiovasc Ther 2018 Jan 18. Epub 2018 Jan 18.
    b Division of Cardiac Surgery , Western University , London , Ontario , Canada.
    Introduction: Novel endovascular techniques hope to offer patients aortic arch repair with reduced morbidity compared to conventional arch surgery; however, current endovascular strategies remain challenged by the proximal seal zone, higher stroke rates, long-term durability and select anatomy. Hybrid arch repair offers patients a less invasive alternative that can treat more distal aorta than conventional arch repair yet still be performed via standard sternotomy. Areas Covered: This review will discuss the current evidence and future development of hybrid aortic arch and frozen elephant trunk reconstruction. Read More

    Reconstructive aortic valve surgery in the elderly: Techniques and outcomes.
    J Thorac Cardiovasc Surg 2017 Dec 19. Epub 2017 Dec 19.
    Cardiovascular Clinic Bad Neustadt, Bad Neustadt, Germany.
    Objectives: The aim of the study was to evaluate operative techniques and long-term results after aortic valve or root repair in patients aged 75 years or more.

    Methods: Between November 2002 and January 2016, a total of 815 patients underwent aortic valve or root repair. Among them were 100 patients aged 75 years or more (mean, 78 ± 3; range, 75-88 years), including 17 patients operated on an emergency basis because of acute aortic dissection. Read More

    Kinking of an open stent graft after total arch replacement with the frozen elephant technique for acute Type A aortic dissection.
    Interact Cardiovasc Thorac Surg 2018 Jan 10. Epub 2018 Jan 10.
    Department of Cardiovascular Surgery, Tokyo Heart Center, Tokyo, Japan.
    Recently, in Japan, the J Graft Open Stent Graft (JOSG) was commercialized for surgical repair of an aortic aneurysm and aortic dissection and the frozen elephant trunk technique was applied. Kinking of the JOSG is a rare adverse event that requires additional intervention. We experienced 2 patients who developed kinking of a JOSG after translocated total arch replacement with the frozen elephant trunk technique for acute Type A aortic dissection. Read More

    Aortic α-smooth muscle actin expressions in aortic disorders and coronary artery disease: An immunohistochemical study.
    Anatol J Cardiol 2018 Jan;19(1):11-16
    Department of Cardiothoracic Surgery, The First Hospital of Putian, Teaching Hospital, Fujian Medical University, Putian, Fujian Province-People's Republic of China.
    Objective: The is to report immunohistochemical observations of aortic α-smooth muscle actin (SMA) expressions in patients with aortic aneurysm, acute aortic dissection, and coronary artery disease and to discuss phenotypic switching of smooth muscle cells (SMCs) of these lesions.

    Methods: Forty-nine consecutive patients scheduled for surgical treatment for acute type A aortic dissection (20 patients), aortic aneurysm (9 patients), and coronary artery disease (20 patients) were included. Surgical specimens of the aorta were obtained and prepared for hematoxylin and eosin and immunohistochemical stainings. Read More

    Prevalence of Bovine Aortic Arch Variant in Patients with Aortic Dissection and its Implications in the Outcome of Patients with Acute Type B Aortic Dissection.
    Eur J Vasc Endovasc Surg 2018 Jan 12. Epub 2018 Jan 12.
    Department of Vascular and Endovascular Surgery, University of Cologne, Cologne, Germany.
    Objective/background: To investigate the prevalence of bovine arch (BA) among patients with type A and B aortic dissection, and to provide insight into the implication of this variation on the outcome of patients with acute or subacute type B aortic dissection (a/sTBAD).

