Search our Database of Scientific Publications and Authors

I’m looking for a

    15571 results match your criteria Dissection Aortic

    1 OF 312

    Manifestations and Medicolegal Significance of Loeys-Dietz Syndrome.
    J Forensic Sci 2017 Feb 23. Epub 2017 Feb 23.
    Forensic Science SA, 21 Divett Place, Adelaide, SA, 5000, Australia.
    Loeys-Dietz syndrome is a recently described autosomal dominant disorder with underlying vasculopathy characterized by aortic and other vascular aneurysmal dissection/rupture. A 61-year-old man is reported who died suddenly and unexpectedly and at autopsy was found to have a ruptured abdominal aortic aneurysm. Additional findings included dolichostenomelia, high-arched palate, and pectus excavatum. Read More

    Urogenital Vascular Anomalies with Bilateral Kinking of Ureter: A Case Report.
    Malays J Med Sci 2015 Nov;22(6):67-70
    Department of Anatomy, Sri Devaraj Urs Medical College, Banglore Tirupathi Highway, Tamaka, Kolar, Karnataka 563101, India.
    Variations in the urogenital vascular anomalies in the abdomen are very common. However, they warrant attention due to their importance in operative, diagnostic, and endovascular procedures. During routine dissection of abdomen in a male cadaver, unique urogenital vascular anomalies were observed. Read More

    Radical resection of a primary unresectable duodenal cancer after chemotherapy using S-1 and cisplatin: report of a case.
    Surg Case Rep 2017 Dec 21;3(1):34. Epub 2017 Feb 21.
    Department of Surgery, The Jikei University School of Medicine, 3-25-8, Nishi-Shinbashi, Minato-ku, Tokyo, 105-8461, Japan.
    Background: Therapeutic outcomes and prognosis of primary unresectable duodenal cancer remains unsatisfactory, because effective chemotherapy is not established.

    Case Presentation: A 71-year-old male diagnosed with unresectable duodenal carcinoma with distant lymph node metastases was judged inoperable (cT3N2M1 cStage in UICC(7th)). Duodenal obstruction developed due to tumor growth, and the patient underwent laparoscopic gastro-jejunostomy and then combined chemotherapy using S-1 and cisplatin. Read More

    Aortic utero-ovarian sentinel nodes and left infrarenal aortic lymph node dissection by ICG supported navigation.
    Gynecol Oncol Rep 2017 May 9;20:22-23. Epub 2017 Feb 9.
    West-German Cancer Center, Dpt. Gynaecology and Obstetrics, University of Duisburg-Essen, Germany.
    •Visualization of paraaortic sentinel compartments in endometrial cancer•Nerve sparing dissection of left paraaortic infrarenal lymph compartment•Educational video may be basis for standardization of paraaortic sentinel node dissection. Read More

    Prevention of thromboembolic complications in patients with superficial-vein thrombosis given rivaroxaban or fondaparinux: the open-label, randomised, non-inferiority SURPRISE phase 3b trial.
    Lancet Haematol 2017 Feb 16. Epub 2017 Feb 16.
    Department of Vascular Medicine, Darmstadt Municipal Hospital, Darmstadt, Germany; Centre of Thrombosis and Haemostasis, University of Mainz, Mainz, Germany.
    Background: Superficial-vein thrombosis can lead to deep-vein thrombosis and pulmonary embolism. Rivaroxaban, an oral factor Xa inhibitor, might simplify treatment compared with fondaparinux because it does not require daily subcutaneous injection and is cheaper. We compared efficacy outcomes in patients with superficial-vein thrombosis and additional risk factors given either rivaroxaban or fondaparinux to assess whether rivaroxaban is non-inferior to fondaparinux in the prevention of thromboembolic complications. Read More

    Method of Hemorrhage Control From the Aorta After Repair of a Dissected Aortic Aneurysm.
    Ann Thorac Surg 2017 Mar;103(3):e299-e300
    Department of Cardiothoracic Surgery, Mater Dei Hospital, Malta.
    Patients with Marfan syndrome and presenting with acute aortic dissection have fragile aorta, causing bleeding problems in the anastomosis between the graft and the aorta. Hemostatic impairment following circulatory arrest and prolonged cardiopulmonary bypass contribute to these problems. We describe a technique to control persistent bleeding from the anastomosis in the aortopulmonary recess using two kissing inflated balloons at the tip of two Foley catheters to tamponade the bleeding sites. Read More

