27,857 results match your criteria Dissection Aortic


[Surgical Repair of Stanford Type A Acute Aortic Dissection Associated with Anomalous Retroaortic Left Brachiocephalic Vein;Report of a Case].

Kyobu Geka 2019 Feb;72(2):153-155

Department of Cardiovascular Surgery, Yokohama Medical Center, Yokohama, Japan.

Anomalous retroaortic left brachiocephalic vein( ARLBV) is a rare vascular abnormaly, usually asossiated with congenital heart diseases. We present a very rare case of Stanford type A acute aortic dissection associated with ARLBV. A 70-year-old man was referred to our hospital complaining of worsening back pain and chest pain. Read More

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February 2019

[Thoracic Endovascular Aortic Repair for Traumatic Aortic Injury with Internal Iliac Approach;Report of a Case].

Kyobu Geka 2019 Feb;72(2):124-127

Department of Cardiothoracic Surgery, Takaoka Hospital, Takaoka, Japan.

A 40-year-old female was injured in a car accident while driving. Computed tomography confirmed a dissection localized to the distal aortic arch and hematoma around the area. Severe liver damage with surrounding extravasation was also confirmed. Read More

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February 2019

Cannulation strategies in acute type A dissection repair: A systematic axillary artery approach.

J Thorac Cardiovasc Surg 2018 Dec 19. Epub 2018 Dec 19.

Department of Thoracic and Cardiovascular Surgery, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio; Aorta Center, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio. Electronic address:

Objectives: Consensus regarding initial cannulation site for acute type A dissection repair is lacking. Objectives were to review our experience with systematic initial axillary artery cannulation, characterize patients on the basis of cannulation site, and assess outcomes.

Methods: From January 2000 to January 2017, 775 patients underwent emergency acute type A dissection repair. Read More

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http://dx.doi.org/10.1016/j.jtcvs.2018.11.137DOI Listing
December 2018

Predictability of acute aortic dissection. A dream come true?

J Thorac Cardiovasc Surg 2019 Feb 12. Epub 2019 Feb 12.

Cardiocentro Ticino, University of Bern, University of Svizzera Italiana, Lugano, Switzerland.

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

Retrograde Type A Dissection After Ascending Aorta Involved Endovascular Repair and Its Surgical Repair with Stented Elephant Trunk.

Ann Vasc Surg 2019 Feb 12. Epub 2019 Feb 12.

Background: Retrograde type A dissection (RTAD) is a serious complication after ascending aorta involved endovascular repair (AAIER). We here report our surgical approach to this serious complication.

Methods: From July 2011 to July 2014, 8 RTAD after AAIER patients received surgical repair in our institution. Read More

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http://dx.doi.org/10.1016/j.avsg.2018.11.024DOI Listing
February 2019

Late onset paraplegia after endovascular repair of type B aortic dissection managed by urgent left subclavian artery revascularization: case report.

Ann Vasc Surg 2019 Feb 12. Epub 2019 Feb 12.

Department of Vascular and Endovascular Surgery, "San Giovanni-Addolorata Hospital", Via dell'Amba Aradam 9, 00184 Rome (RM), Italy.

Spinal cord ischemia is one of the most unpredictable and feared complication following open surgical or endovascular thoracic aortic repair. Protection of collateral network branches that contribute blood supply to spinal cord is fundamental in the prevention of this catastrophic condition. We report the case of a patient who underwent emergent endovascular treatment for a type B aortic dissection complicated by rupture of the false lumen, with intentional coverage of the left subclavian artery without revascularization. Read More

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http://dx.doi.org/10.1016/j.avsg.2018.11.032DOI Listing
February 2019

Gore Tag Thoracic Endograft With Active Control System: Landing Accuracy And Wall Apposition In An Initial Clinical Experience.

Ann Vasc Surg 2019 Feb 12. Epub 2019 Feb 12.

Vascular and Endovascular Surgery Division, Padua University - School of Medicine. Electronic address:

Purpose: To describe a single-center experience with the Conformable GORE Thoracic Endoprosthesis (C-TAG) with Active Control System, specifically designed to evaluate the accuracy of proximal and distal deployment and its capability to adapt to the aortic wall.

Methods: This is a single-center prospective study including all patients treated with the C-TAG with Active Control System for thoracic aorta pathologies from September 2017 to May 2018. Proximal and distal accuracy of deployment was measured as the distance between "intended" and "actual landing" zone measured on the DSA images. Read More

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http://dx.doi.org/10.1016/j.avsg.2018.11.020DOI Listing
February 2019

Consistency of Proximal-to-Distal Tapering of Descending Thoracic Aortic Diameter: Quantification Using a Novel Computer Tomography Based Assessment.

