Emerg Med Australas 2017 Sep 23. Epub 2017 Sep 23.

Department of Emergency Medicine, Austin Health, Melbourne, Victoria, Australia.

Aortic dissection is a lethal cardiovascular emergency that continues to pose a diagnostic dilemma to the emergency physician. The condition is rare, can present atypically and is associated with a cumulative mortality for every hour that passes. While it is a recognised differential of acute chest pain, its prevalence in comparison to other causes often leads to the diagnosis being overlooked. Read More

Am J Med Genet A 2017 Sep 21. Epub 2017 Sep 21.

The Heart Center, Nationwide Children's Hospital, Columbus, Ohio.

Marfan syndrome is a multisystem disease with cardiovascular, ophthalmologic, and skeletal features. Diagnosis is made clinically with emphasis on presence of aortic root dilation and ectopia lentis (EL). Most individuals meeting these criteria have a pathogenic variant in FBN1, usually unique or observed rarely. Read More

Gen Thorac Cardiovasc Surg 2017 Sep 22. Epub 2017 Sep 22.

Department of Cardiovascular Surgery, Tsukuba Memorial Hospital, 1187-299 Kaname, Tsukuba, Ibaraki, 300-2622, Japan.

The simultaneous occurrence of cardiogenic stroke and acute aortic dissection is rare, and its treatment remains unclear. Although anticoagulation therapy is usually chosen for cardiogenic stroke due to atrial fibrillation, it is inappropriate for acute aortic dissection. Recently, thoracoscopic left atrial appendectomy (TLAA) has been suggested as an alternative for anticoagulation. Read More

J Am Heart Assoc 2017 Sep 22;6(9). Epub 2017 Sep 22.

Division of Vascular Surgery, Changhai Hospital, Shanghai, China

Background: Retrograde type A aortic dissection (RTAD) is a potentially lethal complication after thoracic endovascular aortic repair (TEVAR). However, data are limited regarding the development of RTAD post-TEVAR. This systematic review aims to define the incidence, mortality, and potential risk factors of RTAD post-TEVAR. Read More

Ann Thorac Surg 2017 Sep 19. Epub 2017 Sep 19.

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

Background: Retrograde false lumen perfusion is a common mode of failure after stent grafting chronic aortic dissection. Open fenestration during the first-stage elephant trunk (ET) creates a landing zone for second-stage endovascular ET completion in patients with a false lumen aneurysm. Our objectives were to assess long-term safety and durability of this technique. Read More

J Thorac Cardiovasc Surg 2017 Aug 26. Epub 2017 Aug 26.

Division of Cardiothoracic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Tex; Department of Cardiovascular Surgery, Texas Heart Institute, Houston, Tex; CHI St Luke's Health-Baylor St Luke's Medical Center, Houston, Tex; Cardiovascular Research Institute, Baylor College of Medicine, Houston, Tex.

Objectives: Endovascular aortic repair is increasingly being used to treat aneurysms, dissections, and traumatic injuries, despite its unknown long-term durability. We describe our 19-year experience with open descending thoracic and thoracoabdominal aortic repair after endovascular aortic repair.

Methods: Between 1996 and 2015, 67 patients were treated with open distal arch, descending thoracic, or thoracoabdominal aortic repair, or extra-anatomic bypass repair with aortic extirpation for complications after endovascular repair of the thoracic (n = 45, 67%) or abdominal (n = 22, 33%) aorta. Read More

J Stroke Cerebrovasc Dis 2017 Sep 19. Epub 2017 Sep 19.

Department of Neurosurgery, PLA Army General Hospital, Beijing, China. Electronic address:

A 39-year-old man with syncope and persistent dizziness was sent to stroke emergency. Patient's diffusion magnetic resonance imaging of brain showed acute ischemia in right cerebella and right occipital lobe, thus intravenous recombinant tissue plasminogen activator was given to him. However, the patient behaved rather restless with repeated complaint of back and thoracic pain. Read More

Chin Med J (Engl) 2017 Oct;130(19):2321-2325

Department of Cardiology, General Hospital of Shenyang Military Region, Shenyang, Liaoning 110016, China.

Background: Acute aortic dissection is known as the most dangerous aortic disease, with management and prognosis determined as the disruption of the medial layer provoked by intramural bleeding. The objective of this study was to evaluate the safety and necessity of antiplatelet therapy on patients with Stanford Type B aortic dissection (TBAD) who underwent endovascular aortic repair (EVAR).