    Lung Donation After Death Resulting From a Stanford Type A Aortic Dissection.
    Ann Thorac Surg 2017 Mar;103(3):e273-e275
    Division of Cardiothoracic Surgery, Medical University of South Carolina, Charleston, South Carolina.
    The number of lung transplantations performed in the United States has increased at a modest pace over the past decades and reached an all-time high of 2,052 in 2015. However, the transplant wait list mortality remains unacceptably high with approximately one in five patients removed from the list because of death or being too sick for transplantation. The greatest limitation to performing lung transplantations is the relative lack of acceptable lung donors. Read More

    Total Endovascular Repair of Post-dissection Aortic Arch Aneurysm With Chimney Technique.
    Ann Thorac Surg 2017 Mar;103(3):e241-e243
    Department of Cardiac Surgery, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai, China. Electronic address:
    Open surgery remains the standard procedure for treatment of aortic arch pathologies. However, total endovascular repair can be a safe option for patients who are poor candidates for surgery because of compromised physiology. We report the case of a 63-year-old man with a post-dissection aortic arch aneurysm. Read More

    Concomitant Endografting of a Type B Aortic Dissection During Transfemoral Aortic Valve Replacement.
    Ann Thorac Surg 2017 Mar;103(3):e223-e224
    Division of Cardiovascular Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania.
    An 87-year-old woman with severe aortic stenosis underwent a transfemoral transcatheter aortic valve replacement (TAVR). Intraoperative transesophageal echocardiography demonstrated a well-seated valve with no paravalvular leak; however, a new acute type B aortic dissection was identified. Endografts were delivered through the TAVR sheath and deployed, effectively treating the dissection. Read More

    Iatrogenic Acute Ascending Aortic Dissection with Intramural Hematoma during Coronary Artery Stenting: A Case Report.
    Front Surg 2017 3;4. Epub 2017 Feb 3.
    Faculty of Medicine, Beirut Arab University , Beirut , Lebanon.
    Background: Iatrogenic acute ascending aortic dissection during percutaneous coronary intervention (PCI) is an exceptionally rare and life-threatening sequel that requires early and accurate diagnosis along with rapid management. No guidelines have yet been established to direct decisions on the different treatment options that can be employed in the setting of acute aortic dissections caused by PCI. However, similar cases have been treated either by intracoronary stenting and conservative management as in localized aortocoronary dissections or by surgical intervention in cases of extensive aortic dissections. Read More

    Durable outcomes of thoracic endovascular aortic repair with Zenith TX1 and TX2 devices.
    J Vasc Surg 2017 Feb 16. Epub 2017 Feb 16.
    Department of Vascular Surgery, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio; Academic Department of Surgery, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, Ohio. Electronic address:
    Objective: Long-term data regarding the safety and durability of thoracic endovascular aortic repair (TEVAR) are limited. The study objective was to evaluate the long-term outcomes of TEVAR in high-risk patients with descending thoracic aortic pathology.

    Methods: High-risk patients were treated with thoracic endografts (2001-2011) under a prospective, physician-sponsored, investigational device exemption trial. Read More

    Outcomes of thoracic endovascular aortic repair using aortic arch chimney stents in high-risk patients.
    J Vasc Surg 2017 Feb 16. Epub 2017 Feb 16.
    Division of Vascular Surgery and Endovascular Therapy, University of Florida College of Medicine, Gainesville, Fla.
    Background: Aortic arch disease is a challenging clinical problem, especially in high-risk patients, in whom open repair can have morbidity and mortality rates of 30% to 40% and 2% to 20%, respectively. Aortic arch chimney (AAC) stents used during thoracic endovascular aortic repair (TEVAR) are a less invasive treatment strategy than open repair, but the current literature is inconclusive about the role of this technology. The focus of this analysis is on our experience with TEVAR and AAC stents. Read More