Ann Vasc Surg 2019 Feb 12. Epub 2019 Feb 12.

Department of Vascular and Endovascular Surgery, Chinese PLA General Hospital, Beijing, China. Electronic address:

Objective: Successful endovascular repair of thoracic aorta for type B aortic dissection requires correct stent-graft sizing, particularly of distal landing zone which is mainly based on operator experience. The present study aimed to quantitatively define proximal-to-distal tapering of descending thoracic aortic diameter and its consistency.

Methods: The novel parameter HDP (Hundred times Distance accounts for Percentage: distance [from distal end of left subclavian artery to each level along aortic central line] / length [from distal end of left subclavian artery to proximal end of celiac artery along aortic central line] *100) was calculated per 1% unit of descending thoracic aorta based on 3mensio software-derived measurements from 281 consecutive individuals who had undergone enhanced chest computer tomography scanning. Read More

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http://dx.doi.org/10.1016/j.avsg.2018.12.072DOI Listing
February 2019

The role of thoracic endovascular repair in elective, symptomatic and ruptured thoracic aortic diseases.

Eur J Cardiothorac Surg 2019 Feb 14. Epub 2019 Feb 14.

Department of Vascular Surgery, University Aortic Center of the Ludwig-Maximilian University Munich, Munich, Germany.

Objectives: Thoracic endovascular aortic repair (TEVAR) has emerged as a safe procedure in the treatment of a wide spectrum of descending thoracic aortic pathologies, with satisfactory results both in elective and urgent settings. We investigated the results of our elective, urgent and emergency TEVAR interventions.

Methods: A single-centre retrospective analysis of all consecutive patients undergoing TEVAR from 2010 to 2016 was performed. Read More

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http://dx.doi.org/10.1093/ejcts/ezy482DOI Listing
February 2019

How can we make pregnancy safe for women with Turner syndrome?

Am J Med Genet C Semin Med Genet 2019 Feb 15. Epub 2019 Feb 15.

Endocrinology Department, Saint Antoine Hospital, Centre de Référence des Maladies Endocrines Rares de la Croissance, Filière FIRENDO, ENDO-ERN, Paris, France.

Pregnancy is a crucial issue in patients with Turner syndrome (TS). Although natural pregnancies have been reported in 4-7% of TS patients, most women will need assisted reproductive technologies (ART) with oocyte donation. The main issue is the maternal mortality rate that is higher than in the general population. Read More

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http://dx.doi.org/10.1002/ajmg.c.31682DOI Listing
February 2019

Two Wire System and Modified Olive Tip to Facilitate Implantation of Fenestrated TEVAR in Patient with Proximal Descending Aortic Pathology: First Two Cases.

Cardiovasc Intervent Radiol 2019 Feb 14. Epub 2019 Feb 14.

Department of Radiology, John Redcliffe Hospital, Oxford, OX3 9DU, UK.

Introduction: Although Fenestrated TEVAR (F-TEVAR) has been considered to be a more physiologic approach to treat proximal descending aortic pathology, its application is still limited due to availability, cost and technical difficulties. We introduce a new design of fenestrated stent graft with a new delivery system and successfully performed first in human implantation in two patients, one with an aortic aneurysm and one with an acute aortic dissection.

Materials And Methods: The design of these two wires fenestrated stent graft include creation of an additional lumen at the side of the olive tip during manufacture, from which an additional wire can be introduced for a side branch passing into the fenestration, running inside the stent graft and exit the delivery sheath through additional hub. Read More

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http://link.springer.com/10.1007/s00270-019-02183-z
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http://dx.doi.org/10.1007/s00270-019-02183-zDOI Listing
February 2019
1 Read

Type B Aortic Dissection post NELLIX endovascular aneurysm sealing (EVAS).

Ann Vasc Surg 2019 Feb 11. Epub 2019 Feb 11.

Department of Vascular Surgery, Singapore General Hospital; Vascular Service, Sengkang General Hospital.

Objectives: Endovascular aneurysm sealing (EVAS) was developed with the intention of expanding the anatomical limitations of conventional endovascular repair (EVAR) devices, as well as decrease rates of re-intervention secondary to migration and type II endoleaks in treatment of abdominal aortic aneurysms (AAA). Since its inception, EVAS has gained much popularity especially for patients with concomitant common iliac aneurysms, with good long term durability suggested by several studies. Currently, the known complications of EVAS, whilst considered uncommon, include endoleaks, renal artery and limb thrombosis. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S08905096193011
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http://dx.doi.org/10.1016/j.avsg.2018.11.014DOI Listing
February 2019
4 Reads

Spontaneous Aortoesophageal Fistula in an Acute Type B Aortic Dissection and a Right Sided Arch.

Ann Vasc Surg 2019 Feb 11. Epub 2019 Feb 11.

