28,159 results match your criteria Dissection Aortic


Spontaneous Aortocaval Fistula with Abdominal Aortic Aneurysm 5 Years after Aortic Valve Replacement Complicated by Aortic Dissection.

Aorta (Stamford) 2018 Dec 24;6(6):145-146. Epub 2019 Apr 24.

Department of Cardiovascular and Thoracic Surgery, Medical University of Tunis, Rabta Hospital, Tunis, Tunisia.

Iatrogenic aortic dissection after cardiac surgery is a rare and serious complication, the management of which involves many therapeutic modalities and whose prognosis is associated with high rate of morbidity and mortality. The authors report the case of a 61-year-old man presented with aortocaval fistula and aortic dissection 5 years after aortic valve replacement. Read More

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http://dx.doi.org/10.1055/s-0039-1683882DOI Listing
December 2018

Spontaneous Early Resolution of an Iatrogenic Type A Aortic Dissection Following Coronary Angiography.

Aorta (Stamford) 2018 Dec 24;6(6):142-144. Epub 2019 Apr 24.

Department of Anesthesiology, Erzurum Regional Training and Research Hospital, Erzurum, Turkey.

A 74-year-old man was admitted with the diagnosis of non-ST-elevation myocardial infarction. During right coronary angiography, a coronary artery dissection extending into the proximal ascending aorta was noticed without hemodynamic compromise. Immediate computed tomography angiography showed no evidence of dissection in the ascending aorta. Read More

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http://dx.doi.org/10.1055/s-0039-1683956DOI Listing
December 2018

Head and Neck Pain in Patients Presenting with Acute Aortic Dissection.

Aorta (Stamford) 2018 Dec 24;6(6):130-138. Epub 2019 Apr 24.

Department of Internal Medicine, University of Michigan Health System, Ann Arbor, Michigan.

Background:  Head and neck pain is an atypical presentation of acute aortic dissection. Classic teaching associates this pain with proximal dissections, but this has not been extensively studied.

Methods:  Patients enrolled in the International Registry of Acute Aortic Dissection from January 1996 to March 2015 were included in this study. Read More

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http://dx.doi.org/10.1055/s-0039-18388DOI Listing
December 2018

Single Low-Volume Center Experience with Frozen Elephant Trunk in Acute Type A Aortic Dissections.

Aorta (Stamford) 2018 Dec 24;6(6):125-129. Epub 2019 Apr 24.

Department of Cardiac Surgery, Virgen de la Salud Hospital, Toledo, Spain.

Background:  Acute Type A aortic dissection (AAAD) is a surgical emergency. In patients with arch and descending aorta involvement (DeBakey Type I), a total aortic arch replacement with frozen elephant trunk (FET) could favor false lumen thrombosis and improve long-term results. The authors hereby present their experience with this technique in a single low-volume center, to assess whether the technique is feasible to treat such disease. Read More

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http://dx.doi.org/10.1055/s-0039-1677809DOI Listing
December 2018

Surgical resection of enlarged calcification formed by idiopathic localized constrictive pericarditis during total aortic arch replacement for aortic dissection.

J Card Surg 2019 Apr 24. Epub 2019 Apr 24.

Department of Cardiovascular Surgery, University of Tsukuba, Ibaraki, Japan.

A 75-year-old woman presented at a prior hospital with persistent cough and was treated conservatively for a thrombosed-type aortic dissection (Stanford A). One-year after discharge, follow-up computerized tomography revealed a DeBakey type II, chronic dissecting aortic aneurysm enlarged to 54 mm. She was referred to our hospital with slight edema in the face and extremities and chest radiography showed calcification around the heart. Read More

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http://dx.doi.org/10.1111/jocs.14056DOI Listing

Para-aortic Lymphadenectomy for Gynecologic Cancers: Introducing the "Trans-Retro-Peritoneal (TRP) Single-Port Access".

Ann Surg Oncol 2019 Apr 23. Epub 2019 Apr 23.

Department of Gynaecology, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland.

Background: In gynecological surgery to date, two distinct types of endoscopic accesses have been used to perform para-aortic lymphadenectomies: transperitoneal and extraperitoneal, each with advantages and disadvantages. We propose to develop a new mini-invasive access to perform an endoscopic extraperitoneal para-aortic lymphadenectomy via a single-port umbilical device that, to our knowledge, has never been described.

Methods: This innovative approach combines both an extraperitoneal and intraperitoneal procedure via the same umbilical incision using one single trocar. Read More

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http://dx.doi.org/10.1245/s10434-019-07379-8DOI Listing

Risk Factors Associated with Ascending Aortic Aneurysms and Aortic Elasticity Parameters in Children with a Bicuspid Aortic Valve.

Pediatr Cardiol 2019 Apr 23. Epub 2019 Apr 23.