    Innovative postmarket device evaluation using a quality registry to monitor thoracic endovascular aortic repair in the treatment of aortic dissection.
    J Vasc Surg 2017 Feb 16. Epub 2017 Feb 16.
    Division of Vascular and Endovascular Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Mass.
    Objective: United States Food and Drug Administration (FDA)-mandated postapproval studies have long been a mainstay of the continued evaluation of high-risk medical devices after initial marketing approval; however, these studies often present challenges related to patient/physician recruitment and retention. Retrospective single-center studies also do not fully represent the spectrum of real-world performance nor are they likely to have a sufficiently large enough sample size to detect important signals. In recent years, The FDA Center for Devices and Radiological Health has been promoting the development and use of patient registries to advance infrastructure and methodologies for medical device investigation. Read More

    Left subclavian artery revascularization in zone 2 thoracic endovascular aortic repair is associated with lower stroke risk across all aortic diseases.
    J Vasc Surg 2017 Feb 16. Epub 2017 Feb 16.
    Division of Vascular Surgery, Eastern Virginia Medical School, Norfolk, Va. Electronic address:
    Background: The best management strategy for the left subclavian artery (LSA) in pathologic processes of the aorta requiring zone 2 thoracic endovascular aortic repair (TEVAR) remains controversial. We compared LSA coverage with or without revascularization as well as the different means of LSA revascularization.

    Methods: A retrospective chart review was conducted of patients with any aortic diseases who underwent zone 2 TEVAR deployment from 2007 to 2014. Read More

    Ultrasound-Guided Resuscitative Endovascular Balloon Occlusion of the Aorta in the Resuscitation Area.
    J Emerg Med 2017 Feb 17. Epub 2017 Feb 17.
    Advanced Medical Emergency Department and Critical Care Center, Japan Red Cross Maebashi Hospital, Maebashi, Japan.
    Background: In trauma resuscitation with resuscitative endovascular balloon occlusion of the aorta (REBOA), urgent and accurate placement of the catheter in the resuscitation area without fluoroscopy can shorten the time from admission to REBOA, allowing rapid, temporary control of bleeding.

    Discussion: The experience-based protocol in our center for ultrasound-guided REBOA in the resuscitation area without fluoroscopy is as follows: the femoral artery is punctured and a guidewire inserted; sonography is used to verify that the guidewire is in the abdominal aorta; the position of the balloon is confirmed with ultrasound after estimating the distance to the clavicle, and the pressure in the radial artery and sheath is used to monitor correct positioning; connect the pressure transducer to the catheter sheath for continuous monitoring of the blood pressure in the sheath, and inflate the balloon until the blood pressure tracing at the sheath has disappeared; check the pulse in the left radial artery, and withdraw the catheter slightly if the pulse in the radial artery is not palpable or is decreased (if this pulse is not palpable or decreased, the balloon is in the aortic arch). In this retrospective review of our REBOA protocol, between April 2012 and March 2016, 34 patients were enrolled. Read More

    Surgical Correction of Aberrant Right Coronary Anomalies Stranding an Aortic Commissure with and Without Unroofing.
    Pediatr Cardiol 2017 Feb 18. Epub 2017 Feb 18.
    Division of Cardiothoracic Surgery, Department of Surgery, University of Illinois at Chicago, Chicago, IL, USA.
    The technique for successful surgical correction of an anomalous origin of the right coronary artery from the opposite aortic cusp with an aberrant course between the aorta and pulmonary artery is illustrated in a symptomatic 62-year-old woman. The intramural course of the right coronary artery traversed the tip of the commissure between the anterior and posterior leaflets, and its repair entailed unroofing of the intramural segment from inside the aortic intima. This technique required resuspension of the overlying commissure to maintain optimal aortic valve leaflet coaptation and prevent aortic insufficiency. Read More

    Efficacy and safety of super selective bronchial artery coil embolisation for haemoptysis: a single-centre retrospective observational study.
    BMJ Open 2017 Feb 17;7(2):e014805. Epub 2017 Feb 17.
    Department of Clinical Epidemiology and Biostatics, Osaka University Graduate School of Medicine, Suita, Japan.
    Objectives: Evidence on the safety and long-term efficacy of super selective bronchial artery embolisation (ssBAE) using platinum coils in patients with haemoptysis is insufficient. The objective of the present study was to evaluate the safety and the 3-year postprocedure haemoptysis-free survival rate of de novo elective ssBAE using platinum coils rather than particles for the treatment of haemoptysis.