Division of Cardiac Surgery, Johns Hopkins University School of Medicine, Baltimore, MD.

Primary aortoesophageal fistula in the absence of prosthetic graft replacement or aortic endovascular therapy can develop as a rare but life threatening complication of acute aortic dissection. This case demonstrates that primary AEF should be maintained on the clinical differential of a patient presenting with massive GI bleed in the context of an aortic dissection. Read More

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http://dx.doi.org/10.1016/j.avsg.2018.11.015DOI Listing
February 2019

Kidney Preservation Using Renal Heterotopic Autotransplantation During F-Evar For Complex Residual Type-A Aortic Dissection.

Ann Vasc Surg 2019 Feb 11. Epub 2019 Feb 11.

Vascular and Endovascular Surgery Unit, Ospedale Policlinico San Martino, University of Genoa, Genoa, Italy.

The treatment of type A acute aortic dissection is a challenge for the surgeon, and serious late-complications may occur even after surgical repair. We report treatment following a type A post-dissection thoraco-abdominal aneurysm in a patient who previously underwent ascending aortic reconstruction using a biological aortic valve and Dacron prosthetic graft implantation in emergency conditions. The multi-staged approach consisted in removing the right kidney and performing a heterotopic autotransplantation in the left iliac fossa before positioning a fenestrated endograft (celiac trunk, superior mesenteric artery and left renal artery). Read More

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http://dx.doi.org/10.1016/j.avsg.2018.11.008DOI Listing
February 2019
1 Read

An isolated aneurysm of the abdominal aorta in a patient with Marfan's syndrome - a case report.

Ann Vasc Surg 2019 Feb 11. Epub 2019 Feb 11.

Clinic for Vascular and Endovascular Surgery, Clinical Center of Serbia, Belgrade; School of Medicine, University of Belgrade, Serbia.

We present a case of successfully treated abdominal aortic aneurysm in a 24-year old patient with Marfan's syndrome. Following initial physical and ultrasound examination, the multislice computed tomography scan revealed infrarenal aortic aneurysm of 6 cm in diameter, 10 cm long, along with slightly dilated iliac arteries. However, dimensions of aortic root, aortic arch and descending suprarenal aorta were within normal limits. Read More

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http://dx.doi.org/10.1016/j.avsg.2018.11.019DOI Listing
February 2019

Role of Noncoding RNAs in the Pathogenesis of Abdominal Aortic Aneurysm.

Circ Res 2019 Feb;124(4):619-630

From the Wallace H. Coulter Department of Biomedical Engineering, Emory University, Georgia Institute of Technology, Atlanta (S.K., H.J.).

Abdominal aortic aneurysm (AAA) is a local dilatation of the abdominal aortic vessel wall and is among the most challenging cardiovascular diseases as without urgent surgical intervention, ruptured AAA has a mortality rate of >80%. Most patients present acutely after aneurysm rupture or dissection from a previously asymptomatic condition and are managed by either surgery or endovascular repair. Patients usually are old and have other concurrent diseases and conditions, such as diabetes mellitus, obesity, and hypercholesterolemia making surgical intervention more difficult. Read More

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https://www.ahajournals.org/doi/10.1161/CIRCRESAHA.118.31243
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http://dx.doi.org/10.1161/CIRCRESAHA.118.312438DOI Listing
February 2019
1 Read
11.019 Impact Factor

Constipation-induced pressor effects as triggers for cardiovascular events.

J Clin Hypertens (Greenwich) 2019 Feb 13. Epub 2019 Feb 13.

Division of Cardiovascular Medicine, Department of Medicine, Jichi Medical University, Tochigi, Japan.

Constipation is associated with cardiovascular events. Changes to the intestinal microbiota by constipation can induce atherosclerosis, blood pressure rise, and cardiovascular events. Constipation increases with age and often coexists with cardiovascular risk factors. Read More

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http://dx.doi.org/10.1111/jch.13489DOI Listing
February 2019

Spinal cord tissue affects sprouting from aortic fragments in ex vivo co-culture.

Cell Biol Int 2019 Feb 13. Epub 2019 Feb 13.

National Research Center Kurchatov Institute, Moscow, Russian Federation.

It is a well-known fact, that there is a close interconnection between vascular and neural structures in both embryonic development and postnatal life. Different models have been employed to dissect the mechanisms of these interactions, ranging from in vitro systems (e.g. Read More

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http://dx.doi.org/10.1002/cbin.11112DOI Listing
February 2019

Coronary artery dissection following aortic valve replacement. How can one deal with this rare yet life-threatening complication?

J Card Surg 2019 Feb 14. Epub 2019 Feb 14.

Department of Coronary Artery Disease and Heart Failure, Jagiellonian University Medical College, Krakow, Poland.

