14,187 results match your criteria subclavian artery


Republished: Manual reduction of a radial artery loop under direct fluoroscopic visualization.

J Neurointerv Surg 2021 Oct 14. Epub 2021 Oct 14.

Department of Neurological Surgery, University of Miami School of Medicine, Miami, Florida, USA.

Transradial access has become increasingly used in neurointerventions because it reduces access site complications. However, radial artery anomalies can be difficult to navigate, often necessitating conversion to femoral access. We describe the case of a female patient in her early 70 s who underwent preoperative embolization of a carotid body tumor via right transradial access. Read More

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October 2021

The use of 4-dimensional magnetic resonance angiography as a noninvasive procedure to diagnose subclavian steal syndrome in a dog.

J Am Vet Med Assoc 2021 Nov;259(9):1040-1042

Case Description: A 5-year-old 4.1-kg (9.0-lb) spayed female Toy Poodle was referred because of a 6-month history of sporadic signs of neck pain. Read More

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November 2021

Giant Cell Arteritis as an Uncommon Cause of Chronic Cough: A Case Report.

Am J Case Rep 2021 Oct 14;22:e932945. Epub 2021 Oct 14.

Department of Pulmonary Medicine, The University of Texas M.D. Anderson Cancer Center, Houston, TX, USA.

BACKGROUND Chronic cough is a common medical concern. Giant cell arteritis (GCA) is an uncommon cause of chronic cough and is not usually suspected since symptoms can be non-specific. We present a case of chronic cough due to GCA in which symptoms were subtle but imaging was remarkable and clearly disclosed the diagnosis. Read More

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October 2021

Actual incidence of cerebral infarction after thoracic endovascular aortic repair: a magnetic resonance imaging study.

Interact Cardiovasc Thorac Surg 2021 Oct 11. Epub 2021 Oct 11.

Department of Cardiovascular Surgery, Saiseikai Yokohamashi Tobu Hospital, Kanagawa, Japan.

Objectives: The actual incidence of cerebral infarction (CI), including asymptomatic infarction, owing to thoracic endovascular aortic repair (TEVAR) has not been reported in detail. This study was performed to investigate the incidence of post-TEVAR CI by using diffusion-weighted magnetic resonance imaging (DW-MRI) and to determine the risk factors for both symptomatic and asymptomatic CI.

Methods: We examined 64 patients undergoing TEVAR at our institute between April 2017 and November 2020. Read More

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October 2021

Long-term outcomes in children undergoing vascular ring division: a multi-institution experience.

Eur J Cardiothorac Surg 2021 Oct 11. Epub 2021 Oct 11.

Department of Cardiothoracic Surgery, Children's Hospital of Nanjing Medical University, Nanjing, China.

Objectives: Vascular rings are rare anomalies of congenital heart disease that cause respiratory and gastrointestinal symptoms. This study assessed the long-term outcomes of patients with vascular ring division.

Methods: A multi-institution retrospective review of 371 patients with vascular rings undergoing surgical division at 3 paediatric cardiac institutions between November 2007 and October 2019 was performed. Read More

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October 2021

Arteria lusoria: A rare cause of chronic dysphagia.

Clin Case Rep 2021 Oct 4;9(10):e04895. Epub 2021 Oct 4.

Department of Gastroenterology University Hospital Joseph Raseta Befelatanana Antananarivo Madagascar.

Arteria lusoria is a rare cause of dysphagia in which dysphagia due to esophageal compression. The upper GI endoscopy does not bring significant element that can orient the diagnosis. The injected thoracic CT scan remains the key examination for the diagnosis of dysphagia lusoria and to characterize the defective artery. Read More

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October 2021

Pleural Approach to Aberrant Right Subclavian Artery in Aortic Surgery.

Ann Vasc Dis 2021 Sep;14(3):249-251

Department of Cardiovascular Surgery, Kyushu University, Fukuoka, Fukuoka, Japan.