Department of Pediatric Cardiology, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Uskudar, Istanbul, Turkey.

Aneurysms of the ascending aorta are frequently found in patients with a bicuspid aortic valve (BAV). This study assessed the risk factors of ascending aortic aneurysms and aortic elasticity in children with BAV. The study included 66 patients with no history of transcatheter intervention or surgical procedure who had been diagnosed with isolated BAV. Read More

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http://dx.doi.org/10.1007/s00246-019-02102-6DOI Listing

Retrograde Inferior Vena caval Perfusion for Total Aortic arch Replacement Surgery (RIVP-TARS): study protocol for a multicenter, randomized controlled trial.

Trials 2019 Apr 24;20(1):232. Epub 2019 Apr 24.

Department of Anesthesiology, West China Hospital, Sichuan University, No. 37 Guo Xue Alley, Chengdu, 610041, Sichuan Province, China.

Background: During total aortic arch replacement surgery (TARS) for patients with acute type A aortic dissection, the organs in the lower body, such as the viscera and spinal cord, are at risk of ischemia even when antegrade cerebral perfusion (ACP) is performed. Combining ACP with retrograde inferior vena caval perfusion (RIVP) during TARS may improve outcomes by providing the lower body with oxygenated blood.

Methods: This study is designed as a multicenter, computer-generated, randomized controlled, assessor-blind, parallel-group study with a superiority framework in patients scheduled for TARS. Read More

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http://dx.doi.org/10.1186/s13063-019-3319-2DOI Listing

Does Interhospital Transfer Influence the Outcomes of Patients Receiving Surgery for Acute Type A Aortic Dissection? Type A Aortic Dissection: Is Transfer Hazardous or Beneficial?

Emerg Med Int 2019 18;2019:5692083. Epub 2019 Mar 18.

Division of Thoracic and Cardiovascular Surgery, Chiayi Chang Gung Memorial Hospital, Chiayi and Chang Gung University College of Medicine, Taoyuan, Taiwan.

Introduction: The progression of acute type A aortic dissection may cause immediate death, such that, in the event of its diagnosis, emergency surgery is indicated. Relatedly, an interhospital transfer may prolong the time from diagnosis to surgery. This study therefore investigated how interhospital transfers impact surgical outcomes for acute type A aortic dissection. Read More

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https://www.hindawi.com/journals/emi/2019/5692083/
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http://dx.doi.org/10.1155/2019/5692083DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6442438PMC
March 2019
4 Reads

Commentary: In surgery for acute type A aortic dissection, follow the principles and do what you need to do.

J Thorac Cardiovasc Surg 2019 Mar 28. Epub 2019 Mar 28.

Department of Cardiovascular Surgery, Texas Heart Institute, Houston, Tex; Division of Cardiothoracic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Tex.

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http://dx.doi.org/10.1016/j.jtcvs.2019.03.031DOI Listing

Renal Stent Migration Following TEVAR for Complicated Type B Aortic Dissection.

Vasc Endovascular Surg 2019 Apr 22:1538574419844858. Epub 2019 Apr 22.

1 Department of Radiology, Nara Medical University, Nara, Japan.

We describe renal stent migration following thoracic endovascular aortic repair (TEVAR) for type B aortic dissection. A 68-year-old male presented with type B aortic dissection. His course was complicated by renal and lower extremity malperfusion. Read More

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http://dx.doi.org/10.1177/1538574419844858DOI Listing
April 2019
1 Read

Retrograde Type A intramural hematoma treated endovascularly in two cases.

Ann Vasc Surg 2019 Apr 19. Epub 2019 Apr 19.

Department of Cardiothoracic Surgery St. Antonius Hospital, Nieuwegein; Department of Cardiothoracic Surgery, Amsterdam AMC, Amsterdam(+) The Netherlands.

Type A aortic dissection is a highly lethal condition, which warrants swift open surgical intervention to prevent death by rupture or malperfusion. Aim is to resect the proximal intimal tear and realign the dissected wall layers. We describe two patients who recently presented in our centre with a retrograde Type A intramural hematoma and a clear intimal tear distal to the left subclavian artery, that were treated in emergency by endovascular means instead of open surgery, with satisfactory short and one year follow-up results. Read More

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http://dx.doi.org/10.1016/j.avsg.2018.12.107DOI Listing

Open Descending and Thoracoabdominal Aortic Repairs in Patients Younger than 50 Years Old.

Ann Thorac Surg 2019 Apr 19. Epub 2019 Apr 19.

Department of Cardiothoracic and Vascular Surgery, McGovern Medical School at The University of Texas Health Science Center at Houston (UTHealth) and Memorial Hermann Hospital, Houston, TX, USA. Electronic address:

Background: The purpose of this study was to redefine indications of open descending and thoracoabdominal aortic aneurysm (D/TAAA) repair in the younger population.