Methods: The present study retrospectively analyzed 388 patients with TBAD who underwent EVAR and coronary angiography. Read More

Sci Rep 2017 Sep 21;7(1):12127. Epub 2017 Sep 21.

Department of Clinical Chemistry, Fimlab Laboratories and Finnish Cardiovascular Research Center Tampere, Faculty of Medicine and Life Sciences, University of Tampere, Tampere, Finland.

Ascending thoracic aortic aneurysm (ATAA) is a multifactorial disease with a strong inflammatory component. Surgery is often required to prevent aortic rupture and dissection. We performed gene expression analysis (Illumina HumanHT-12 version 3 Expression BeadChip) for 32 samples from ATAA (26 without/6 with dissection), and 28 left internal thoracic arteries (controls) collected in Tampere Vascular study. Read More

Ann Thorac Surg 2017 Oct;104(4):e351-e353

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

In operations for acute type A aortic dissection with open technique in elderly patients and patients with long-term treatment of anticoagulation, the transverse pericardial sinus was routinely closed before the graft implantation. With the aid of both a bovine pericardial patch covering the pericardial recess between the superior caval vein and the pulmonary artery and an opening in the left inner side of the superior caval vein, this prophylactic transverse pericardial sinus closure could make autotransfusion of blood loss into the central venous system possible to deal with the diffuse oozing from the suture line. Read More

Ann Thorac Surg 2017 Oct;104(4):e347

Department of Cardiothoracic Surgery, Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, New York.

Ann Thorac Surg 2017 Oct;104(4):e321-e322

Cardiac Surgery Department, Papworth Hospital NHS Foundation Trust, Papworth Everard, Cambridge, United Kingdom.

Cardiac failure may occur after repair of type A aortic dissections and contributes significantly to mortality. The use of an intraaortic balloon pump (IABP) for circulatory support in these patients is traditionally considered contraindicated because of concerns over extension of the residual dissection flap or aortic rupture. We propose that the use of an IABP may be appropriate and safe to improve cardiac function in patients after type A dissection repair. Read More

Gen Thorac Cardiovasc Surg 2017 Sep 20. Epub 2017 Sep 20.

Department of Cardiovascular and Thoracic Surgery, Hokkaido University Graduate School of Medicine, Sapporo, Japan.

Objective: Operative mortality and morbidity after thoracoabdominal aortic surgery remain high. We report our strategy and outcomes, especially those of spinal cord protection.

Methods: Outcomes of 178 patients (age: 26-88 years) who underwent thoracoabdominal aortic replacement were retrospectively analyzed. Read More

J Thorac Dis 2017 Aug;9(8):2491-2497

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

Background: Although bovine serum albumin-glutaraldehyde glue (BioGlue®) has been successfully used as a hemostatic adjunct in aortic surgical procedures, there are reports that it may lead to anastomotic pseudoaneurysm formation. We seek to examine if the use of BioGlue is associated with a high incidence of anastomotic pseudoaneurysm formation following surgical repair of thoracic aortic disease.

Methods: We reviewed the medical records and follow-up computed tomography (CT) scans of patients from 2001 to 2015 in whom BioGlue was used during surgical repair of thoracic aortic disease to detect postoperative anastomotic pseudoaneurysm formation. Read More

J Thorac Dis 2017 Aug;9(8):2404-2412

Division of Cardiovascular Surgery, Cardiovascular Hospital, Severance Hospital, Yonsei University College of Medicine, Seoul, South Korea.

Background: Spinal cord injury (SCI) is reported to occur in 3-12% of thoracic endovascular aortic repair (TEVAR) cases, but is a potentially preventable complication of TEVAR for thoracoabdominal pathologies. Although many strategies have been devised to reduce the incidence of SCI, the effectiveness of prophylactic cerebrospinal fluid drainage (CSFD) and left subclavian artery (LSA) revascularization remains controversial.

Methods: From 2012 to 2014, 162 patients underwent TEVAR at a single institution. Read More

J Thorac Dis 2017 Aug;9(8):2214-2216

Division of Vascular Medicine, Department of Cardiovascular Surgery, Kawasaki Aortic Center, Kawasaki Saiwai Hospital, Kawasaki city, Japan.