An aberrant right subclavian artery usually arises from the aortic arch just distal to the left subclavian artery and crosses behind the esophagus on its way to the right axillary artery. Several reconstructive techniques of this artery in aortic surgery have been reported but mostly resulted in troublesome procedures. Here, we describe an alternative strategy presenting the occlusion of the aberrant right subclavian artery through the right pleural approach followed via extraanatomical axillary artery bypass. Read More

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September 2021

Subclavian steal syndrome associated with Sjogren's syndrome: A case report.

World J Clin Cases 2021 Sep;9(27):8171-8176

Department of Cardiology, Sir Run Run Hospital, Nanjing Medical University, Nanjing 211166, Jiangsu Province, China.

Background: Subclavian steal syndrome (SSS) caused by Sjogren's syndrome is rare, especially for elderly patients with risk factors for atherosclerosis. The current report presents the uncommon etiology and treatment of SSS, aiming to improve doctor's clinical experience.

Case Summary: A 69-year-old man was diagnosed with hypertension and acute cerebral infarction presenting with left upper limb weakness and pain even gradually aggravating to left limb hemiplegia 30 years ago. Read More

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September 2021

Isolated Coarctation Repair in Neonates and Infants Through Left Thoracotomy: Short-Term Outcomes.

Braz J Cardiovasc Surg 2021 08 6;36(4):461-467. Epub 2021 Aug 6.

Pediatric Cardiology and Cardiovascular Surgery Department, Serviço de Cardiologia e Cirurgia Cardiovascular Pediátrica de São José do Rio Preto, Hospital da Criança e Maternidade de São José do Rio Preto, Fundação Faculdade Regional de Medicina de São José do Rio Preto (FUNFARME) and Faculdade de Medicina de São José do Rio Preto (FAMERP), São José do Rio Preto, São Paulo, Brazil.

Introduction: End-to-end anastomosis and extended end-to-end anastomosis are typically used as surgical approaches to coarctation of the aorta (CoAo) with access at the subclavian artery or an interposition graft. The objective of this study is to analyze the impact of surgical and anatomical characteristics and techniques on early outcomes after surgical treatment of CoAo without cardiopulmonary bypass through left thoracotomy.

Methods: This is a quantitative, observational, and cross-sectional analysis of patients who underwent repair of CoAo between July 1, 2010 and December 31, 2017. Read More

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Msx1 haploinsufficiency modifies the Pax9-deficient cardiovascular phenotype.

BMC Dev Biol 2021 Oct 6;21(1):14. Epub 2021 Oct 6.

Newcastle University Biosciences Institute, Centre for Life, Newcastle, NE1 3BZ, UK.

Background: Successful embryogenesis relies on the coordinated interaction between genes and tissues. The transcription factors Pax9 and Msx1 genetically interact during mouse craniofacial morphogenesis, and mice deficient for either gene display abnormal tooth and palate development. Pax9 is expressed specifically in the pharyngeal endoderm at mid-embryogenesis, and mice deficient for Pax9 on a C57Bl/6 genetic background also have cardiovascular defects affecting the outflow tract and aortic arch arteries giving double-outlet right ventricle, absent common carotid arteries and interruption of the aortic arch. Read More

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October 2021

Six Cases of Hemoptysis with Angiogenesis from Non-Bronchial Systemic Arteries.

Am J Case Rep 2021 Oct 5;22:e933187. Epub 2021 Oct 5.

Department of Respirology, Graduate School of Medicine, Chiba University, Chiba, Japan.

BACKGROUND Although bronchial arteries are the most common cause of hemoptysis, other systemic arteries can cause hemoptysis and are potential pitfalls for successful embolization. CASE REPORT We present 6 cases of hemoptysis showing vascularization from systemic arteries other than bronchial arteries that presented to our department between 2013 and 2020. Chronic inflammatory diseases such as tuberculosis and pulmonary aspergillosis were the underlying diseases in 4 of the 6 cases. Read More

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October 2021

Pseudoaneurysm After Distal Transradial Coronary Intervention Successfully Managed by Prolonged Pneumatic Compression: Simple Solution for a Rare and Challenging Problem.