Methods: Between 1991 and 2017, 2012 patients undergoing D/TAAA at our institution were divided into two groups for comparison: younger (<50-year-old, N=276, 14%) and older (≥50-year-old, N=1736, 86%). Patient demographics and perioperative outcomes were retrospectively reviewed. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00034975193056
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http://dx.doi.org/10.1016/j.athoracsur.2019.03.058DOI Listing
April 2019
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Three Rare Structural Anomalies: Right Aberrant Subclavian Artery, , and Isolated Left Vertebral Artery All Associated with Type B Aortic Dissection.

Case Rep Surg 2019 17;2019:7927613. Epub 2019 Mar 17.

Department of Cardiothoracic Surgery, King Fahd Hospital of the University, Imam Abdulrahman Bin Faisal University, Al-Khobar, Saudi Arabia.

Introduction And Background: Right aberrant subclavian artery accounts for 0.5-1.8% of the population as the most frequently encountered aortic arch anomaly, while the prevalence of an isolated left vertebral artery ranges from 3 to 8%. Read More

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https://www.hindawi.com/journals/cris/2019/7927613/
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http://dx.doi.org/10.1155/2019/7927613DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6441505PMC
March 2019
2 Reads

Comparative study of the frozen elephant trunk and classical elephant trunk techniques to supplement total arch replacement for acute type A aortic dissection†.

Eur J Cardiothorac Surg 2019 Apr 21. Epub 2019 Apr 21.

Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Center, Suita, Japan.

Objectives: In patients with acute type A aortic dissection, the use of the frozen elephant trunk (FET) procedure with total arch replacement (TAR) has been indicated for emergency operations to obtain thrombosis of the distal false lumen (FL). However, data comparing the FET and the classical elephant trunk (CET) procedures, including the incidences of mortality, morbidity, spinal cord injury and aortic remodelling, have not yet been reported. The goal of this study was to compare the early outcomes of TAR with the FET and the CET procedures. Read More

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http://dx.doi.org/10.1093/ejcts/ezz104DOI Listing
April 2019
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Echocardiography-guided aortic cannulation by the Seldinger technique for type A dissection with cerebral malperfusion.

J Thorac Cardiovasc Surg 2019 Mar 13. Epub 2019 Mar 13.

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

Objective: The purpose of this study was to assess the efficacy of echocardiography-guided ascending aortic central cannulation using the Seldinger technique during surgery for type A acute aortic dissection complicated by stroke due to cerebral malperfusion.

Methods: Between April 2007 and December 2017, 208 patients with type A acute aortic dissection underwent echocardiography-guided ascending aortic central cannulation using the Seldinger technique. We analyzed 16 of these patients (7. Read More

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http://dx.doi.org/10.1016/j.jtcvs.2019.02.097DOI Listing

Commentary: When time is brain-In type A aortic dissection, team approach prevails over cannulation strategy.

J Thorac Cardiovasc Surg 2019 Mar 28. Epub 2019 Mar 28.

Department of Cardiovascular Surgery, Texas Heart Institute, Houston, Tex; Division of Cardiothoracic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Tex.

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http://dx.doi.org/10.1016/j.jtcvs.2019.03.030DOI Listing

The significance of bicuspid aortic valve after surgery for acute type A aortic dissection.

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

Landspitali University Hospital, Faculty of Medicine University of Iceland, Reykjavik, Iceland.

Objective: Decision-making concerning the extent of the repair of acute type A aortic dissection (ATAAD) includes functional and anatomical assessment of the aortic valve. We hypothesized that bicuspid aortic valve (BAV) does not impact outcome after surgery for ATAAD. We therefore evaluated the outcome after ATAAD surgery in relation to the presence of BAV, acute aortic regurgitation (AR), and surgical approach, using the Nordic Consortium for Acute Type A Aortic Dissection database. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00225223193068
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http://dx.doi.org/10.1016/j.jtcvs.2019.03.012DOI Listing
March 2019
3 Reads

The effects of losartan versus beta-blockers on cardiovascular protection in marfan syndrome: A systematic review and meta-analysis.

J Formos Med Assoc 2019 Apr 16. Epub 2019 Apr 16.

Department of Pediatrics, National Taiwan University Children's Hospital, Taipei, Taiwan; Department of Pediatrics, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, New Taipei City, Taiwan. Electronic address:

Background And Purpose: Variable effects of beta-blockers (BB) and/or angiotensin receptor blockers (ARB) were reported to retard aortic root growth in Marfan syndrome (MFS). This study aimed to compare the effects of BB therapy and ARB-related therapies on cardiovascular protection in MFS.