    Methods: This retrospective cohort analysis includes patients with a/sTBAD admitted between January 2006 and December 2016. Computed tomographic angiograms (CTAs) of patients referred because of type A aortic dissection were also re-evaluated with regard to the presence of BA. Read More

    Variety is the spice of life: One-stage or two-stage repair of extensive chronic thoracic aortic dissection.
    J Thorac Cardiovasc Surg 2017 Dec 12. Epub 2017 Dec 12.
    Department of Cardiovascular Surgery, Texas Heart Institute, Houston, Tex; Department of Cardiovascular Surgery, CHI-Baylor St Luke's Medical Center, Houston, Tex; Division of Cardiothoracic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Tex.

    Transesophageal echocardiography evaluation of the aortic arch branches.
    Ann Card Anaesth 2018 Jan-Mar;21(1):53-56
    Department of Cardiac Anesthesiology, Fortis Hospitals, Bengaluru, Karnataka, India.
    Visualization of aortic arch branches by transesophageal echocardiography has been technically challenging. Visualizing these vessels helps in identifying the extent of dissection of the aorta, assessing the severity of carotid artery stenosis, presence of atheromatous plaques, patency of the left internal mammary artery graft, confirmation of subclavian artery cannulation, confirming holodiastolic flow reversal in the left subclavian artery by spectral Doppler imaging in case of severe aortic regurgitation, and confirming the optimal position of the intraaortic balloon perioperatively. The information obtained is helpful for diagnosis, monitoring, and decision-making during aortic surgery. Read More

    Reoperation for a giant arch anastomotic pseudoaneurysm eleven years after total arch replacement with island reconstruction.
    J Cardiothorac Surg 2018 Jan 15;13(1). Epub 2018 Jan 15.
    Department of Cardiovascular Surgery, Fukui Cardiovascular Center, 2-228 Shinbo, Fukui, 910-0833, Japan.
    Background: The long-term effects of some surgical treatment procedures of arch replacement for aortic dissection or aortic aneurysm are unknown.

    Case Presentation: The present study reports the case of a 68-year-old man admitted to our hospital for aortic arch anastomotic pseudoaneurysm with concomitant aortic root enlargement and coronary artery stenosis. Eleven years ago, at the age of 56 years, he underwent total arch replacement with island reconstruction for chronic aortic dissection. Read More

    Totally Percutaneous Fenestration via the "Cheese-Wire" Technique to Facilitate Endovascular Aneurysm Repair in Chronic Aortic Dissection.
    Vasc Endovascular Surg 2018 Jan 1:1538574417753006. Epub 2018 Jan 1.
    1 New York-Presbyterian Hospital, Weill Cornell Medicine, NY, USA.
    Here, we describe a totally percutaneous technique for longitudinal fenestration of a chronic dissection flap in the setting of endovascular aneurysm repair (EVAR), where the septum would otherwise preclude proper endograft sealing. This technique is demonstrated in a 65-year-old man with a history of open surgical repair of a Stanford type A aortic dissection, with a type B component that was managed nonoperatively. The patient developed aneurysmal degeneration of the infrarenal aorta during follow-up, and his anatomy was well suited for EVAR with the exception of a chronic dissection flap dividing the proximal seal zone. Read More

    Aorto-Cutaneous Fistula after Surgical Treatment of Stanford Type A Aortic Dissection.
    Int Heart J 2018 Jan 15. Epub 2018 Jan 15.
    Department of Cardiovascular Surgery, 2nd Hospital of Bethune, Jilin University, Changchun.
    An aorto-cutaneous fistula is a rare complication that occurs after aortic surgery. Due to its rarity, postoperative complications are not normally highlighted in most standard teaching. We report here a case of aorto-cutaneous fistula after surgical treatment of a Stanford type A aortic dissection (AD) in a 67-year-old Chinese male. Read More