Interv Med Appl Sci 2017 Jun;9(2):56-60

Department of Anesthesiology and Pain Medicine, Hasheminejad Hospital, Iran University of Medical Sciences, Tehran, Iran.

Background: Dissection of aorta is a rare, but fatal complication of aortic cannulation in cardiac surgery can be caused by the sudden rise in blood pressure and hemodynamic variations.

Methods: In this study, 90 patients aged 18 years or older undergoing cardiac surgery were divided into two equal groups. Under similar conditions, trial group received 1. Read More

J Med Case Rep 2017 Sep 21;11(1):268. Epub 2017 Sep 21.

Department of Emergency and Critical Care Medicine, Ohta Nishinouchi Hospital, 2-5-20 Nishinouchi, Koriyama, Fukushima, 963-8558, Japan.

Background: Clostridium septicum-infected aortic aneurysm is a fatal and rare disease. We present a fatal case of C. septicum-infected aortic aneurysm and a pertinent literature review with treatment suggestions for reducing mortality rates. Read More

Medicine (Baltimore) 2017 Sep;96(38):e8098

aDepartment of Cardiology, Gansu Provincial Hospital bSchool of Clinical Medicine, Gansu University of Chinese Medicine, Lanzhou cDepartment of Intensive Care, Minhang Hospital, Fudan University, Shanghai dDepartment of Cardiology, the First Affiliated Hospital, Nanjing Medical University, Nanjing, China.

Rationale: Prominent J waves can be seen in life-threatening cardiac arrhythmias such as Brugada syndrome, early repolarization syndrome, and ventricular fibrillation. We herein present an unusual case report of hypokalemia-induced J wave syndrome and ST (a part of ECG) segment elevation.

Patients Concerns: A 52-year-old woman with chief complaints of chest pain for 2 hours and diarrhea showed a marked hypokalemia (2. Read More

J Cardiothorac Vasc Anesth 2017 Jun 7. Epub 2017 Jun 7.

Cardiovascular and Thoracic Section, Department of Anesthesiology and Critical Care, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA. Electronic address:

The functional aortic annulus offers a clinical approach for the perioperative echocardiographer to classify the mechanisms of aortic regurgitation in acute type-A dissection. Comprehensive examination of the functional aortic annulus in this setting using transesophageal echocardiography can guide surgical therapy for the aortic root by considering the following important aspects: severity and mechanism of aortic regurgitation, extent of root dissection, and the pattern of coronary artery involvement. The final choice of surgical therapy also should take into account factors, such as patient presentation and surgical experience, to limit mortality and morbidity from this challenging acute aortic syndrome. Read More

Eur J Vasc Endovasc Surg 2017 Sep 16. Epub 2017 Sep 16.

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

Am Fam Physician 2017 Sep;96(5):306-312

Uniformed Services University of the Health Sciences, Bethesda, MD, USA.

Pleuritic chest pain is characterized by sudden and intense sharp, stabbing, or burning pain in the chest when inhaling and exhaling. Pulmonary embolism is the most common serious cause, found in 5% to 21% of patients who present to an emergency department with pleuritic chest pain. A validated clinical decision rule for pulmonary embolism should be employed to guide the use of additional tests such as d-dimer assays, ventilation-perfusion scans, or computed tomography angiography. Read More

J Ovarian Res 2017 Sep 18;10(1):63. Epub 2017 Sep 18.

Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Peking Union Medical College & Chinese Academy of Medical Sciences, 1 Shuai Fu Yuan, Dong Cheng District, Beijing, 100730, People's Republic of China.

Background: This study aimed to identify the clinical and pathological characteristics and the possible prognostic factors for Chinese patients with early-stage ovarian endometrioid carcinoma.

Methods: The present study reviewed the medical records of patients who received initial treatment and a postoperative pathological diagnosis of ovarian endometrioid carcinoma at our center. In all, 78 patients had stage I ovarian endometrioid carcinoma. Read More

J Surg Oncol 2017 Sep 18. Epub 2017 Sep 18.

Department of Cardiologic, Thoracic, and Vascular Sciences, Thoracic Surgery Unit, University of Padova, Padova, Italy.

Background: Few investigators have described en bloc resection of non-small cell lung cancer (NSCLC) invading the aorta.

Aim Of Study: Analysis of outcome and prognostic factors for en bloc resections of NSCLC invading the aorta.