Methods: Studies of randomized control trials comparing the efficacy of only-BB and ARB-related (only-ARB or ARB-plus-BB) therapies for MFS published before July 31, 2018 in PubMed, Embase, and the Cochrane Library were selected. Read More

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http://dx.doi.org/10.1016/j.jfma.2019.03.018DOI Listing

Left Main Stenting Induced Flow Disturbances on Ascending Aorta and Aortic Arch.

J Transl Int Med 2019 Mar 29;7(1):22-28. Epub 2019 Mar 29.

Director of Cardiovascular Research, Methodist Hospital, Merrillville, IN 46410, USA; Tan Tao University School of Medicine, Long An, Vietnam.

Background And Objective: Ostial LM stenting potentially induces turbulence in the aortic wall near the LM ostium, which might be correlated with aorta dilation and dissection. We investigated through a computational fluid dynamic analysis (CFD), the presence and potential consequences of flow turbulences both in the ascending aorta and arch after a stenting left main (LM) mid shaft or distal disease.

Methods: The model of the ascending aorta and left coronary artery was reconstructed reviewing both angiographic and echocardiographic measurements of 80 consecutive patients (43 males, mean age 75. Read More

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http://dx.doi.org/10.2478/jtim-2019-0005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6463829PMC
March 2019
2 Reads

Possibility of Cardio-renal Protection by Long-term Cardiac Rehabilitation in Elderly Patients with Cardiovascular Diseases.

Intern Med 2019 Apr 17. Epub 2019 Apr 17.

Department of Cardiology, Fukuoka University School of Medicine, Japan.

Objective Cardiac rehabilitation (CR) improves the mortality in patients with cardiovascular disease (CVD). Even in elderly patients with CVD, CR may improve the activities of daily living (ADL). Methods Eighty-eight outpatients over 65 years of age at the beginning of a CR program (baseline) at Fukuoka University Hospital who had CVD and could be followed-up for up to 5 years were enrolled. Read More

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http://dx.doi.org/10.2169/internalmedicine.2281-18DOI Listing
April 2019
1 Read

[Choice of optimal treatment policy in patients with descending aortic dissection].

Angiol Sosud Khir 2019 ;25(1):115-119

Research Institute of Emergency Medicine named after N.V. Sklifosovsky under the Moscow Health Care Department, Moscow, Russia.

Contemporary approaches to treatment of patients with dissection of the descending aorta (DA), as well as the data of international registries and guidelines are contradictory. The endovascular method of treatment of patients with descending aortic dissection has been recognized to be revolutionary. However, there seems to be no commonly accepted concept concerning appropriate use of currently available techniques of treating patients with DA dissection. Read More

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http://dx.doi.org/10.33529/angio2019116DOI Listing
January 2019
2 Reads

Mid-term Clinical Outcomes in a Cohort of Asymptomatic or Mildly Symptomatic Korean Patients with Bicuspid Aortic Valve in a Tertiary Referral Hospital.

J Cardiovasc Imaging 2019 Apr;27(2):105-118

Valvular Heart Disease Center, Asan Medical Center Heart Institute, University of Ulsan College of Medicine, Seoul, Korea.

Background: Although bicuspid aortic valve (BAV) is one of the most common congenital heart diseases, clinical outcome data regarding BAV are still limited. We evaluated clinical characteristics and mid-term clinical outcomes of asymptomatic Korean patients with bicuspid aortic valve.

Methods: We initiated a prospective registry in 2014 at a tertiary referral hospital. Read More

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https://synapse.koreamed.org/DOIx.php?id=10.4250/jcvi.2019.2
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http://dx.doi.org/10.4250/jcvi.2019.27.e19DOI Listing
April 2019
2 Reads

Fracture of the Bare Spring of a Thoracic Endograft for Type A Aortic Dissection: A Case Report.

Vasc Specialist Int 2019 Mar;35(1):39-43

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

Retrograde type A aortic dissection (RTAD) following thoracic endovascular aortic repair is a devastating complication associated with high mortality rates. In particular, a deployed endograft in a bird-beak formation in an acute curve of the aortic arch can induce injury to the fragile aortic wall, with the subsequent development of RTAD. Here, we describe an extremely rare case of RTAD caused by fracture of the bare spring of the thoracic endograft for type A aortic dissection. Read More

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http://www.vsijournal.org/journal/DOIx.php?id=10.5758/vsi.20
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http://dx.doi.org/10.5758/vsi.2019.35.1.39DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6453602PMC
March 2019
2 Reads

Commentary: Central aortic cannulation for acute type A dissection-Not just for patients with cerebral malperfusion.

J Thorac Cardiovasc Surg 2019 Mar 29. Epub 2019 Mar 29.

Department of Cardiothoracic Surgery, Weill Cornell Medical College, New York, NY. Electronic address:

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http://dx.doi.org/10.1016/j.jtcvs.2019.03.046DOI Listing
March 2019
3 Reads

Axillary artery cannulation reduces early embolic stroke and mortality after open arch repair with circulatory arrest.