    Flow pattern analysis in Type B aortic dissection patients after stent-grafting repair: Comparison between complete and incomplete false lumen thrombosis.
    Int J Numer Method Biomed Eng 2018 Jan 13. Epub 2018 Jan 13.
    Department of Biomedical Engineering, Faculty of Engineering, University of Malaya, 50603, Kuala Lumpur, Malaysia.
    Endovascular stent graft repair has become a common treatment for complicated Stanford Type B aortic dissection in order to restore true lumen flow and induce false lumen thrombosis. Using computational fluid dynamics, this study reports the differences in flow patterns and wall shear stress distribution in complicated Stanford Type B aortic dissection patients after endovascular stent graft repair. Five patients were included in this study: two having more than 80% false lumen thrombosis (Group 1), while three others had less than 80% false lumen thrombosis (Group 2) within one year following endovascular repair. Read More

    Case report: Iatrogenic brachial artery dissection with complete anterograde occlusion during elective arterial line placement.
    Int J Surg Case Rep 2017 Dec 27;42:269-273. Epub 2017 Dec 27.
    Department of Anaesthesia, Austin Hospital, Heidelberg, Victoria, 3084, Australia.
    Introduction: Brachial arterial catheters provide a more accurate reflection of central aortic arterial pressure compared to their radial counterparts. Although brachial arterial line complications are uncommon, we report a case of a rare iatrogenic brachial artery dissection with complete anterograde occlusion from elective arterial line placement.

    Presentation Of Case: A 41-year-old female presented for a right upper and middle lobe resection of a large neuroendocrine lung cancer. Read More

    [Correlation between of aortic dissection onset and climate change].
    Zhonghua Wai Ke Za Zhi 2018 Jan;56(1):74-77
    Department of Vascular Surgery, Fu Wai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing 100037, China.
    Objective: To explore the relationship between the incidence of aortic dissection and climate change. Methods: The characteristics of 345 acute aortic dissection patients came from Beijing in Department of Vascular Surgery, Fu Wai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences, Peking Union Medical College from January 2005 to December 2015 were analyzed, retrospectively. There were 266 male and 79 female patients with a mean age of (49±12) years. Read More

    Endovascular strategies for management of intradural vertebral artery dissecting aneurysms.
    Neurol India 2018 Jan-Feb;66(1):83-89
    Department of Radiology, Aster Medcity, Cochin, Kerala, India.
    Objective: Endovascular treatment of vertebral intradural dissecting aneurysms is complex and requires different strategies for each case. The current study aims to classify these aneurysms for an easy selection of optimal strategies for endovascular therapy.

    Materials And Methods: This study is a retrospective evaluation of 10 patients harbouring a vertebral intradural dissecting aneurysm (including 6 female and 4 male patients). Read More

    Case of laparoscopic right hemicolectomy for ascending colon cancer after aortic graft replacement and revascularization of the superior mesenteric artery.
    Asian J Endosc Surg 2018 Jan 11. Epub 2018 Jan 11.
    Department of Gastroenterological Surgery, Graduate School of Medicine, Osaka University, Osaka, Japan.
    A 67-year-old man who presented with a bloody stool was diagnosed with ascending colon cancer. He had previously experienced thoracic and abdominal aortic dissections, which were treated with thoracic and abdominal aortic grafts and superior mesenteric artery revascularization. We performed a laparoscopic right hemicolectomy with a D3 lymph node dissection. Read More

    A Clinicopathological Analysis of Six Autopsy Cases of Sudden Unexpected Death Due to Infectious Aortitis in Patients with Aortic Tears.
    Intern Med 2018 Jan 11. Epub 2018 Jan 11.
    Department of Cancer Pathology, Hokkaido University Graduate School of Medicine, Japan.
    Objectives Cardiovascular disease is a leading cause of sudden unexpected death even in hospitalized patients. Infectious aortitis is a rare disease that has the potential to cause aortic tears and hemorrhage followed by sudden death. The aim of this study was to reveal the clinicopathological features of infectious aortitis that are related to sudden unexpected death. Read More