Coronary artery dissection following its cannulation for cardioplegia administration as a result of aortic valve replacement (AVR) is a rare but nevertheless life-threatening complication. The three cases of a patient suffering from aortic stenosis illustrated below focus on the issue of how to identify and treat the dissected artery. In all of the patients who had undergone AVR diagnosed was a periprocedural myocardial infarction. Read More

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http://dx.doi.org/10.1111/jocs.13995DOI Listing
February 2019

Endovascular scissoring in the management of complicated acute aortic dissection involving the infradiaphragmatic aorta.

J Vasc Surg Cases Innov Tech 2018 Dec 10;4(4):320-323. Epub 2018 Dec 10.

Department of Vascular and Endovascular Surgery, Galway Clinic Affiliated Hospital, Royal College of Surgeons in Ireland, Galway, Ireland.

Complicated infrarenal aortic dissection conveys higher morbidity and mortality than proximal dissection. Septum maturation has a significant impact on false lumen modulation. We present two cases of infrarenal aortic aneurysm occurrence after acute dissection. Read More

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http://dx.doi.org/10.1016/j.jvscit.2018.07.007DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6298936PMC
December 2018

Acute type B dissection in a patient with anomalous aortic arch anatomy.

J Vasc Surg Cases Innov Tech 2018 Dec 10;4(4):319. Epub 2018 Dec 10.

Division of Vascular Surgery, University of Massachusetts Medical School, Worcester, Mass.

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http://dx.doi.org/10.1016/j.jvscit.2018.06.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6298991PMC
December 2018

Bicuspid Aortic Valve: An Update in Morphology, Genetics, Biomarker, Complications, Imaging Diagnosis and Treatment.

Front Physiol 2018 30;9:1921. Epub 2019 Jan 30.

Department of Ultrasound, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

The bicuspid aortic valve, a kind of heart disease that comes from parents, has been paid attention around the world. Although most bicuspid aortic valve (BAV) patients will suffer from some complications including aortic stenosis, aortic regurgitation, endocarditis, and heart dysfunction in the late stage of the disease, there is none symptom in the childhood, which restrains us to diagnose and treatment in the onset phase of BAV. Hemodynamic abnormalities induced by the malformations of the valves in BAV patients for a long time will cause BAV-associated aortopathy: including progress aortic dilation, aneurysm, dissection and rupture, cardiac cyst and even sudden death. Read More

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https://www.frontiersin.org/article/10.3389/fphys.2018.01921
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http://dx.doi.org/10.3389/fphys.2018.01921DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6363677PMC
January 2019
7 Reads

Retraction.

Authors:

J Ultrasound Med 2019 Mar 23;38(3):823. Epub 2019 Jan 23.

Qin, H., Wu, H., Chen, Y. Read More

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http://dx.doi.org/10.1002/jum.14946DOI Listing

The role of transcatheter aortic valve replacement in the patients with severe aortic stenosis requiring major non-cardiac surgery.

Cardiovasc Interv Ther 2019 Feb 13. Epub 2019 Feb 13.

Division of Cardiology, Mitsui Memorial Hospital, Tokyo, Japan.

Severe aortic stenosis (AS) is considered as an independent risk factor for perioperative cardiac complications of non-cardiac surgery. Surgical aortic valve replacement should be considered before non-cardiac surgery in patients with symptomatic severe AS. However, recently, transcatheter aortic valve replacement (TAVR) has emerged as an alternative approach for selected AS patients. Read More

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http://dx.doi.org/10.1007/s12928-019-00575-zDOI Listing
February 2019

Low Back Pain: A Pain That May Not Be Harmless.

Eur J Case Rep Intern Med 2018 21;5(3):000834. Epub 2018 Mar 21.

Serviço de Medicina Interna B, Hospital Geral, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal.

Abdominal aortic aneurysms are defined as vascular dilatations greater than 50% of the normal proximal segment or those that have a maximum diameter above 3 cm. Risk factors include male gender, age over 75 years, history of vascular pathology, hypertension and arteriosclerosis. The Authors describe a case of a 74-year-old man, evaluated in an emergency setting for right lumbar pain lasting 4 days. Read More

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http://dx.doi.org/10.12890/2018_000834DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6346959PMC

Pulmonary nodules in a patient with Giant Cell Arteritis.

Pulmonology 2019 Feb 9. Epub 2019 Feb 9.

Internal Medicine Service, Centro Hospitalar Tondela-Viseu, E.P.E., Portugal. Electronic address:

Giant Cell Arteritis (GCA) is a common systemic vasculitis that involves medium and large arteries, most frequently extracranial branches of the carotid artery. Prompt diagnosis and treatment is essential to prevent devastating complications, such as blindness, stroke and aortic aneurysm or dissection. Typical symptoms include headache, temporal artery tenderness and jaw claudication. Read More

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http://dx.doi.org/10.1016/j.pulmoe.2018.12.005DOI Listing
February 2019

Left ventricular geometric patterns in patients with type A aortic dissection.