J Thorac Cardiovasc Surg 2019 Mar 15. Epub 2019 Mar 15.

Division of Cardiovascular Surgery, Department of Thoracic and Cardiovascular Surgery, Severance Cardiovascular Hospital, Yonsei University College of Medicine, Seoul, Korea. Electronic address:

Objective: To evaluate the efficacy of axillary artery cannulation for early embolic stroke and operative mortality, we retrospectively compared the outcomes between patients with or without axillary artery cannulation during open aortic arch repair with circulatory arrest.

Methods: Between January 2004 and December 2017, 468 patients underwent open aortic arch repair with circulatory arrest using antegrade cerebral perfusion and were divided into 2 groups according to the site of arterial cannulation: the axillary artery (axillary group, n = 352) or another site (nonaxillary group, n = 116) groups. Embolic stroke was defined as a physician-diagnosed new postoperative neurologic deficit lasting more than 72 hours, generally confirmed by computed tomography or magnetic resonance imaging. Read More

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http://dx.doi.org/10.1016/j.jtcvs.2019.02.112DOI Listing
March 2019
2 Reads

Diagnostic value of color Doppler sonography for spontaneous isolated superior mesenteric artery dissection.

Exp Ther Med 2019 May 14;17(5):3489-3494. Epub 2019 Mar 14.

Department of Ultrasound, Shandong Medical Imaging Research Institute Affiliated to Shandong University, Jinan, Shandong 250021, P.R. China.

The present study aimed to evaluate the clinical significance of color Doppler sonography (CDS) in the diagnosis of spontaneous isolated superior mesenteric artery dissection (SISMAD). The ultrasonographic images of 19 patients with SISMAD confirmed by computed tomography angiography (CTA) were retrospectively analyzed and the ultrasonographic features were summarized. The paired t-test was used to statistically analyze the differences in parameters determined by CTA vs. Read More

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http://dx.doi.org/10.3892/etm.2019.7399DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6447763PMC
May 2019
1 Read

A combined experimental-numerical lamellar-scale approach of tensile rupture in arterial medial tissue using X-ray tomography.

J Mech Behav Biomed Mater 2019 Apr 1;95:116-123. Epub 2019 Apr 1.

Mines Saint-Etienne, Univ Lyon, Univ Jean Monnet, INSERM, U 1059 Sainbiose, Centre CIS, F-42023, Saint-Etienne, France.

Aortic dissection represents a serious cardio-vascular disease and life-threatening event. Dissection is a sudden delamination event of the wall, possibly leading to rupture within a few hours. Current knowledge and practical criteria to understand and predict this phenomenon lack reliable models and experimental observations of rupture at the lamellar scale. Read More

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http://dx.doi.org/10.1016/j.jmbbm.2019.03.028DOI Listing
April 2019
2 Reads

Impact of Carotid Artery Involvement in Type A Aortic Dissection.

Circulation 2019 Apr;139(16):1977-1978

Division of Cardiovascular Surgery, Hospital of the University of Pennsylvania, Philadelphia (M.K., P.V., W.Y.S., J.E.B., N.D.D.).

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http://dx.doi.org/10.1161/CIRCULATIONAHA.118.038099DOI Listing
April 2019
4 Reads

Transesophageal Echocardiography for Ascending Thoracic Endovascular Aortic Repair of Stanford Type A Aortic Dissection.

A A Pract 2019 Apr 11. Epub 2019 Apr 11.

From the Department of Anesthesiology, University of Maryland School of Medicine, Baltimore, Maryland.

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http://dx.doi.org/10.1213/XAA.0000000000001018DOI Listing
April 2019
2 Reads

Impact of Renal Artery Stent-Graft Placement on Renal Function in Chronic Aortic Dissection.

J Vasc Interv Radiol 2019 Apr 11. Epub 2019 Apr 11.

Division of Cardiovascular Surgery, Department of Surgery, Taipei Veterans General Hospital, Taiwan; Institute of Clinical Medicine, School of Medicine, National Yang Ming University, No. 201, Section 2, Shipai Road, Beitou District, Taipei City, Taiwan. Electronic address:

Purpose: To evaluate the effect of renal stent-graft placement on kidney function and size alternation in chronic aortic dissection.

Materials And Methods: Twenty-five consecutive patients with chronic aortic dissection after thoracic endovascular aortic repair who underwent renal stent-graft placement between January 2015 and December 2016 were retrospectively reviewed. Forty-three patients with chronic aortic dissection who received thoracic endovascular aortic repair in the same period were reviewed as a control group for kidney volume comparison. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10510443183178
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http://dx.doi.org/10.1016/j.jvir.2018.12.015DOI Listing
April 2019
2 Reads

Outcomes and Predictors of Endovascular Treatment for Type B Aortic Dissection Complicated by Unilateral Renal Ischemia.