J Invasive Cardiol 2021 Oct;33(10):E836-E838

Department of Interventional Cardiology, Hospital São Paulo, Escola Paulista de Medicina, UNIFESP. Napoleão de Barros, number 715 - Vila Clementino, São Paulo-SP, Brazil, 04024-002.

A 75-year-old woman with hypertension, hypothyroidism, and diabetes was referred to the catheterization laboratory due to non-ST segment elevation myocardial infarction. Urgent coronary angiography was uneventfully performed via right distal transradial access, despite lusoria subclavian artery. Left anterior descending artery was successfully treated by percutaneous coronary intervention with stenting. Read More

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October 2021

Long-term results of total endovascular repair of arch-involving aortic pathologies using parallel grafts for supra-aortic debranching.

J Vasc Surg 2021 Oct 2. Epub 2021 Oct 2.

Department of Vascular Surgery, University Hospital Zurich, Zurich, Switzerland.

Objective: We evaluated the long-term morphologic and clinical outcomes after thoracic endovascular aortic repair combined with parallel grafts (PG-TEVAR) for arch-involving aortic pathologies.

Methods: We performed a retrospective analysis of perioperative and follow-up data of patients who had undergone PG-TEVAR at a single vascular surgery center from November 2010 to April 2018. Patients with prior or simultaneous open chest or cervical debranching procedures or arch repair were excluded. Read More

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October 2021

Two-staged surgical treatment for Kommerell diverticulum with a right aortic arch and an aberrant left subclavian artery.

Gen Thorac Cardiovasc Surg 2021 Oct 4. Epub 2021 Oct 4.

Department of Cardiovascular Surgery, Fujita Health University, 1-98 Kutsukake-cho, Toyoake-shi, Aichi, 470-1192, Japan.

Kommerell diverticulum (KD) is an aneurysm of the orifice of an aberrant subclavian artery (SCA) from the descending aorta or aortic arch. We have performed two-staged surgical strategy for the treatment of KD with right aortic arch. The first step was the bypass grafting between the left common carotid artery and the aberrant left SCA with occlusion of the distal side of KD with the plug. Read More

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October 2021

Update on Trials & Devices for Endovascular Management of the Ascending Aorta and Arch.

Tech Vasc Interv Radiol 2021 Jun 26;24(2):100756. Epub 2021 Jul 26.

Department of Radiology, University of Michigan-Michigan Medicine, Ann Arbor, MI.

Thoracic endovascular aortic repair (TEVAR) may treat a variety of acute and chronic aortic diseases as described in several articles in this issue of TVIR. A major challenge to endovascular treatment in the thoracic aorta is disease involving or in close proximity to the aortic valve, coronary arteries, or aortic arch branch vessels. Disease involving the ascending aorta in particular has significant limitations based on its distance from the aortic root. Read More

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Dissection of the aberrant right subclavian artery: a very rare finding.

Br J Hosp Med (Lond) 2021 Sep 6;82(9). Epub 2021 Sep 6.

Department of Radiology, Ataturk University School of Medicine, Erzurum, Turkey.

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September 2021

[Dysphagia and Aspiration Pneumonia Caused by Kommerell's Diverticulum and the Vascular Ring Associated with Right-sided Aortic Arch:Report of a Case].

Kyobu Geka 2021 Oct;74(11):941-944

Department of Cardiovascular Surgery, Osaka City University, Osaka, Japan.

We report a case of an 80-year-old man complaining of dysphagia followed by aspiration pneumonia. Computed tomography of the chest revealed Kommerell's diverticulum associated with the right-sided aortic arch and the vascular ring which was formed by the aortic arch, the left subclavian artery, the ductus arteriosus, and the pulmonary artery around the esophagus and the trachea. Enlargement of the diverticulum was considered to be the cause of dysphagia. Read More

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October 2021

An adaptive optimal viewing angle determination algorithm for TEVAR operation.