    [The PRKAG2 cardiac syndrome with familial hypertrophic cardiomyopathy: an inherited burden. A case report. Review of the literature].
    Rev Med Brux 2017 ;38(6):506-510
    Service de Cardiologie, C.H.U. Ambroise Paré, Mons.
    We report the case of a young man without prior medical history who presented with a left ventricular heart failure because of a new onset atrial fibrillation. The evolution is characterized by a sinus rythm dysfunction, a complete atrioventricular block, a non-sustained ventricular tachycardia (which required a dual-chamber defibrillator implantation) and an ischemic testicular necrosis treated by orchidectomy. After ruling out differential diagnosis we evoked an hypertrophic cardiomyopathy. Read More

    Aortic Aneurysm as a Complication of Myeloperoxidase-antineutrophil Cytoplasmic Antibody-associated Vasculitis.
    Open Med (Wars) 2017 29;12:468-473. Epub 2017 Dec 29.
    Division of Laboratory Medicine, Department of Pathology and Microbiology, Nihon University School of Medicine, Itabashi, Tokyo, Japan.
    Myeloperoxidase-antineutrophil cytoplasmic antibody-associated vasculitis (MPO-AAV) does not usually involve large vessels, such as the aorta. However, we experienced three cases having an aortic aneurysm as a complication of MPO-AAV with renal insufficiency. In one patient it involved the onset of descending aortic dissection during treatment for MPO-AAV; another two patients had an abdominal aortic aneurysm at the time of our diagnosis of MPO-AAV. Read More

    Time-Resolved Three-Dimensional Contrast-Enhanced Magnetic Resonance Angiography in Patients with Chronic Expanding and Stable Aortic Dissections.
    Contrast Media Mol Imaging 2017 28;2017:5428914. Epub 2017 Nov 28.
    Department of Diagnostic and Interventional Radiology, University Hospital Heidelberg, Im Neuenheimer Feld 110, 69120 Heidelberg, Germany.
    Objective: To prospectively evaluate our hypothesis that three-dimensional time-resolved contrast-enhanced magnetic resonance angiography (TR-MRA) is able to detect hemodynamic alterations in patients with chronic expanding aortic dissection compared to stable aortic dissections.

    Materials And Methods: 20 patients with chronic or residual aortic dissection in the descending aorta and patent false lumen underwent TR-MRA of the aorta at 1.5 T and repeated follow-up imaging (mean follow-up 5. Read More

    Colonic ischemia developed after laparoscopic colectomy for rectosigmoid cancer with focal infrarenal aortic stenosis.
    Asian J Endosc Surg 2018 Jan 8. Epub 2018 Jan 8.
    Department of Gastroenterological Surgery, Graduate School of Medicine, Osaka University, Osaka, Japan.
    A 69-year-old woman with focal infrarenal aortic stenosis was diagnosed with rectosigmoid cancer. Because radical resection for colon cancer required dissection of vessels that supplied blood flow to the legs, revascularization by aortic stent placement was performed before the colectomy. We subsequently performed laparoscopic low anterior resection without any complications. Read More

    Contemporary management and outcomes of acute type A aortic dissection: An analysis of the STS adult cardiac surgery database.
    J Card Surg 2018 Jan 4. Epub 2018 Jan 4.
    Division of Cardiac Surgery, University of Maryland School of Medicine, Baltimore, Maryland.
    Purpose: Management of acute type A aortic dissection (AAAD) is challenging and operative strategies are varied. We used the STS Adult Cardiac Surgery Database (STS ACSD) to describe contemporary surgical strategies and outcomes for AAAD.