J Vasc Interv Radiol 2019 Apr 11. Epub 2019 Apr 11.

Department of Vascular Surgery, Zhongshan Hospital, Institute of Vascular Surgery, Fudan University, 180 Fenglin Road, 200032, Shanghai, China. Electronic address:

Purpose: This study investigated the outcomes of endovascular treatment for type B aortic dissection (TBAD) complicated by unilateral renal ischemia and determined the associated predictors.

Materials And Methods: From January 2010 to December 2016, 44 patients (mean : 54 years of age) with TBAD complicated by a clearly involved unilateral renal artery and a decreased mean density of the unilateral renal parenchyma were enrolled. The volumes and mean densities of each kidney were generated with postprocessing software based on computed tomography angiography. Read More

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http://dx.doi.org/10.1016/j.jvir.2018.12.029DOI Listing
April 2019
1 Read

Reflection from UK Aortic Group: Frozen Elephant Trunk Technique as Optimal Solution in Type A Acute Aortic Dissection.

Semin Thorac Cardiovasc Surg 2019 Apr 10. Epub 2019 Apr 10.

University Hospital Southampton NHS Foundation Trust, Southampton, United Kingdom.

Diseases of the thoracic aorta are increasing in prevalence worldwide. Recent data indicated wide regional variation in the volume and complexity of aortic cases undertaken in United Kingdom cardiac centers, especially in case of for type A acute aortic dissection (ATAAD) conditions. Patients treated in high-volume centers with a specific multidisciplinary aortic program had a significant reduction in ATAAD mortality when compared with low-volume centers. Read More

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http://dx.doi.org/10.1053/j.semtcvs.2019.03.010DOI Listing
April 2019
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Mesenteric Malperfusion In Acute Aortic Dissection: Challenges and Frontiers.

Semin Thorac Cardiovasc Surg 2019 Apr 10. Epub 2019 Apr 10.

Department of Cardiac Thoracic surgery, Belivers Church Medical College Hospital, Thruvalla, India.

Malperfusion syndrome results from end-organ ischemia in the setting of an aortic dissection. Malperfusion syndrome can affect any vascular bed with mesenteric malperfusion (MMP) being the most challenging associated with a 3- to 4-fold increase in mortality in both acute type A and B aortic dissections. The incidence MMP is between 66 to 100% in different literature. Read More

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http://dx.doi.org/10.1053/j.semtcvs.2019.03.012DOI Listing
April 2019
4 Reads

Primary care management of chest pain after coronary artery bypass surgery.

BMJ 2019 Apr 12;365:l1303. Epub 2019 Apr 12.

Waikato Cardiothoracic Unit, Waikato Hospital, Hamilton, New Zealand

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http://dx.doi.org/10.1136/bmj.l1303DOI Listing

Non-specific chest pain and subsequent serious cardiovascular readmissions.

Int J Cardiol 2019 Apr 2. Epub 2019 Apr 2.

Keele Cardiovascular Research Group, Keele University, Stoke-on-Trent, UK; Royal Stoke University Hospital, Stoke-on-Trent, UK. Electronic address:

Background: The rates of readmission for serious cardiovascular events among patients admitted with a diagnosis of non-specific chest pain are unknown.

Methods: A national retrospective cohort study in the United States was undertaken to evaluate the rates, trends and predictors of readmission for serious cardiovascular events (acute coronary syndrome (ACS), pulmonary embolism (PE) and aortic dissection (AD)) after an inpatient episode with a primary diagnosis of non-specific chest pain.

Results: Among 1,172,430 patients with an index diagnosis of non-specific chest pain between 2010 and 2014, 2. Read More

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http://dx.doi.org/10.1016/j.ijcard.2019.04.001DOI Listing
April 2019
2 Reads

Moderate and deep hypothermic circulatory arrest has a comparable effect on acute kidney injury after total arch replacement with frozen elephant trunk procedure in type A aortic dissection.

Interact Cardiovasc Thorac Surg 2019 Apr 11. Epub 2019 Apr 11.

Department of Cardiovascular Surgery, Fuwai Hospital, National Center for Cardiovascular Disease, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China.

Objectives: The goal was to investigate the prevalence of acute kidney injury (AKI) after total arch replacement with frozen elephant trunk procedure, which was achieved by antegrade cerebral perfusion and moderate hypothermic circulatory arrest (MHCA) or deep hypothermic circulatory arrest (DHCA) among patients with type A aortic dissection.

Methods: Overall, 627 adult type A aortic dissection patients who underwent total arch replacement with frozen elephant trunk from January 2013 until December 2016 at Fuwai Hospital were divided into the DHCA (14.1-20. Read More

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http://dx.doi.org/10.1093/icvts/ivz092DOI Listing
April 2019
1 Read

Proximal aorta longitudinal strain predicts aortic root dilation rate and aortic events in Marfan syndrome.