BMC Med Imaging 2021 10 2;21(1):141. Epub 2021 Oct 2.

Laboratory of Image Science and Technology, Key Laboratory of Computer Network and Information Integration, School of Computer Science and Engineering, Southeast University, Nanjing, 210096, China.

Background: The determination of the right x-ray angiography viewing angle is an important issue during the treatment of thoracic endovascular aortic repair (TEVAR). An inaccurate projection angle (manually determined today by the physicians according to their personal experience) may affect the placement of the stent and cause vascular occlusion or endoleak.

Methods: Based on the acquisition of a computed tomography angiography (CTA) image before TEVAR, an adaptive optimization algorithm is proposed to determine the optimal viewing angle of the angiogram automatically. Read More

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October 2021

Prenatal Diagnosis of Vascular Ring: Evaluation of Fetal Diagnosis and Postnatal Outcomes.

J Am Soc Echocardiogr 2021 Sep 29. Epub 2021 Sep 29.

Department of Pediatrics, Division of Cardiology, The Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada; Department of Diagnostic Imaging, The Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada. Electronic address:

Background: The impact of fetal echocardiography on the diagnosis and outcomes of vascular ring has not been well examined. We hypothesized that prenatal detection of vascular ring has improved over time and that prenatal diagnosis of vascular ring is associated with earlier intervention and favorable outcomes.

Methods: This is a single-center, retrospective study of the evolution and outcomes of prenatal diagnosis of vascular ring from 2000 to 2020. Read More

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September 2021

Concomitant pulmonary embolism and upper limb ischaemia as a first presentation of a patent foramen ovale.

BMJ Case Rep 2021 Oct 1;14(10). Epub 2021 Oct 1.

Cardiology, Haaglanden Medical Center, location Westeinde, Den Haag, The Netherlands.

A 78-year-old female patient presented to the emergency department with syncope and dyspnoea. The left arm appeared to be cold and radial pulse was not palpable. A CT scan of the chest and left arm with intravenous contrast displayed bilateral central pulmonary embolisms in combination with a left subclavian artery embolism and an atrial septal aneurysm. Read More

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October 2021

Transcatheter aortic valve replacement via a transsubclavian approach in a patient with severe aortic stenosis who had previously undergone kidney transplantation: A case report.

Medicine (Baltimore) 2021 Oct;100(39):e27210

Department of Thoracic and Cardiovascular Surgery, Chonnam National University Hospital, Gwangju, Korea.

Rationale: Although the transfemoral approach is the gold standard for transcatheter aortic valve replacement (TAVR), it is not feasible in a considerable number of patients. We report a case of successful transsubclavian TAVR (TS-TAVR) in a patient with severe aortic stenosis (AS) who was ineligible for transfemoral TAVR because she was a kidney transplant recipient.

Patient Concerns: A 72-year-old Korean woman, who had previously undergone kidney transplantation in the right iliac fossa for end-stage kidney disease, was admitted to our center with dyspnea. Read More

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October 2021

A New Aortic Arch Dissection Classification: The Fuwai Classification.

Front Cardiovasc Med 2021 14;8:710281. Epub 2021 Sep 14.

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

We describe a new aortic arch dissection (AcD) classification, which we have called the Fuwai classification. We then compare the clinical characteristics and long-term prognoses of different classifications. All AcD patients who underwent surgical procedures at Fuwai Hospital from 2010 to 2015 were included in the study. Read More

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September 2021

Atypical Presentation of Descending Aortic Dissection in an Acute Heart Failure Patient.

Cureus 2021 Aug 24;13(8):e17414. Epub 2021 Aug 24.

Cardiology, Richmond University Medical Center, Staten Island, USA.

