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Aorta (Stamford, Conn.)

Hatem Mowafy, Scott Lilly, David A Orsinelli, Gregory Rushing, Juan Crestanello, Konstantinos Dean Boudoulas
BACKGROUND:  Floppy mitral valve/mitral valve prolapse (FMV/MVP), a heritable disorder of connective tissue, often leads to mitral regurgitation (MR) and is the most common cause for mitral valve surgery in developed countries. Connective tissue disorders may affect aortic function, and a stiff aorta may increase the severity of MR. Aortic function, however, has not been studied in FMV/MVP with MR. METHODS:  A total of 17 patients (11 men, 6 women) with FMV/MVP and significant MR were compared with 20 controls matched for age and gender...
September 12, 2018: Aorta (Stamford, Conn.)
Imad Tabry, Michael Rush
Despite initial technical success in the treatment of coarctation of aorta, late recurrence and/or development of aneurysms and pseudoaneurysms frequently prompt reintervention. The authors hereby present such a patient whose management required more than a single intervention to treat his complex anatomy, and they discuss the therapeutic alternatives under similar circumstances.
September 12, 2018: Aorta (Stamford, Conn.)
(no author information available yet)
No abstract text is available yet for this article.
February 2018: Aorta (Stamford, Conn.)
Anneke Damberg
No abstract text is available yet for this article.
February 2018: Aorta (Stamford, Conn.)
Ioannis Dimarakis, Isaac Kadir
The Cabrol aortic root replacement with subsequent modifications remains an extremely useful technique within the armamentarium of the aortic surgeon. The technical considerations detailed here allow for the uncompromised creation of a hemi-Cabrol anastomosis in complex aortic reconstructions.
February 2018: Aorta (Stamford, Conn.)
Umberto G Rossi, Pierluca Torcia, Gian Andrea Rollandi, Maurizio Cariati
This report describes a case of elderly patient with right iliac artery fissured pseudoaneurysm, leading to inferior vena cava arteriovenous fistula that was treated by covered stent device deployed at the level of the right iliac pathologic segment.
February 2018: Aorta (Stamford, Conn.)
Murat Ugurlucan, Yilmaz Onal, Omer Ali Sayin, Feza Ekiz, Didem Melis Oztas, Murat Basaran, Bulent Acunas, Ufuk Alpagut
Marfan syndrome is an inherited connective tissue disorder affecting mainly eyes and skeletal and cardiovascular systems. Cardiovascular involvement may lead to life-threatening aortic pathologies including aneurysms and/or dissections. In this report, the authors present images of a patient with Marfan syndrome with a history of Bentall-De Bono procedure followed by aortic arch and infrarenal aortoiliac replacements who strongly refused conventional open repair and underwent abdominal debranching followed by thoracoabdominal endovascular stent grafting for the treatment of thoracoabdominal aneurysm...
February 2018: Aorta (Stamford, Conn.)
Murat Ugurlucan, Nihat Aksakal, Yilmaz Onal, Didem Melis Oztas, Ufuk Alpagut
Chronic atherosclerotic mesenteric ischemia is a debilitating disorder. It may cause postprandial abdominal pain leading to severe weight loss. Patients are usually emotionally affected with major depression. The disease can be treated with open surgical and endovascular techniques and both methods have individual risks and benefits. In this report, the authors present anatomical revascularization of the superior mesenteric artery and the celiac trunk.
February 2018: Aorta (Stamford, Conn.)
Maude Cameron-Gagné, Luc Bédard, Valérie Lafrenière-Bessi, Marie-Hélène Lévesque, François Dagenais, Stéphan Langevin, Maxime Laflamme, Pierre Voisine, Frédéric Jacques
The authors report the case of a patient developing a gluteal compartment syndrome after DeBakey type I dissection repair. Prompt recognition and treatment led to successful results. The surgical approach to the gluteal compartment is described.
February 2018: Aorta (Stamford, Conn.)
Fabio Ramponi, Theone Papps, James Edwards
Patients presenting with acute onset of chest pain require prompt diagnosis and rapid establishment of a management plan. Acute aortic dissection and acute pulmonary embolism are life-threatening emergencies that can mimic each other at presentation. Correct identification of this uncommon scenario is crucial to initiate the appropriate interventions. The authors present a unique case of concomitant acute type A aortic dissection and acute saddle pulmonary embolism; the patient underwent successful aortic repair and pulmonary embolectomy...
February 2018: Aorta (Stamford, Conn.)
Spyridon N Vasdekis, Sotiria Mastoraki, Andreas Lazaris, Konstantinos G Moulakakis
Acute thrombosis of an abdominal aortic aneurysm (AAA) is a rare and often devastating complication with high morbidity and mortality. In some cases, however, it may be associated with a silent course without signs of acute limb ischemia. The aim of this report is to describe an unusual case of acute thrombosis of AAA without signs of acute limb ischemia. Preoperative anxiety, stress, and phobia for surgery may be factors predisposing to acute thrombosis of an AAA.
February 2018: Aorta (Stamford, Conn.)