Cardiovasc Ultrasound 2019 Feb 12;17(1). Epub 2019 Feb 12.

Department of Cardiology, Dong-A University Hospital, Daeshingongwon-Ro 26, Seo-gu, Busan, 49201, Republic of Korea.

Background: Aortic dilatation is a major risk factor for aortic dissection. The aim of the present study was to assess the relationship between left ventricular (LV) geometry and maximal ascending aorta (MAA).

Methods: We reviewed data from patients who were diagnosed with acute type A aortic dissection and who underwent surgical management from December 2002 to March 2016 at Dong-A University Hospital. Read More

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http://dx.doi.org/10.1186/s12947-019-0152-4DOI Listing
February 2019

Effects of in situ fenestration stent-graft of left subclavian artery on the hemodynamics after thoracic endovascular aortic repair.

Vascular 2019 Feb 12:1708538119830291. Epub 2019 Feb 12.

2 Department of Vascular Surgery, Zhongshan Hospital, Fudan University, Shanghai, China.

Objectives: The left subclavian artery during thoracic endovascular aortic repair could be reconstructed by in situ fenestration. This study aims to evaluate the effects of thoracic endovascular aortic repair with in situ fenestration thoracic endovascular aortic repair on the hemodynamics.

Methods: A male patient suffering from aortic dissection is treated by in situ fenestration thoracic endovascular aortic repair and the fenestration stent implanted in the left subclavian artery is partially protruding in the aortic arch for the stability. Read More

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http://dx.doi.org/10.1177/1708538119830291DOI Listing
February 2019

Sex-Related Differences in Patients Undergoing Thoracic Aortic Surgery: Evidence from the Canadian Thoracic Aortic Collaborative.

Circulation 2019 Feb 13. Epub 2019 Feb 13.

Surgery, London Health Sciences Center, Canada.

Background: Contemporary outcomes following surgical management of thoracic aortic disease have improved; however, the impact of sex-related differences is poorly understood.

Methods: A total of 1653 patients (498 (30.1%) female) underwent thoracic aortic surgery with hypothermic circulatory arrest between 2002 and 2017 in ten institutions of the Canadian Thoracic Aortic Collaborative. Read More

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http://dx.doi.org/10.1161/CIRCULATIONAHA.118.035805DOI Listing
February 2019
1 Read

Operative strokes after repair of acute type a dissections: predisposing factors and implications.

J Cardiovasc Surg (Torino) 2019 Feb 11. Epub 2019 Feb 11.

Department of Cardiac Surgery, Henry Ford Hospital, Detroit, MI, USA.

Background: Type A aortic dissection is a surgical emergency with a high morbidity and mortality. Strokes occur in up to 25% and are among the most feared complications. This study aims to evaluate factors linked to stroke development and the implications of strokes on outcomes. Read More

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http://dx.doi.org/10.23736/S0021-9509.19.10710-0DOI Listing
February 2019
1 Read

Elevated D-dimer increases the risk of dialysis after surgery in patients with Stanford A aortic dissection through the impact of the coagulation system.

J Thorac Dis 2018 Dec;10(12):6783-6793

Department of Cardiac Surgery, Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China.

Background: To investigate whether Elevated D-dimer increases the risk of dialysis after surgery in patients with Stanford A aortic dissection.

Methods: A total of 120 patients with type A aortic dissection who underwent surgery at our institution from August 2014 to December 2015 were enrolled in the study. Acute type A aortic dissection was treated with Sun's operation. Read More

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http://jtd.amegroups.com/article/view/25902/19462
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http://dx.doi.org/10.21037/jtd.2018.11.138DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6344706PMC
December 2018
3 Reads

Antegrade thoracic endovascular aneurysm repair via the ascending aorta.

Asian Cardiovasc Thorac Ann 2019 Feb 11:218492319825971. Epub 2019 Feb 11.

Department of Cardiovascular Surgery, Faculty of Medicine, Kindai University, Osaka, Japan.

Purpose: We performed antegrade thoracic endovascular aneurysm repair via the ascending aorta in selected high-risk patients scheduled for open surgery, in whom an iliofemoral or abdominal aortic approach was not feasible. We present our initial experience with this approach.

Methods: Of 16 consecutive patients who underwent antegrade endovascular aneurysm repair via the ascending aorta at our institution, 3 had an emergency intervention for rupture and 3 had an urgent intervention for impending rupture or complicated aortic dissection. Read More

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http://dx.doi.org/10.1177/0218492319825971DOI Listing
February 2019
1 Read

How to prevent inadvertent emergency anticoagulation in acute type A aortic dissection: when in doubt, don't.