    Design: A single-centre retrospective observational study. Read More

    Inguinal lymph node presenting as the delayed site of metastasis in early stage endometrial carcinoma: Case report.
    Int J Surg Case Rep 2017 Jan 19;32:12-15. Epub 2017 Jan 19.
    Radiation Oncology, Comprehensive Cancer Center, King Fahad Medical City, Riyadh, 59046, Saudi Arabia. Electronic address:
    Introduction: Inguinal lymph nodes are the frequent sites of metastasis for malignant lymphoma, squamous cell carcinoma of anal canal, vulva and penis, malignant melanoma and squamous cell carcinoma of skin over lower extremities or trunk. Anatomically, endometrial carcinoma is less likely to spread to the superficial or deep inguinal lymph nodes, thus metastatic involvement of these lymph nodes can easily be overlooked.

    Case Presentation: Here-in we report a case of a 65-year old Saudi morbid obese female, who presented with left inguinal lymphadenopathy as initial delayed site of metastasis almost 19 months after the initial treatment for FIGO IA endometrial carcinoma. Read More

    Long-Term Survival after Resection of Sentinel Node Metastatic Renal Cell Carcinoma.
    Urology 2017 Feb 14. Epub 2017 Feb 14.
    Department of Urology, The Netherlands Cancer Institute, Postbus 90203, 1006 BE, Amsterdam, The Netherlands.
    We present a case of a patient who took part in a prospective sentinel lymph node (SN) study to investigate the drainage pattern from renal tumors. The patient was treated with laparoscopic radical nephrectomy (LRN), SN and non-SN lymph node dissection (LND) for a clinically node negative (cN0) left renal tumor of 6 cm (cT1b). Histopathological examination revealed a papillary type 2 pT1b renal cell carcinoma (RCC) with two para-aortic metastatic SNs (pN1). Read More

    Are Patients With Loeys-Dietz Syndrome Misdiagnosed With Beals Syndrome?
    Pediatrics 2017 Feb 16. Epub 2017 Feb 16.
    Department of Pediatrics, and
    Beals syndrome, also known as congenital contractural arachnodactyly (Online Mendelian Inheritance in Man: 121050), is an autosomal dominant disorder caused by a mutation in FBN2 that is typically characterized by congenital contractures and arachnodactyly. It shares a number of phenotypic features with Loeys-Dietz syndrome (Online Mendelian Inheritance in Man: 609192). Loeys-Dietz syndrome, initially described in 2005, is associated with mutations for the transforming growth factor β receptor and is characterized by findings of cerebral, thoracic, and abdominal arterial aneurysms. Read More

    Two Rare Variants of Left Vertebral Artery.
    J Craniofac Surg 2017 Feb 15. Epub 2017 Feb 15.
    Department of Anatomy, AIIMS Rishikesh, Rishikesh, India.
    Though the variations of vertebral artery are clinically asymptomatic yet abnormalities are of diagnostic importance either prior to vascular surgery in the neck region or in patients of intravascular diseases such as arteriovenous malformations or cerebral aneurysms. Therefore, the aim of the study is to bring out 2 variations in the configuration of vertebral artery and their clinical implication. During dissection of thorax of 2 female cadavers, 2 different variants of configurations of left vertebral arteries were observed. Read More

    Sudden death due to aortic dissection in early pregnancy - a case report.
    Med Leg J 2017 Jan 1:25817217694108. Epub 2017 Jan 1.
    Department of Forensic Medicine, MS Ramaiah Medical College, Bangalore, India.
    Forensic pathologists come across many deaths due to natural causes which are sudden. Sudden natural deaths in females who are pregnant warrant thorough investigation and a medico-legal autopsy to rule out any foul play. Here, we report a case of 21-year-old primigravida in her first trimester who suddenly complained of severe chest pain and was brought dead to the hospital with no history suggestive of prior natural disease. Read More

    Robotic mitral valve repair for degenerative posterior leaflet prolapse.
    Ann Cardiothorac Surg 2017 Jan;6(1):27-32
    Background: Robotic mitral valve (MV) repair is the least invasive surgical approach to the MV and provides unparalleled access to the valve. We sought to assess technical aspects and clinical outcomes of robotic MV repair for isolated posterior leaflet prolapse by examining the first 623 such cases performed in a tertiary care center.