Eur Heart J 2019 Apr 11. Epub 2019 Apr 11.

Department of Cardiology, Hospital Universitari Vall d'Hebron, CIBER-CV, Vall d'Hebron institut de Recerca, Universitat Autònoma de Barcelona, Paseo Vall d'Hebron 119-129, 08035 Barcelona, Spain.

Aims: Life expectancy in Marfan syndrome patients has improved thanks to the early detection of aortic dilation and prophylactic aortic root surgery. Current international clinical guidelines support the use of aortic root diameter as a predictor of complications. However, other imaging markers are needed to improve risk stratification. Read More

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http://dx.doi.org/10.1093/eurheartj/ehz191DOI Listing
April 2019
1 Read

Repetitive transient paraplegia caused by painless acute aortic dissection.

Acute Med Surg 2019 Apr 19;6(2):188-191. Epub 2019 Feb 19.

Department of Cardiovascular Surgery Anjo Kosei Hospital Anjo Japan.

Case: Making a precise diagnosis of type A acute aortic dissection (AAD) presenting with atypical symptoms might be challenging for clinicians. Misdiagnosis and misuse of thrombolytic therapy can have devastating consequences.

Outcome: Herein, we report a case of painless type A AAD complicated by transient leg paresthesia, which was successfully treated with surgery. Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1002/ams2.392
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http://dx.doi.org/10.1002/ams2.392DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6442522PMC
April 2019
4 Reads

Differential impact of intimal tear location on aortic dilation and reintervention in acute type I aortic dissection after total arch replacement.

J Thorac Cardiovasc Surg 2018 Oct 17. Epub 2018 Oct 17.

Biostatistics Collaboration Unit, Yonsei University College of Medicine, Seoul, Republic of Korea.

Objective: The study objective was to evaluate the differential impact of intimal tear location on aortic dilation and reintervention after total arch replacement for acute type I aortic dissection.

Methods: From 2009 to 2016, 85 patients underwent total arch replacement for acute type I aortic dissection with residual dissected thoracoabdominal aorta. Forty patients (47%) underwent serial computed tomography scans that were sufficient for analysis. Read More

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http://dx.doi.org/10.1016/j.jtcvs.2018.09.110DOI Listing
October 2018
2 Reads

Hospital Incidence and In-Hospital Mortality of Surgically and Interventionally Treated Aortic Dissections: Secondary Data Analysis of the Nationwide German Diagnosis-Related Group Statistics From 2006 to 2014.

J Am Heart Assoc 2019 Apr;8(8):e011402

1 Department of Vascular and Endovascular Surgery Munich Aortic Centre Klinikum rechts der Isar Technical University of Munich Munich Germany.

Background Population-based data about the incidence and mortality of patients with aortic dissections ( ADs ) are sparse. Therefore, the hospital incidence and in-hospital mortality of patients undergoing open or endovascular surgery for type A ADs ( TAADs ) and type B ADs ( TBADs ) in Germany were analyzed on a nationwide basis between 2006 and 2014. Methods and Results A secondary data analysis of the nationwide diagnosis-related group statistics, compiled by the German Federal Statistical Office, was performed for patients who were surgically/interventionally treated for AD ( International Classification of Diseases, Tenth Revision, German Modification [ ICD -10- GM] codes I71. Read More

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http://dx.doi.org/10.1161/JAHA.118.011402DOI Listing
April 2019
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Are We There Yet? Emerging Milestones in Aortic Dissection Care.

Authors:
Lars G Svensson

J Am Heart Assoc 2019 Apr;8(8):e012402

1 Heart and Vascular Institute Cleveland Clinic Cleveland OH.

See Article Reutersberg et al. Read More

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https://www.ahajournals.org/doi/10.1161/JAHA.119.012402
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http://dx.doi.org/10.1161/JAHA.119.012402DOI Listing
April 2019
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Endovascular Treatment of Post Type A Chronic Aortic Arch Dissection With a Branched Endograft: Early Results From a Retrospective International Multicenter Study.

Ann Surg 2019 Apr 8. Epub 2019 Apr 8.

German Aortic Center, Department of Vascular Medicine, University Heart Center Hamburg, Hamburg, Germany.

MINI: The objective of this study was to evaluate the outcome of endovascular repair of chronic aortic arch dissecting aneurysms with a custom-made branched endograft during follow-up after acute type A aortic dissection open repair. Unmatched outcomes are reported in a population at high risk for a redo sternotomy.