Methods: Thirty-five patients (27 males, 8 females; mean age 63 ± 8. Read More

Anesth Pain Med 2017 Feb 14;7(1):e35254. Epub 2016 Dec 14.

MD, Cardiac Surgery Department, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Introduction: Aortic dissection is a life threatening disease and is usually accompanied by a high rate of mortality and morbidity. Here we present a case report in which intraoperative tranesophageal echocardiography was used for intraoperative assessments of thoracic aortic dissection due to cocaine abuse.

Case Presentation: A 45- year- old male was admitted to a university hospital due to severe chest pain. Read More

Gynecol Oncol 2017 Sep 14. Epub 2017 Sep 14.

Department of Gynecologic Oncology, Centre de Lutte Contre le Cancer Oscar Lambret, 3 rue Combemale, 59020 Lille Cedex, France. Electronic address:

Background: Extended-field chemoradiation therapy is usually performed in patients with locally advanced cervical cancer (LACC) and paraaortic (PA) node metastases. Considering the very low rate of skip metastases above inferior mesenteric artery, ilio-inframesenteric paraaortic lymph node dissection (IM-PALND) seems to be an adequate pattern of PALND. Our objective was to assess the accuracy of this management to determine PA nodal status in comparison with infrarenal paraaortic lymphadenectomy (IR-PALND) in case of squamous or glandular cervical cancer. Read More

J Thorac Cardiovasc Surg 2017 Aug 30. Epub 2017 Aug 30.

Section of Pediatric Cardiovascular Surgery, Department of Cardiac Surgery, University of Michigan, Ann Arbor, Mich. Electronic address:

J Thorac Cardiovasc Surg 2017 Oct;154(4):1222-1223

Cardiology and Aortic Centre, The Royal Brompton and Harefield NHS Foundation Trust, London, United Kingdom.

J Thorac Cardiovasc Surg 2017 Oct;154(4):1221-1222

Division of Cardiovascular Surgery, University of Pennsylvania, Philadelphia, Pa.

J Thorac Cardiovasc Surg 2017 Oct;154(4):1220-1221

Graduate Institute of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan; Division of Cardiovascular Surgery, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan; Sin-Lau Christian Hospital, Tainan, Taiwan.

Gen Thorac Cardiovasc Surg 2017 Sep 16. Epub 2017 Sep 16.

The Cardiovascular Institute, 3-2-19 Nishiazabu, Minato-Ku, Tokyo, 106-0031, Japan.

The two major valve-sparing root replacement procedures, aortic valve reimplantation (reimplantation) and aortic root remodeling (remodeling), have advantages and disadvantages, which are reviewed herein. The main advantage of reimplantation is the resulting annular support, and the disadvantages are the unfavorable hemodynamics and relatively long procedure time. The main advantages of remodeling are the physiological hemodynamics and decreased procedure time, and the disadvantage is the lack of annular support. Read More

J Thorac Cardiovasc Surg 2017 Aug 24. Epub 2017 Aug 24.

Radiology Department, CHU Rangueil, Toulouse, France.

J Thorac Cardiovasc Surg 2017 Aug 24. Epub 2017 Aug 24.

Department of Cardiac Surgery, Montreal Heart Institute-Université de Montréal, Montréal, Québec, Canada. Electronic address:

Stem Cell Res Ther 2017 Sep 15;8(1):194. Epub 2017 Sep 15.

Department of Cardiovascular Surgery & Institute of Cardiovascular Science, First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China.

Over the past years, vascular diseases have continued to threaten human health and increase financial burdens worldwide. Transplantation of allogeneic and autologous blood vessels is the most convenient treatment. However, it could not be applied generally due to the scarcity of donors and the patient's condition. Read More

Oncotarget 2017 Aug 17;8(34):57594-57604. Epub 2017 Mar 17.

Department of Internal Medicine, Division of Cardiology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University, College of Medicine, Kaohsiung, Taiwan.

Although cardiovascular complications are the most common cause of death in patients with autosomal-dominant polycystic kidney disease (ADPKD), the incidence and risk of aortic aneurysm and dissection (AAD) in ADPKD remains unclear due to limited data and insufficient cases. We utilized the data from Taiwan National Health Insurance Research Database (NHIRD) to do a population-based cohort study (1997-2008). After excluding those patients with age <18 years old and initially concomitant diagnoses of end-stage renal disease and AAD, a total of 2076 ADPKD patients were selected from 1,000,000 of general population. Read More

Turk J Obstet Gynecol 2016 Dec 15;13(4):212-214. Epub 2016 Dec 15.