    Methods: We reviewed the first 623 patients (mean age 56±9. Read More

    Perioperative management for iatrogenic aortocoronary dissection during percutaneous coronary intervention.
    Cardiovasc Interv Ther 2017 Feb 13. Epub 2017 Feb 13.
    Department of Cardiovascular Surgery, Oita University, Faculty of Medicine, 1-1 Idaigaoka, Hasama-machi, Yufu, Oita, 879-5503, Japan.
    Aortocoronary dissection is a rare but serious complication. We report the case of a 72-year-old female with angina. Percutaneous coronary intervention was performed for right coronary artery disease. Read More

    Transient atrial fibrillation after open abdominal aortic revascularization surgery is associated with increased length of stay, mortality, and readmission rates.
    J Vasc Surg 2017 Feb 9. Epub 2017 Feb 9.
    Department of Surgery, Loyola University Chicago, Stritch School of Medicine, Maywood, Ill; One:MAP Section of Surgical Analytics, Department of Surgery, Loyola University Chicago, Stritch School of Medicine, Maywood, Ill. Electronic address:
    Background: It is well established that transient postoperative atrial fibrillation (TPAF) is associated with adverse postoperative outcomes after major cardiac and noncardiac operations. The purpose of this study was to elucidate the incidence, impact, and risk factors associated with the development of TPAF in patients undergoing revascularization surgery for occlusive diseases of the abdominal aorta and its branches (AAB).

    Methods: By use of the Healthcare Cost and Utilization Project State Inpatient Database from Florida and California, patients who underwent open revascularization of AAB between 2006 and 2011 were identified. Read More

    Surgical Outcomes of Chronic Descending Dissections: Type I Versus III DeBakey.
    Ann Thorac Surg 2017 Feb 9. Epub 2017 Feb 9.
    Department of Cardiothoracic Surgery, Weill Cornell Medicine, New York, New York.
    Background: We evaluated the results of open operation for the treatment of descending thoracic aneurysm (DTA) and thoracoabdominal aortic aneurysm (TAAA) in patients with DeBakey type I versus type III chronic aortic dissection.

    Methods: We reviewed our institutional aortic database and compared the results of open repair in patients with type I versus type III chronic aortic dissection. Between 1997 and 2015, 726 patients underwent open DTA or TAAA repair at our institution. Read More

    [Clinical analysis of 24 cases of aortic dissection during pregnancy].
    Zhonghua Fu Chan Ke Za Zhi 2017 Jan;52(1):32-39
    Department of Obstetrics and Gynecology, Beijing Anzhen Hospital Affiliated to Capital Medical University, Beijing 100029, China.
    Objective: To investigate the management and perinatal outcome of aortic dissection during pregnancy. Methods: 24 pregnant women with aortic dissection who delivered in Beijing Anzhen Hospital Affiliated to Capital Medical University from January 1st, 2006 to February 29th, 2016 were recruited. The clinical data, the management and the perinatal outcome were analyzed retrospectively. Read More

    Usefulness of the echocardiographic paravertebral approach for the diagnosis of descending thoracic aortic dissection.
    J Echocardiogr 2017 Feb 10. Epub 2017 Feb 10.
    Center for Translational Research, The Institute of Medical Science Hospital, The University of Tokyo, 4-6-1 Shiroganedai, Minato-ku, Tokyo, 108-8639, Japan.
    Background: Transthoracic echocardiography (TTE) is not recommended as the first-line diagnostic modality for Stanford type B aortic dissection (type-B AD).

    Purposes: The aims of this study were to evaluate the usefulness and factors influencing for the diagnosis of type-B AD using the transthoracic echocardiographic paravertebral approach (PVA).