Cardiovasc Diagn Ther 2018 Dec;8(6):805-810

Institute for Anesthesiology, Deutsches Herzzentrum Berlin, Berlin, Germany.

Inadvertent emergency anticoagulation in patients with acute type A aortic dissection (ATAAD) has been sparsely reported. There are case reports bringing this potential critical incident to attention, however, little is known about the number of undetected and unreported cases. We approach this issue based on a case report of inadvertent emergency anticoagulation in ATAAD and attempt to shed light on aspects that may have contributed to the critical incident: The challenge of distinguishing an ATAAD from an acute coronary syndrome (ACS) and the potential underestimation of incidents of ATAAD. Read More

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http://dx.doi.org/10.21037/cdt.2018.10.13DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6331368PMC
December 2018
2 Reads

Aortic dilatation in complex congenital heart disease.

Authors:
Koichiro Niwa

Cardiovasc Diagn Ther 2018 Dec;8(6):725-738

Department of Cardiology, Cardiovascular Center, St Luke's International Hospital, Tokyo, Japan.

A bicuspid aortic valve and/or coarctation of the aorta (COA) are often associated with dilatation of the ascending aorta and para-coarctation. Congenital heart diseases (CHD), such as truncus arteriosus, transposition of the great arteries (TGA), tetralogy of Fallot (TOF), hypoplastic left heart syndrome (HLHS), single ventricle with pulmonary stenosis/atresia and the Fontan procedure, are also associated with aortic root dilatation, aneurysm and rarely, dissection, which can be fatal and require aortic valve and root surgery. A significant subset of adults with complex CHD exhibit progressive dilatation of the aortic root even after repair due to aortic medial degeneration. Read More

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http://cdt.amegroups.com/article/view/23120/22178
Publisher Site
http://dx.doi.org/10.21037/cdt.2018.12.05DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6331370PMC
December 2018
3 Reads

Anterior mediastinal mass 4 years after type A aortic dissection.

J Surg Case Rep 2019 Jan 31;2019(1):rjz010. Epub 2019 Jan 31.

Division of Cardiac Surgery, Department of Surgery, St. Michael's Hospital, University of Toronto, Toronto, Ontario, Canada.

A 47-year-old male who previously underwent emergency surgery for type A aortic dissection presented to the emergency department 4 years later with acute chest pain radiating to his back and a significant drop in hemoglobin. Clinical presentation was concerning for aortic graft failure, but imaging revealed a large (6.0 × 3. Read More

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http://dx.doi.org/10.1093/jscr/rjz010DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6354677PMC
January 2019
1 Read

Genetic diversity and pathogenic variants as possible predictors of severity in a French sample of nonsyndromic heritable thoracic aortic aneurysms and dissections (nshTAAD).

Genet Med 2019 Feb 11. Epub 2019 Feb 11.

Hôpital Bichat, Département de Génétique, Assistance Publique-Hôpitaux de Paris, Paris, France.

Purpose: Heritable thoracic aortic aneurysms and dissections (hTAAD) are life-threatening complications of well-known syndromic diseases or underdiagnosed nonsyndromic heritable forms (nshTAAD). Both have an autosomal dominant transmission and are genetically heterogeneous. Our objective was to describe the relevance of molecular diagnosis in these patients and the contribution of each gene in nshTAAD. Read More

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http://dx.doi.org/10.1038/s41436-019-0444-yDOI Listing
February 2019
1 Read
7.329 Impact Factor

Is it justified to apply a modified Cabrol fistula in surgical repair of acute type A aortic dissection?

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

Department of Cardiac Surgery, Union Hospital, Fujian Medical University, Fuzhou, Fujian, China. Electronic address:

Objective: Open repair of acute type A aortic dissection frequently results in oozing from the suture lines. A modified fistula technique was developed to rapidly control oozing and allow closing the chest immediately and safely. The efficiency of this modified fistula technique in surgical repair of acute type A aortic dissection was evaluated. Read More

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http://dx.doi.org/10.1016/j.jtcvs.2018.12.082DOI Listing
January 2019

Short- and long-term outcomes of aortic root repair and replacement in patients undergoing acute type A aortic dissection repair: Twenty-year experience.

J Thorac Cardiovasc Surg 2018 Dec 21. Epub 2018 Dec 21.

Department of Cardiac Surgery, Michigan Medicine, Ann Arbor, Mich.

Objective: The study objective was to evaluate the perioperative and long-term outcomes of aortic root repair and aortic root replacement and provide evidence for root management in acute type A aortic dissection.