Ordu State Hospital, Clinic of Cardiovascular Surgery, Ordu, Turkey.

Aortic dissection can occur in pregnancy or during the postpartum period without pre-existing disease and it is a rare but potentially life-threatening event. Herein, we present a young woman without Marfan's syndrome who developed a postpartum ascending aortic dissection 5 days after cesarean section. Read More

Arterioscler Thromb Vasc Biol 2017 Sep 14. Epub 2017 Sep 14.

From the Division of Cardiovascular Medicine, University of Cambridge, UK (F.L., M.C., J.R., M.P., L.M., A.F., Z.M.); Institut National de la Santé et de la Recherche Médicale, Paris Cardiovascular Research Center, France (B.E., M.V., S.T., Z.M.); Institute of Bioengineering, Ecole Polytechnique Fédérale de Lausanne, Switzerland (S.P., N.S., B.T.); and IBiTech-bioMMeda, Ghent University, Belgium (N.S., B.T.).

Objective: Current experimental models of abdominal aortic aneurysm (AAA) do not accurately reproduce the major features of human AAA. We hypothesized that blockade of TGFβ (transforming growth factor-β) activity-a guardian of vascular integrity and immune homeostasis-would impair vascular healing in models of nondissecting AAA and would lead to sustained aneurysmal growth until rupture.

Approach And Results: Here, we test this hypothesis in the elastase-induced AAA model in mice. Read More

J Vasc Surg 2017 Sep 11. Epub 2017 Sep 11.

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

Background: Patients with medically managed type B aortic dissection (TBAD) have a high incidence of aorta-related complications over time. Whereas early thoracic endovascular aortic repair (TEVAR) to seal the entry tear can promote aortic remodeling and prevent late aneurysm formation, there are sparse data as to which patients will benefit from such therapy. The goal of this study was to identify clinical and anatomic factors that are associated with the need for subsequent aortic intervention in patients who present with uncomplicated TBAD. Read More

Cardiovasc Pathol 2017 Aug 9;31:41-46. Epub 2017 Aug 9.

Department of Pathology, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan. Electronic address:

Fibromuscular dysplasia (FMD) is an idiopathic, segmental, nonatherosclerotic, non-inflammatory vascular disease, which is often complicated by the occurrence of dissection. Although it is known to occur in all arteries, aortic involvement is relatively rare. To date, 33 cases of aortic FMD have been reported in available English literature, among which only three cases have been complicated by the occurrence of dissection. Read More

Cardiovasc J Afr 2017 Jul 23;28(4):e6-e8. Epub 2017 Jul 23.

Department of Radiology, Faculty of Medicine, Sakarya University, Sakarya, Turkey.

Giant aortic aneurysm is defined as an aneurysm of the aorta of greater than 10 cm in diameter. This rare condition is associated with a high risk of morbidity and mortality and it may lead to fatal complications such as rupture and/or dissection if not managed with proper surgical planning and expertise. Other than atherosclerosis, the main causes of giant ascending aortic aneurysms include Marfan and Ehlers-Danhlos syndromes. Read More

Asian Cardiovasc Thorac Ann 2017 Jan 1:218492317732675. Epub 2017 Jan 1.

Department of Cardiac Surgery, Lens Hospital and Bois Bernard Private Hospital, Ramsay Générale de Santé, Lens, France.

Objective Axillary artery cannulation is still regarded with distrust by surgeons because the artery is supposed to be fragile, difficult to access, and its cannulation is often considered time-consuming. This study was carried out to assess our results in a series of patients, using a simplified surgical approach to axillary artery cannulation. Methods Data were collected retrospectively from our prospective database. Read More

J Am Heart Assoc 2017 Sep 13;6(9). Epub 2017 Sep 13.

Department of Cardiothoracic Surgery, Weill Cornell Medicine, New York, NY.

Background: Thoracic endovascular aortic repair is characterized by a substantial need for reintervention. Secondary open aortic procedure becomes necessary when further endoluminal options are exhausted. This synopsis and quantitative analysis of available evidence aims to overcome the limitations of institutional cohort reports on secondary open aortic procedure. Read More

Angiol Sosud Khir 2017 ;23(3):121-132

Federal Centre of Cardiovascular Surgery under the RF Ministry of Public Health, Penza, Russia.