Objective: The objective of this study was to evaluate the outcome of endovascular aortic arch repair for chronic dissection with a custom-made branched endograft. Read More

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http://dx.doi.org/10.1097/SLA.0000000000003310DOI Listing
April 2019
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Thoracic Aortic Aneurysm Growth in Bicuspid Aortic Valve Patients: Role of Aortic Stiffness and Pulsatile Hemodynamics.

J Am Heart Assoc 2019 Apr;8(8):e010885

3 Division of Cardiology University of Ottawa Heart Institute Ottawa Ontario Canada.

Background Bicuspid aortic valve ( BAV ) is the most common congenital cardiac abnormality. A thoracic aortic aneurysm ( TAA ) is present in ≈50% of BAV patients, who also have an 8-fold higher risk of aortic dissection than the general population. Because the health of the aorta is directly reflected in its stiffness and pulsatile hemodynamics, we hypothesized that measures of aortic stiffness and arterial load would be associated with TAA growth in BAV . Read More

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http://dx.doi.org/10.1161/JAHA.118.010885DOI Listing
April 2019
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Management and Outcomes of Aortic Dissection in Pregnancy with Marfan syndrome: A Systematic Review.

Curr Vasc Pharmacol 2019 Apr 8. Epub 2019 Apr 8.

Department of Surgery, Trauma and Vascular Surgery Section, Hamad Medical Corporation, Doha. Qatar.

Background: In Marfan Syndrome (MFS), aortic dilatation is one of the main cardiovascular manifestations which deteriorate due to the physiological changes during pregnancy. We aimed to assess the up-to-date management and outcomes of aortic root dilation and dissection (AoD) in pregnancy with MFS.

Patients And Methods: A systematic review was conducted and reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Read More

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http://dx.doi.org/10.2174/1570161117666190408164612DOI Listing
April 2019
1 Read
2.966 Impact Factor

Level of inferior mesenteric artery ligation in low rectal cancer surgery: high tie preferred over low tie.

Tech Coloproctol 2019 Apr 8. Epub 2019 Apr 8.

Colorectal Unit, Department of Surgery, Grenoble Alps University Hospital, Grenoble, France.

Background: There is no demonstrated benefit of high-tie versus low-tie vascular transections in low rectal cancer surgery. The aim of this study was to compare the effects of high tie and low tie of the inferior mesenteric artery on colonic length.

Methods: This study was conducted in a surgical anatomy research laboratory. Read More

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http://dx.doi.org/10.1007/s10151-019-01931-0DOI Listing
April 2019
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Spontaneous Retroperitoneal and Rectus Sheath Hemorrhage-Management, Risk Factors and Outcomes.

World J Surg 2019 Apr 8. Epub 2019 Apr 8.

Division of Trauma, Emergency Surgery and Surgical Critical Care, Department of Surgery, Massachusetts General Hospital, Harvard Medical School, 165 Cambridge Street, Suite 810, Boston, MA, 02114, USA.

Background: Spontaneous retroperitoneal and rectus sheath hemorrhage (SRRSH) is associated with high mortality in the literature, but studies on the subject are lacking. The objective of this study was to identify early predictors of the need for angiographic or surgical intervention (ASI) in patients with SRRSH and define risk factors for mortality.

Methods: We conducted a retrospective cohort study at a tertiary academic hospital. Read More

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http://dx.doi.org/10.1007/s00268-019-04988-yDOI Listing
April 2019
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Initial clinical impact of inhaled nitric oxide therapy for refractory hypoxemia following type A acute aortic dissection surgery.

J Thorac Dis 2019 Feb;11(2):495-504

Department of Critical Care Medicine, Zhongshan Hospital, Fudan University, Shanghai 200032, China.

Background: To evaluate the effect of inhaled nitric oxide (iNO) therapy on oxygenation and clinical outcomes in patients with refractory hypoxemia after surgical reconstruction for acute type A aortic dissection (TAAD).

Methods: A before-and-after interventional study was conducted in patients with refractory hypoxemia after surgical reconstruction for TAAD. Postoperative refractory hypoxemia was defined as a persistent PaO/FiO ratio ≤100 mmHg despite conventional therapy. Read More

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http://dx.doi.org/10.21037/jtd.2019.01.42DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6409278PMC
February 2019
2 Reads

Adherence to recommended imaging surveillance of acutely presenting Stanford type-B aortic dissections.

Vascular 2019 Apr 8:1708538119841453. Epub 2019 Apr 8.

1 Faculty of Medicine, University of Toronto, Toronto, ON, Canada.

Objective: Acutely presenting Stanford type B aortic dissections (type-B AD) primarily receive medical or endovascular management and require lifelong imaging surveillance. CT and MR imaging are the best modalities to assess early indications of potentially fatal developments. Published guidelines recommend that imaging occur at 1, 3, 6, and 12 months following acute presentation, and annually thereafter. Read More

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http://dx.doi.org/10.1177/1708538119841453DOI Listing
April 2019
2 Reads