Methods: From 1996 to 2017, 491 patients underwent aortic root repair (n = 307) or aortic root replacement (n = 184) (62% bioprosthesis) for acute type A aortic dissection. Indications for aortic root replacement were intimal tear at the aortic root, root measuring 4. Read More

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http://dx.doi.org/10.1016/j.jtcvs.2018.09.129DOI Listing
December 2018
2 Reads

Durability of open surgical repair of type I-III thoracoabdominal aortic aneurysm.

J Vasc Surg 2019 Feb 5. Epub 2019 Feb 5.

Division of Vascular and Endovascular Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Mass. Electronic address:

Objective: Early outcomes and late mortality after open repair of extent I to III thoracoabdominal aortic aneurysms (TAAAs) are described, but late graft and aortic events are seldom detailed. This study investigated long-term aortic and graft outcomes as these data are increasingly important as endovascular repair matures.

Methods: During 28 years, 516 patients underwent repair (type I, n = 177 [34%]; type II, n = 100 [20%]; type III, n = 239 [46%]). Read More

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http://dx.doi.org/10.1016/j.jvs.2018.10.110DOI Listing
February 2019
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Prognostic value of serum albumin for patients with acute aortic dissection: A retrospective cohort study.

Medicine (Baltimore) 2019 Feb;98(6):e14486

Department of Ophthalmology, West China Hospital, Sichuan University, Chengdu, China.

Serum albumin (SA) is associated with inflammation and thrombosis, which are involved in acute aortic dissection (AAD). Our aim was to investigate the effect of SA level on survival in patients with AAD.We analyzed 777 patients with AAD. Read More

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http://dx.doi.org/10.1097/MD.0000000000014486DOI Listing
February 2019
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Advances in Treatment and Long-Term Survival in Patients with Descending Thoracic Aortic Aneurysms Treated at a Single Tertiary Center from 1984 to 2014.

Ann Vasc Surg 2019 Feb 4. Epub 2019 Feb 4.

Department of Anesthesiology, University of Wisconsin School of Medicine and Public Health, B6/387 CSC 600 Highland Avenue, Madison, WI 53792.

Introduction: We report long-term survival in open surgical and endovascular patients treated for descending thoracic aortic aneurysms at a single tertiary center from 1984 - 2014 to study the impact of transition to TEVAR for thoracic aortic aneurysm repair.

Methods: Using a prospectively maintained registry, all patients (N=202) having open or endovascular repair (TEVAR) of descending thoracic aortic aneurysms (TAA) were studied. Date of last contact or death was obtained on all patients from hospital records, Social Security Death Database, and verified online records. Read More

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http://dx.doi.org/10.1016/j.avsg.2018.10.043DOI Listing
February 2019
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Outcomes of the chimney technique for endovascular repair of aortic dissection involving the arch branches.

Ann Vasc Surg 2019 Feb 4. Epub 2019 Feb 4.

Department of Vascular Surgery, Changhai Hospital, Second Military Medical University, Shanghai, China. Electronic address:

Objective: The results of different chimney techniques in different zones of aortic arch were analyzed, so as to provide clues to decrease the complications of chimney thoracic endovascular repair (cTEVAR).

Methods: Between April 2012 and April 2017, 234 patients with aortic dissection (AD) involving arch branches received cTEVAR. Among the patients, 156(66. Read More

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http://dx.doi.org/10.1016/j.avsg.2018.10.041DOI Listing
February 2019
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Abdominal Aortic Rupture Secondary To Lymphoma Recurrence.

Ann Vasc Surg 2019 Feb 4. Epub 2019 Feb 4.

Angiology and Vascular Surgery Service, University and Polytechnic La Fe Hospital, Valencia Spain.

Neoplasias affecting the aorta are usually due to a variety of thoracic and abdominal tumours, which are more common than primary tumours of the aortic wall. Those tumors that can invade the abdominal aorta are usually sarcomas, which are able to mimic, both clinically and radiologically, an aortic disease such as an aneurysm or a dissection. There are few clinical scenarios where surgical resection and aortic repair needs to be performed, and indications have not still been clearly established in the literature. Read More

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http://dx.doi.org/10.1016/j.avsg.2018.10.050DOI Listing
February 2019
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Accuracy of risk prediction scores in pregnant women with congenital heart disease.

Congenit Heart Dis 2019 Feb 6. Epub 2019 Feb 6.

Maternal and Child Health Research Center, Department of Obstetrics and Gynecology, University of Pennsylvania Perelman School of Medicine Philadelphia, Pennsylvania.

Objective: To assess performance of risk stratification schemes in predicting adverse cardiac outcomes in pregnant women with congenital heart disease (CHD) and to compare these schemes to clinical factors alone.

Design: Single-center retrospective study.