    Methods: We compared the image acquisition rate of descending thoracic aorta (DTA) and the diagnostic rate of type-B AD using TTE versus PVA. Read More

    A novel SMAD3 mutation caused multiple aneurysms in a patient without osteoarthritis symptoms.
    Eur J Med Genet 2017 Feb 7. Epub 2017 Feb 7.
    Surgical Research Center, GIGA-R, Belgium; Department of Cardiovascular and Thoracic Surgery, University Hospital of Liège, Belgium.
    Heterozygous mutations in the SMAD3 gene were recently described as the cause of a form of non-syndromic familial aortic thoracic aneurysm and dissection (FTAAD) transmitted as an autosomal dominant disorder and often associated with early-onset osteoarthritis. This new clinical entity, called aneurysms-osteoarthritis syndrome (AOS) or Loeys-Dietz syndrome 3 (LDS3), is characterized by aggressive arterial damages such as aneurysms, dissections and tortuosity throughout the arterial tree. We report, here, the case of a 45 year-old man presenting multiple visceral arteries and abdominal aortic aneurysms but without dissection of the thoracic aorta and without any sign of osteoarthritis. Read More

    Magnetic resonance imaging 4-D flow-based analysis of aortic hemodynamics in Turner syndrome.
    Pediatr Radiol 2017 Feb 9. Epub 2017 Feb 9.
    Department of Radiology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
    Background: Cardiovascular surveillance is important in Turner syndrome because of the increased risk of aortic dilation and dissection with consecutively increased mortality.

    Objective: To compare 4-D flow MRI for the characterization of aortic 3-D flow patterns, dimensions and vessel wall parameters in pediatric patients with Turner syndrome and age-matched controls.

    Materials And Methods: We performed 4-D flow MRI measuring in vivo 3-D blood flow with coverage of the thoracic aorta in 25 patients with Turner syndrome and in 16 female healthy controls (age mean ± standard deviation were 16 ± 5 years and 17 ± 4 years, respectively). Read More

    The Petticoat concept for endovascular treatment of Type B aortic dissection.
    J Cardiovasc Surg (Torino) 2017 Feb 9. Epub 2017 Feb 9.
    Division of Vascular Surgery, "Vita-Salute" University, Scientific Institute H. San Raffaele, Milan, Italy.
    Introduction: A systematic literature search on outcomes of the PETTICOAT technique was aimed at verifying the feasibility and safety of the procedure, comparing clinical outcomes with standard stent-grafting of the proximal entry tear as well as describing the possible benefits in terms of aortic remodeling.

    Evidence Acquisition: Potentially eligible papers were sought through a computerized search of MEDLINE and SCOPUS databases between January 2006 and June 2016. Key words used for potentially eligible studies were: "dissection", "bare stent", "thoracic", "endovascular", "PETTICOAT". Read More

    320-row CT renal perfusion imaging in patients with aortic dissection: A preliminary study.
    PLoS One 2017 9;12(2):e0171235. Epub 2017 Feb 9.
    Department of Radiology, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.
    Objective: To investigate the clinical value of renal perfusion imaging in patients with aortic dissection (AD) using 320-row computed tomography (CT), and to determine the relationship between renal CT perfusion imaging and various factors of aortic dissection.

    Methods: Forty-three patients with AD who underwent 320-row CT renal perfusion before operation were prospectively enrolled in this study. Diagnosis of AD was confirmed by transthoracic echocardiography. Read More

    Management of iatrogenic aortal dissection as a complication of coronary intervention: wait and watch.
    Future Cardiol 2017 Mar 9;13(2):125-129. Epub 2017 Feb 9.
    Department of Cardiology, Evangelisches Krankenhaus, Mülheim (Ruhr), Germany.
    Iatrogenic aortic dissection (AD) is quite a rare complication during percutaneous coronary intervention (PCI). The exact mechanism of iatrogenic AD during PCI is unknown. A standard of care in the management of iatrogenic AD is still lacking. Read More

    The Frozen Elephant Trunk Technique: European Association for Cardio-Thoracic Surgery Position and Bologna Experience.
    Korean J Thorac Cardiovasc Surg 2017 Feb 5;50(1):1-7. Epub 2017 Feb 5.
    Department of Cardiac Surgery, Sant'Orsola Hospital, Bologna University.
    Complex lesions of the thoracic aorta are traditionally treated in 2 surgical steps with the elephant trunk technique. A relatively new approach is the frozen elephant trunk (FET) technique, which potentially allows combined lesions of the thoracic aorta to be treated in a 1-stage procedure combining endovascular treatment with conventional surgery using a hybrid prosthesis. These are very complex and time-consuming operations, and good results can be obtained only if appropriate strategies for myocardial, cerebral, and visceral protection are adopted. Read More