    Methods: Between July 2011 and September 2012, 2982 patients with AAAD underwent operations at 640 centers in North America. Read More

    Treatment of nonocclusive mesenteric ischemia with type B aortic dissection using intra-arterial catheterization after trauma surgery: case report.
    Surg Case Rep 2018 Jan 8;4(1). Epub 2018 Jan 8.
    Department of Surgery, Iwate Prefectural Chubu Hospital, Kitakami, Iwate, Japan.
    Background: Nonocclusive mesenteric ischemia (NOMI) is a mesenteric arterial spasm and intestinal ischemia. This disease is a highly lethal disease because diagnosis and decision of appropriate treatments are often difficult. Operations cannot resolve the spasms and may worsen the situation. Read More

    Retrospective review of the diagnosis and treatment of pulmonary sequestration in 28 patients: surgery or endovascular techniques?
    J Thorac Dis 2017 Dec;9(12):5153-5160
    Cardiothoracic Surgery Department, Southwest Hospital, Third Military Medical University, Chongqing 400038, China.
    Background: Pulmonary sequestration (PS) is a rare congenital pulmonary malformation. In this study, we aimed to retrospect and evaluate the diagnosis, treatment, and outcomes of PS in 28 patients at our institute.

    Methods: The files of 28 patients with PS who were treated with surgery (21 cases) or endovascular intervention (7 cases) between May 2005 and June 2016 from a single institute were retrospectively reviewed. Read More

    Risk factors of pre-operational aortic rupture in acute and subacute Stanford type A aortic dissection patients.
    J Thorac Dis 2017 Dec;9(12):4979-4987
    Department of Cardiothoracic Surgery, Changhai Hospital, Second Military Medical University, Shanghai 200433, China.
    Background: Aortic rupture is one of the main causes of early death in acute and subacute Stanford type A aortic dissection (ATAAD) patients. This study aimed to analyze potential risk factors for pre-operational aortic rupture in ATAAD patients.

    Methods: We retrospectively reviewed aortic dissection cases treated between May 2013 and May 2016 in Changhai Hospital, Shanghai. Read More

    Endovascular treatment of acute and chronic isolated abdominal aortic dissection.
    Vascular 2018 Jan 1:1708538117749406. Epub 2018 Jan 1.
    1 Department of Vascular Surgery, Zhongshan Hospital, Fudan University, Shanghai, China.
    Objective To discuss the strategies and clinical outcomes of endovascular aortic repair (EVAR) for acute and chronic isolated abdominal aortic dissection (IAAD). Methods From January 2012 to June 2017, 33 patients with IAAD were retrospectively reviewed. Patients were classified into acute and chronic groups based on the time to EVAR from IAAD onset (acute: ≤90 days; chronic: >90 days). Read More

    Aortic Root Dilation: Do Patients With Marfan Syndrome Fare Worse Than Those With Marfanoid Features?
    Mayo Clin Proc 2018 Jan 4. Epub 2018 Jan 4.
    Division of Cardiovascular Diseases, Mayo Clinic, Rochester, MN. Electronic address:
    Objective: To discover whether patients with aortic root dilation and leptosomic features but without a diagnosis of Marfan syndrome (MFS) fare similarly to patients with MFS.

    Methods: Of 124 patients with aortic root dilation identified from August 1, 1994, through October 31, 2012, 66 had MFS and 58 had leptosomic features but did not meet the Ghent criteria. Genetic testing was performed in 35% of patients (n=43). Read More

    [Thoracic aortic stentgraft implantations in Hungary from 2012 to 2016].
    Orv Hetil 2018 Jan;159(2):53-57
    Városmajori Szív- és Érgyógyászati Klinika, Érsebészeti Tanszék, Semmelweis Egyetem, Általános Orvostudományi Kar Budapest.
    Thoracic aortic endograft implantation has become a widespread procedure in recent years, yet no report is available about Hungarian outcomes. Examination of our results is crucial to define further treatment strategies. Analysis of perioperative data from Hungarian thoracic endograft implantations based on the experience of 5 years is presented. Read More

    Mid-term Outcomes of Endovascular Repair of Ruptured Thoraco-abdominal Aortic Aneurysms with Off the Shelf Branched Stent Grafts.
    Eur J Vasc Endovasc Surg 2018 Jan 3. Epub 2018 Jan 3.
    Department of Thoracic Surgery and Vascular Diseases, Vascular Centre, Skåne University Hospital, Malmö, Sweden.
    Objective: To assess the mid-term outcomes and feasibility of branched endovascular repair (b-EVAR) of ruptured thoracoabdominal aortic aneurysms (rTAAAs).