Setting: Tertiary care academic hospital. Read More

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http://dx.doi.org/10.1111/chd.12750DOI Listing
February 2019
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Malperfusion in type A aortic dissection: results of emergency central aortic repair.

Gen Thorac Cardiovasc Surg 2019 Feb 7. Epub 2019 Feb 7.

Department of Cardiovascular Surgery, Jichi Medical University School of Medicine, 3311-1 Yakushiji, Shimotsuke, Tochigi, 3290498, Japan.

Background: Although outcomes of acute type A aortic dissection (ATAAD) have improved, malperfusion remains associated with high morbidity and mortality rates, and its optimal therapeutic treatment is unknown. Emergency central repair has been performed as our first-line approach for malperfusion. Here, we analyzed outcomes of ATAAD with malperfusion and reassessed emergency central repair. Read More

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http://dx.doi.org/10.1007/s11748-019-01072-zDOI Listing
February 2019
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Double arterial cannulation strategy for acute type A aortic dissection repair: A 10-year single-institution experience.

PLoS One 2019 6;14(2):e0211900. Epub 2019 Feb 6.

Chang Gung University, College of Medicine, Taoyuan, Taiwan.

Background: Repair of acute type A aortic dissection (ATAAD) is a complex and emergent cardiovascular surgery that is associated with high perioperative morbidity and mortality. Each cannulation strategy has different benefits and drawbacks during cardiopulmonary bypass. Using a retrospective study design, we aimed to clarify the safety and efficacy of right axillary artery cannulation in combination with femoral artery cannulation compared to single arterial cannulation for ATAAD repair. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0211900PLOS
February 2019
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Synchronous Gastrointestinal Tumor and Abdominal Aortic Aneurysm or Dissection Treated with Endovascular Aneurysm Repair Followed by Tumor Resection.

Gastroenterol Res Pract 2019 6;2019:8087256. Epub 2019 Jan 6.

Department of Radiology, The Sixth Affiliated Hospital of Sun Yat-sen University, Guangzhou 510655, China.

Objective: To evaluate the strategy in the management of patients with synchronous gastrointestinal tumor and abdominal aortic aneurysm (AAA) or abdominal aortic dissection (AAD) undergoing endovascular repair followed by tumor resection.

Materials And Methods: Five patients with synchronous gastrointestinal tumor and AAA or AAD were treated by endovascular repair followed by tumor resection. Clinical data were retrospectively analyzed with respect to the management strategy, safety, and outcome. Read More

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http://dx.doi.org/10.1155/2019/8087256DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6339745PMC
January 2019
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Infra-renal vs supra-renal abdominal aortic aneurysms: Comparison of associated aneurysms and renal artery stenosis.

Ann Vasc Surg 2019 Feb 2. Epub 2019 Feb 2.

Department of Intensive Care and Perioperative Medicine, Jagiellonian University Medical College, ul. Skawińska 8, 31-066 Kraków, Poland. Electronic address:

Objective: The aim of our study was to assess the prevalence of concomitant arterial abnormalities (true aneurysms of iliac, common femoral, renal, visceral arteries and stenoses of iliac and renal arteries) in patients with abdominal aortic aneurysm, and to evaluate whether the type of the aneurysm (suprarenal versus solely infrarenal) is associated with this prevalence.

Methods: In this retrospective cross-sectional study we assessed computed tomography angiography scans of 933 patients with abdominal aortic aneurysm, including thoraco-abdominal aortic aneurysms type II-IV, with no history of abdominal aortic surgery. We compared two groups of patients: group 1 (n=859) with solely infrarenal abdominal aortic aneurysm and group 2 (n=74) with the suprarenal aneurysm component. Read More

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http://dx.doi.org/10.1016/j.avsg.2018.10.044DOI Listing
February 2019
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In situ diode laser fenestration of aortic arch stent graft during thoracic endovascular aortic repair of Stanford type A aortic dissection.

EuroIntervention 2019 Feb 5. Epub 2019 Feb 5.

Department of Vascular Surgery, Shanghai Ninth People's Hospital, Shanghai JiaoTong University, School of Medicine, Shanghai 200011, P. R. China.

Aims: The aim of the study was to evaluate the feasibility, safety, and effectiveness of in situ diode laser fenestration of thoracic endovascular aortic repair (TEVAR) stent grafts to treat Stanford type A aortic dissection.

Methods And Results: 58 patients with acute or subacute Stanford type A aortic dissection treated with in situ diode laser fenestration during TEVAR under cerebral circulation protection with an extracorporeal bypass were reviewed retrospectively. Routine postoperative outcomes were recorded and assessed. Read More

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http://dx.doi.org/10.4244/EIJ-D-18-00710DOI Listing
February 2019
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