    [Thoracic Endovascular Aortic Repair for a Descending Thoracic Aneurysm Associated with Pseudocoarctation of the Aorta;Report of a Case].
    Kyobu Geka 2017 Feb;70(2):123-126
    Department of Cardiovascular Surgery, Hiraka General Hospital, Yokote, Japan.
    A 77-year-old man with a descending thoracic aneurysm associated with pseudocoarctation of the aorta underwent thoracic endovascular aortic repair (TEVAR). Computed tomography demonstrated kinking of the descending thoracic aorta. The aneurysm was located distal to a kinking and constricting aortic isthmus. Read More

    Glutathione system participation in thoracic aneurysms from patients with Marfan syndrome.
    Vasa 2017 Feb 8:1-10. Epub 2017 Feb 8.
    1 Departaments of Immunology, Instituto Nacional de Cardiología "Ignacio Chávez", México City, México.
    Background: Aortic dilatation in Marfan syndrome (MFS) is progressive. It is associated with oxidative stress and endothelial dysfunction that contribute to the early acute dissection of the vessel and can result in rupture of the aorta and sudden death. We evaluated the participation of the glutathione (GSH) system, which could be involved in the mechanisms that promote the formation and progression of the aortic aneurysms in MFS patients. Read More

    Changes in operative strategy for patients enrolled in the International Registry of Acute Aortic Dissection interventional cohort program.
    J Thorac Cardiovasc Surg 2017 Jan 9. Epub 2017 Jan 9.
    Department of Cardiac Surgery, University of Michigan Frankel Cardiovascular Center, Ann Arbor, Mich. Electronic address:
    Objective: Advancements in cardiothoracic surgery prompted investigation into changes in operative management for acute type A aortic dissections over time.

    Methods: One thousand seven hundred thirty-two patients undergoing surgery for type A aortic dissection were identified from the International Registry of Acute Aortic Dissection Interventional Cohort Database. Patients were divided into time tertiles (T) (T1: 1996-2003, T2: 2004-2010, and T3: 2011-2016). Read More

    Two decades of experience with root remodeling and valve repair for bicuspid aortic valves.
    J Thorac Cardiovasc Surg 2017 Jan 10. Epub 2017 Jan 10.
    Department of Thoracic and Cardiovascular Surgery, Saarland University Medical Center, Homburg/Saar, Germany. Electronic address:
    Objective: Bicuspid aortic valve anatomy is associated with ascending aortic aneurysm in approximately 50% of individuals and may lead to severe aortic regurgitation with aortic dilatation. Both entities may be treated by valve repair and root remodeling. The objective was to review the cumulative experience of 20 years. Read More

    P38 MAPK signaling pathway mediates AngiotensinⅡ induced miR143/145 gene cluster down-regulation during aortic dissection formation.
    Ann Vasc Surg 2017 Feb 3. Epub 2017 Feb 3.
    Department of Cardiovascular Surgery, Renmin Hospital of Wuhan University, Wuhan 430060, Hubei Province, PR.China.
    Objectives: We endeavored to prove that angiotensinⅡ (Ang Ⅱ) regulates both the expression of miR143/145 and differentiation of vascular smooth muscle cells (VSMCs) during the formation of aortic dissection. We also studied the contribution the p38 MAPK signaling pathway has towards this process.

    Methods: Ascending aortic tissues were harvested from the patients with aortic dissection (AD) and organ donors. Read More

    Complicated thoraco-abdominal aortic dissection presenting with lower limb ischemia in a patient with bovine arch and arteria lusoria.
    Eur Rev Med Pharmacol Sci 2017 Jan;21(2):310-312
    Department of Visceral Surgery, and Department of Vascular Surgery; University Hospital CHUV, Lausanne, Switzerland.
    We report the case of a 58-year-old man who presented with thoraco-abdominal pain and right lower limb ischemia due to type B aortic dissection. Moreover, the patient was discovered to have several concomitant aortic arch anomalies (bovine arch, arteria lusoria, and left vertebral artery arising from the aortic arch). Taking into account this complex anatomy, emergent femoral exploration with fenestration and thrombectomy was performed. Read More