    Methods: All patients undergoing b-EVAR of rTAAAs between 2011 and 2016 were included. Pre-, intra and postoperative imaging was reviewed to assess technical success, outcomes, and feasibility of b-EVAR in the emergent setting. Read More

    Slender transradial iliac artery stenting using a 4.5 French guiding sheath.
    Cardiovasc Interv Ther 2018 Jan 5. Epub 2018 Jan 5.
    Department of Cardiology, Tokai University School of Medicine, 143 Shimokasuya, Isehara, Kanagawa, Japan.
    We previously reported safety and usefulness of transradial iliac artery stenting using 6 Fr guiding sheath. However, radial artery occlusion was a major limitation of this procedure. We analyzed the safety and utility of slender transradial iliac artery stenting using a 4. Read More

    Type A intramural hematoma in a patient with acute coronary syndrome mimicking acute Type A aortic dissection.
    Niger J Clin Pract 2017 Nov;20(11):1513-1515
    Department of Radiology, Baskent University Istanbul Medical and Research Center, Istanbul, Turkey.
    Intramural hematoma (IMH) of ascending aorta is a rare but potentially lethal form of acute aortic syndrome (AAS). It is characterized by a hematoma within the media layer of the aorta secondary to rupture of the vasa vasorum in the absence of an intimal tear. However, the theory of "micro-tear" which cannot be easily detected has been raised. Read More

    Warfarin anticoagulation in acute type A aortic dissection survivors (WATAS).
    Cardiovasc Diagn Ther 2017 Dec;7(6):559-571
    University Center for Vascular Medicine and Division of Angiology, Department of Internal Medicine III, University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany.
    Background: Early survivors of acute type A aortic dissection (AAAD) remain at risk for late death and late aortic events. However, the frequency and long-term effects of warfarin anticoagulation on long-term outcome in post-surgical AAAD survivors have not been elucidated.

    Methods: Two tertiary care centers performed a retrospective observational cohort study of warfarin anticoagulation in AAAD in 243 persons with early survival of surgical repair (WATAS). Read More

    Importance of accurately locating the entry site for endovascular treatment of retrograde Type A acute aortic dissection.
    Interact Cardiovasc Thorac Surg 2018 Jan 2. Epub 2018 Jan 2.
    Department of Radiology, Cardiovascular Center Bad Neustadt, Bad Neustadt, Germany.
    Objectives: The aim of this study was to evaluate the diagnostic possibilities of accurately locating the entry site in acute retrograde Type A aortic dissection and the results of the corresponding endovascular treatments.

    Methods: Among 100 patients who underwent surgery for the treatment of spontaneous acute Type A aortic dissection between 2012 and June 2017, all but 1 patient had preoperative computed tomographic angiography. A total of 8 retrograde extensions originated from the descending aorta, in which 6 of them were diagnosed correctly using radiological imaging. Read More

    Clinical history and management recommendations of the smooth muscle dysfunction syndrome due to ACTA2 arginine 179 alterations.
    Genet Med 2018 Jan 4. Epub 2018 Jan 4.
    Department of Internal Medicine, University of Texas Health Science Center at Houston McGovern Medical School, Houston, Texas, USA.
    PurposeSmooth muscle dysfunction syndrome (SMDS) due to heterozygous ACTA2 arginine 179 alterations is characterized by patent ductus arteriosus, vasculopathy (aneurysm and occlusive lesions), pulmonary arterial hypertension, and other complications in smooth muscle-dependent organs. We sought to define the clinical history of SMDS to develop recommendations for evaluation and management.MethodsMedical records of 33 patients with SMDS (median age 12 years) were abstracted and analyzed. Read More

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