Aortic dissection is relatively uncommon, but often presents with acute severe chest or back pain and acute hemodynamic compromise and is associated with high mortality. We present a case of aortic dissection with an atypical presentation in a heart failure patient and the challenges encountered to make the diagnosis. The patient was a 54-year-old African American female who presented with progressively worsening exertional dyspnea and orthopnea for three days and sensation of indigestion and bloating. Read More

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Surgical strategies for severely atherosclerotic (porcelain) aorta during coronary artery bypass grafting.

Authors:
Gokce Sirin

World J Cardiol 2021 Aug;13(8):309-324

Department of Cardiovascular Surgery, Biruni University, Istanbul 34010, Turkey.

Porcelain aorta (PA) is an asymptomatic atherosclerotic disease, characterized by circumferential calcification throughout the whole perimeter of the aorta. It is seen in 2% to 9.3% of patients undergoing elective coronary artery bypass grafting (CABG) and makes manipulation of the ascending aorta impossible. Read More

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Finding the optimal access for proximal upper limb artery (PULA) interventions: Lessons learned from the PULA multicenter registry.

Catheter Cardiovasc Interv 2021 Sep 29. Epub 2021 Sep 29.

Bács-Kiskun County Hospital, Invasive Cardiology Department, Teaching Hospital of the Szent-Györgyi Albert Medical University, Kecskemét, Hungary.

Objective: The multicenter proximal upper limb artery (PULA) Registry was created to study the optimal puncture sites for the interventions involving the subclavian, axillary, and innominate arteries.

Background: Little is known about the optimal vascular access for PULA interventions, despite the well-known technical complexity of these procedures.

Methods: We performed the retrospective analysis of consecutive patients treated for symptomatic steno-occlusive disease of the proximal upper limb arteries between January 2015 and December 2019 in three high-volume centers. Read More

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September 2021

Manual reduction of a radial artery loop under direct fluoroscopic visualization.

BMJ Case Rep 2021 Sep 28;14(9):1-4. Epub 2021 Sep 28.

Neurological Surgery, University of Miami, Miami, Florida, USA.

Transradial access (TRA) has become increasingly utilized in neurointerventions because it reduces access site complications. However, radial artery anomalies can be difficult to navigate, often necessitating conversion to femoral access. We describe the case of a female patient in her early 70s who underwent preoperative embolization of a carotid body tumor via right TRA. Read More

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September 2021

Frozen Elephant Trunk for Acute type A Aortic Dissection with Aberrant Right subclavian artery: kill two birds with one stone?

Authors:
Luca Di Marco

Ann Thorac Surg 2021 Sep 25. Epub 2021 Sep 25.

Cardiac Surgery Unit, Cardio-Thoracic-Vascular Department, S. Orsola Hospital, University of Bologna, Via Massarenti, 9 40138 Bologna, Italy.

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September 2021

Anatomical reasons for failure of dual-filter cerebral embolic protection application in TAVR: A CT-based analysis.

J Card Surg 2021 Sep 27. Epub 2021 Sep 27.

Department of Cardiovascular Surgery, German Heart Centre Munich, Technical University Munich, Munich, Germany.

Background: The dual-filter Sentinel™ Cerebral Protection System (Sentinel-CPS) is increasingly used during transcatheter aortic valve replacement (TAVR). However, complex vascular anatomy may challenge Sentinel-CPS deployment.

Aim Of The Study: We sought to investigate the impact of anatomic features of the aortic arch and the supra-aortic arteries on technical device failure of Sentinel-CPS application. Read More

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September 2021

Hybrid Procedure for Coexistence of Coarctation of the Aorta and Aberrant Right Subclavian Artery: A Case Report and Review of the Literature.

Vasc Endovascular Surg 2021 Sep 25:15385744211048309. Epub 2021 Sep 25.

61188Centro Medico ABC, Ciudad de Mexico, Mexico.

Coarctation of the aorta (CoA) can either present alone as an isolated condition or in association with other aortic arch or cardiac anomalies. One percent of patients with CoA have concomitant an aberrant right subclavian artery (ARSA). We report the case of a 35-year-old woman with uncontrolled hypertension who was found to have CoA and ARSA. Read More

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September 2021