Objective: The purpose of the study was to evaluate the influence of endoprosthetic repair of the aortic thoracic portion on remodelling of the descending aorta in patients after the surgical stage of correction for DeBakey type I aortic dissection.

Patients And Methods: The authors retrospectively analysed a group of 12 patients (9 men and 3 women) subjected to endoprosthetic repair of the aortic thoracic portion after previously performed surgical correction of the ascending aorta and its braches. The average age of the patients amounted to 48 (43-56. Read More

J Cardiovasc Med (Hagerstown) 2017 Sep 11. Epub 2017 Sep 11.

aCardiac Surgery Unit bRadiology Unit, Cardio-Thoraco-Vascular Department, Policlinico Sant'Orsola, University of Bologna, Bologna, Italy.

: Aneurysms of the descending thoracic and thoracoabdominal aorta are life-threatening conditions. All aneurysms which have not yet had an indication for the treatment need regular follow-up to prevent rupture or dissection. We present a case of a patient with a giant aneurysm of the thoracoabdominal aorta who was denied both surgery and endovascular treatment. Read More

Mol Med Rep 2017 Aug 31. Epub 2017 Aug 31.

Department of Vascular Surgery, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing, Jiangsu 210008, P.R. China.

The etiology of thoracic aortic aneurysm and dissection (TAAD) is complex and heterogeneous. Emerging evidence has demonstrated that genetic causes may be a consideration in early‑onset TAAD. Owing to overlapping clinical phenotypes and the genetic heterogeneity of TAAD, it is challenging for clinicians to make a molecular diagnosis of TAAD, particularly in those who present with non‑specific syndromic features. Read More

Cardiovasc Res 2017 Aug;113(10):1230-1242

IBiTech-bioMMeda, Ghent University-iMinds Medical IT, De Pintelaan 185 Blok B, 9000 Ghent, Belgium.

Aims: Angiotensin II-infused ApoE-/- mice are a popular mouse model for preclinical aneurysm research. Here, we provide insight in the often-reported but seldom-explained variability in shape of dissecting aneurysms in these mice.

Methods And Results: N = 45 excised aortas were scanned ex vivo with phase-contrast X-ray tomographic microscopy. Read More

Transplant Direct 2017 Sep 9;3(9):e202. Epub 2017 Aug 9.

Department of Nephrology, Institute of Transplantation, Urology and Nephrology, Nantes University Hospital, Nantes, France.

We report the case of a patient with long-term history of hypertension, presenting with transient neurological disorders and severe graft failure several years after kidney transplantation. Cause of end-stage renal disease was hypertensive nephrosclerosis. Chronic hemodialysis lasted for 1 year. Read More

Kyobu Geka 2017 Sep;70(10):855-858

Department of Cardiovascular Surgery, International Medical Center, Saitama Medical University, Saitama, Japan.

A 62-years-old female had undergone ascending aortic replacement with homograft for graft infection and mediastinitis after initial replacement of ascending aorta due to acute type A dissection. Ten years after homograft replacement, follow up computed tomography showed acute growing saccular aneurysm of the homograft without infectious symptoms. We urgently performed Bentall procedure and hemiarch replacement successfully. Read More

Kyobu Geka 2017 Sep;70(10):837-841

Department of Cardiovascular Surgery, Nagasaki Harbor Medical Center, Nagasaki, Japan.

A 68-year-old woman underwent replacement of the ascending aorta for acute type A aortic dissection. She was then diagnosed with postoperative methicillin-resistant Staphylococcus aureus (MRSA) infection, and the infected aortic graft was replaced with a rifampicin-soaked vascular prosthesis, which was followed by continuous irrigation using a 0.1% povidone-iodine solution. Read More

Med Eng Phys 2017 Sep 7. Epub 2017 Sep 7.

Department of Vascular and Endovascular Surgery, Chinese PLA General Hospital, Beijing 100853, China. Electronic address:

Thoracic endovascular aortic repair (TEVAR) is commonly applied in type-B aortic dissection. For patients with dissection affects descending aorta and extends downward to involve abdominal aorta and possibly iliac arteries, false lumen (FL) expansion might occur post-TEVAR. Predictions of dissection development may assist in medical decision on re-intervention or surgery. Read More