Mariano Camporrotondo, Paz Ricapito, Juan Carlos Espinoza, Fernando Piccinini, Mariano Vrancic, Gustavo Avegliano, Daniel Navia
The authors present the case of a 26-year-old patient suffering from dysphagia because of compression by a Kommerell diverticulum in right aortic arch anomaly. Open surgical arch and descending aorta replacement with left heart bypass without left subclavian artery reimplantation was performed.
February 2018: Aorta (Stamford, Conn.)
Claudio Bianchini Massoni, Matteo Azzarone, Danilo Barbarisi, Paolo Perini, Antonio Freyrie
A 90-year-old male developed acute onset of abdominal and lumbar pain due to the rupture of an 11-cm abdominal aortic aneurysm. A congenital fused pelvic kidney perfused by three renal arteries arising from iliac axes was detected. In an emergent setting, an aorto-uni-iliac endograft was deployed through right femoral surgical access with occlusion of the upper right renal artery. An occluder device was placed in the common iliac artery above the renal artery through left femoral access. A femorofemoral crossover bypass completed the procedure...
February 2018: Aorta (Stamford, Conn.)
Adam J Brownstein, Valentyna Kostiuk, Bulat A Ziganshin, Mohammad A Zafar, Helena Kuivaniemi, Simon C Body, Allen E Bale, John A Elefteriades
Thoracic aortic aneurysms, with an estimated prevalence in the general population of 1%, are potentially lethal, via rupture or dissection. Over the prior two decades, there has been an exponential increase in our understanding of the genetics of thoracic aortic aneurysm and/or dissection (TAAD). To date, 30 genes have been shown to be associated with the development of TAAD and ∼30% of individuals with nonsyndromic familial TAAD have a pathogenic mutation in one of these genes. This review represents the authors' yearly update summarizing the genes associated with TAAD, including implications for the surgical treatment of TAAD...
February 2018: Aorta (Stamford, Conn.)
Adeline Boileau, Mark E Lindsay, Jean-Baptiste Michel, Yvan Devaux
Thoracic aortic aneurysm (TAA) is an asymptomatic and progressive dilatation of the thoracic aorta. Ascending aortic dissection (AAD) is an acute intraparietal tear, occurring or not on a pre-existing dilatation. AAD is a condition associated with a poor prognosis and a high mortality rate. TAA and AAD share common etiology as monogenic diseases linked to transforming growth factor β signaling pathway, extracellular matrix defect, or smooth muscle cell protein mutations. They feature a complex pathogenesis including loss of smooth muscle cells, altered phenotype, and extracellular matrix degradation in aortic media layer...
February 2018: Aorta (Stamford, Conn.)
Anneke Damberg
No abstract text is available yet for this article.
December 2017: Aorta (Stamford, Conn.)
Umberto G Rossi, Davide Santuari, Raffaello Dallatana, Maurizio Cariati
We present the case of a 78-year-old woman with a 4.5-cm symptomatic abdominal aortic aneurysm with a small diameter (13-mm diameter) infrarenal aortic neck who underwent endovascular treatment using an iliac branch device as a bifurcated aortic stent-graft.
December 2017: Aorta (Stamford, Conn.)
Haidi Hu, Jianming Guo, Hualong Bai, Alan Dardik
Penetrating aortic ulcer (PAU) is an acute aortic syndrome that can proceed to life-threatening aortic dissection or even aortic rupture. Isolated iliac aneurysms are relatively rare and often asymptomatic due to their deep pelvic location but are frequently associated with high mortality with rupture. We report a case of a 68-year-old man with a symptomatic penetrating ulcer in the descending aorta and an asymptomatic right iliac aneurysm involving the common and internal iliac arteries. The patient was successfully treated by endovascular repair in a single-stage manner using stent grafts in the descending aorta and right common iliac artery after coil embolization of the right internal iliac artery...
December 2017: Aorta (Stamford, Conn.)
Alessandro Robaldo, Stefano Pagliari, Filippo Piaggio, Patrizio Colotto
We describe the successful surgical treatment of a 71-year-old man affected by right buttock claudication after a right internal iliac artery (IIA) coil embolization as an adjunct to endovascular iliac artery aneurysm repair. Computed tomography angiography revealed extensive aortoiliac calcifications and thrombus in the vessel walls. Despite patency of the contralateral IIA and preservation of right distal collateral flow through ipsilateral hypogastric branches, the symptom was persistent and disabling. The high-risk patient underwent an "open" repair of the infrarenal abdominal aneurysm with removal of the entire stent-graft and concomitant revascularization of the right IIA...
December 2017: Aorta (Stamford, Conn.)
Hakan Sahin, Paul Stark
Purpose: To investigate the association between aortic arch width on frontal chest radiography and systemic hypertension. Methods: A total of 200 consecutive patients were included. Relationships between aortic arch width measurement on chest radiography and blood pressure measurement were investigated using Student's t -tests and Fisher's exact tests. Results: Twenty-five patients were normotensive (< 130/90 mmHg), and 175 were hypertensive...
December 2017: Aorta (Stamford, Conn.)
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