    Isolated rupture of bicuspid aortic valve following blunt chest trauma: a case report and systematic review of literature.
    Cardiovasc Diagn Ther 2017 Feb;7(1):89-91
    1 Department of Cardiovascular Fellowship, 2 Department of Cardiothoracic Surgery, Mercy St Vincent Medical Center and Hospital, Toledo, OH, USA.
    Blunt trauma to chest cause injury to various cardiac structures. Isolated rupture of aortic valve without aortic dissection is rare complication of blunt chest trauma and can be caused by a tear or avulsion of the valve. We report a case of a 35-year-old male who presented with severe aortic insufficiency due to rupture of a non-infected congenital bicuspid aortic valve following non-penetrating chest trauma. Read More

    Novel Pathogenic Variant in TGFBR2 Confirmed by Molecular Modeling Is a Rare Cause of Loeys-Dietz Syndrome.
    Case Rep Genet 2017 9;2017:7263780. Epub 2017 Jan 9.
    Department of Clinical Genomics, Center for Individualized Medicine, Mayo Clinic, Jacksonville, FL, USA; Division of Medical Genetics, Department of Pediatrics, Stanford University, Stanford, CA, USA.
    Loeys-Dietz syndrome (LDS) is a connective tissue disorder characterized by vascular findings of aneurysm and/or dissection of cerebral, thoracic, or abdominal arteries and skeletal findings. We report a case of a novel pathogenic variant in TGFBR2 and phenotype consistent with classic LDS. The proband was a 10-year-old presenting to the genetics clinic with an enlarged aortic root (Z-scores 5-6), pectus excavatum, and congenital contractures of the right 2nd and 3rd digit. Read More

    Impact of Subclinical Vascular Complications Detected by Systematic Postprocedural Multidetector Computed Tomography After Transcatheter Aortic Valve Implantation Using Balloon-Expandable Edwards SAPIEN XT Heart Valve.
    Am J Cardiol 2017 Jan 5. Epub 2017 Jan 5.
    Department of Cardiology, Keio University School of Medicine, Tokyo, Japan.
    Complications after transcatheter aortic valve implantation (TAVI) remain an important issue. This study aimed to evaluate the impact of systematic postprocedural multidetector computed tomography (MDCT) to detect subclinical complications after TAVI. From October 2013 to August 2015, a total of 135 patients who underwent transfemoral TAVI (n = 116) or transapical TAVI (n = 19) with Sapien XT and MDCT preprocedure and postprocedure were enrolled. Read More

    Bilateral approach for thoracoscopic esophagectomy with lymph node dissection in the dorsal area of the thoracic aorta in patients with esophageal cancer: A report of two cases.
    Int J Surg Case Rep 2017 Jan 19;31:154-158. Epub 2017 Jan 19.
    Division of Advanced Surgical Science and Technology, Tohoku University Graduate School of Medicine, Sendai, Miyagi, 980-8574, Japan.
    Introduction: The incidence of lymph node metastasis in the dorsal area of the thoracic aorta (DTA) is relatively low in patients with esophageal cancer. It is difficult to approach the DTA using surgical procedures, such as an open thoracotomy and thoracoscopy in the left decubitus position.

    Case Presentation: Case 1: A 70-year-old man with esophageal cancer underwent thoracoscopic esophagectomy with mediastinal lymph node dissection via a right thoracoscopic approach, followed by lymphadenectomy in the DTA via left thoracoscopy in the prone position. Read More

    Surgical Indication for Chronic Aortic Dissection in Descending Thoracic and Thoracoabdominal Aorta.
    Circ Cardiovasc Interv 2017 Feb;10(2)
    From the Department of Cardiovascular Surgery (T.O., K.M., H.S., H.T., Y.S., T.I., Y.I., J.K.), Department of Radiology (M.H.), and Department of Preventive Medicine and Epidemiology (K.N.), National Cerebral and Cardiovascular Center, Osaka, Japan.
    Background: To address the lack of information about the size of ruptures associated with chronic dissection in the descending and thoracoabdominal aorta, we evaluated the natural history of this pathology.

    Methods And Results: We analyzed data from 571 patients (mean age, 69.4±11. Read More

    1 OF 312