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https://www.readbyqxmd.com/read/29933438/primary-surgical-repair-of-coarctation-of-the-aorta-in-adolescents-and-adults-intermediate-results-and-consequences-of-hypertension
#1
Bijoy G Rajbanshi, Dikshya Joshi, Sidhartha Pradhan, Navin C Gautam, Rabindra Timala, Urmila Shakya, Apurb Sharma, Gangaram Biswakarma, Jyotindra Sharma
OBJECTIVES: Coarctation of the aorta is known to present with hypertension in older patients; we reviewed our experience and assessed the outcome of hypertension following surgical correction. METHODS: From April 2004 to date, 43 patients above the age of 12 underwent coarctation of the aorta repair. The mean age was 20.4 + 9.7 years (maximum 56 years); 21 (48.8%) were older than 18 years and 28 (65.1%) were men. Thirty (69.8%) patients had hypertension...
June 22, 2018: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/29930684/late-open-conversion-in-ruptured-abdominal-aortic-aneurysm-after-endovascular-repair
#2
Erol Kurç, Onur Sokullu, Serdar Akansel, Murat Sargın
Despite technological advances, the long-term outcomes of endovascular aortic aneurysm repair (EVAR) are still debatable. Although most endograft failures after EVAR can be corrected with endovascular techniques, open conversion may still be required. A 70-year-old male patient presented at the emergency unit with abdominal pain. Twice, in the third and fourth years after the first repair, a stent graft had been placed over a non-adhesive portion of the stent graft due to type Ia endoleaks. In the most recent admission, a CT scan showed type III endoleak and ruptured aneurysm sac...
January 2018: Jornal Vascular Brasileiro
https://www.readbyqxmd.com/read/29930663/contemporary-strategies-for-repair-of-complex-thoracoabdominal-aortic-aneurysms-real-world-experiences-and-multilayer-stents-as-an-alternative
#3
REVIEW
Ralf Robert Kolvenbach
Thoracoabdominal aortic aneurysms (TAAA) present special challenges for repair due to their extent, their distinctive pathology, and the fact that they typically cross the ostia of one or more visceral branch vessels. Historically, the established treatment for TAAA was open surgical repair, with the first procedure reported in 1955. Endovascular repair of TAAA with fenestrated and/ or branched endografts, has been studied since the beginning of the current century as a means of mechanical aneurysm exclusion...
October 2017: Jornal Vascular Brasileiro
https://www.readbyqxmd.com/read/29929822/adjunctive-visceral-artery-chimney-in-patients-undergoing-zenith-fenestrated-aortic-repair
#4
S Keisin Wang, Natalie A Drucker, Michael C Dalsing, Alan P Sawchuk, Alok K Gupta, Raghu L Motaganahalli, Michael P Murphy, Andres Fajardo
OBJECTIVE: Visceral artery chimneys have been employed as an adjunct to endovascular aneurysm repair (EVAR) to treat short-neck infrarenal and juxtarenal aortic aneurysms for more than two decades. With the widespread introduction of fenestrated endovascular aneurysm repair by the Food and Drug Administration-approved Zenith Fenestrated endograft (ZFEN; Cook Medical, Bloomington, Ind) to the United States in 2012, clinicians gained the ability to apply the chimney technique to these custom devices for difficult anatomy...
June 18, 2018: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/29929527/single-stage-repair-for-aortic-root-aneurysm-in-a-patient-with-coexisting-coarctation-incorporating-the-cabrol-technique-a-case-report
#5
Yassir Iqbal, Omar A Jarral, Pantelis Tsipas, Ilias Samiotis, Theodoros Kratimenos, John Kokotsakis, Thanos Athanasiou
BACKGROUND: A 44 year old man who presented with a history of chest pain and dyspnoea was found to have an aneurysm of the aortic root, aortic valve insufficiency, and coarctation of the aorta. CASE PRESENTATION: The patient underwent a single stage procedure to treat the aortic root, valve and coarctation with a composite valved conduit and extra-anatomic bypass of the coarctation. The modified Cabrol technique was necessary to attach the coronary buttons due to grossly abnormal anatomy...
June 22, 2018: Journal of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/29928604/aortic-remodelling-after-thoracic-endovascular-aortic-repair-for-acute-and-subacute-type-b-aortic-dissection
#6
Yi Zhou, Wei-Cheng Wang, Xiao-Ming Zhang, Cui Yang, Jing Zheng, Lin Yang, Ling Dong, Xiao Hu, Tao Zhu, Ya-Li Wang, Yan Yang
Background: Thoracic endovascular aortic repair (TEVAR) in the current era has gained widespread acceptance as the modality of choice for the treatment of complicated aortic dissection (AD). However, reports on clinical results of TEVAR treatment of AD patients are mainly comparisons and analyses of results between patients in the acute and chronic phases, few reports have described the postoperative aortic remodelling of patients with subacute AD after TEVAR. The aim of this study was to investigate aortic remodelling after TEVAR in acute and subacute Stanford type B AD patients...
May 2018: Quantitative Imaging in Medicine and Surgery
https://www.readbyqxmd.com/read/29926569/-ruptured-abdominal-aortic-aneurysm
#7
V Tchana-Sato, N Sakalihasan, J O Defraigne
Ruptured abdominal aortic aneurysm is a cardiovascular emergency associated with a 30 day mortality as high as 70 %. However, recent progresses in the management of these patients have improved the results. From a surgical point of view, endovascular methods such as balloon occlusion and endovascular repair (EVAR) in patients with suitable anatomy are recommended in order to reduce mortality.
May 2018: Revue Médicale de Liège
https://www.readbyqxmd.com/read/29926568/-aortic-dissection
#8
V Tchana-Sato, N Sakalihasan, J O Defraigne
Aortic dissection is a life-threatening condition due to a tear in the intimal layer of the aorta or bleeding within the aortic wall, resulting in the separation of the different layers of the aortic wall. Among the risk factors, age, hypertension, dyslipidemia and genetic disorders of the connective tissue have been identified. A prompt diagnosis and an adequate treatment are important in the management of affected patients. The type of treatment depends on the location and extension of the dissection. Open surgical repair is most commonly used for dissections involving the ascending aorta and the aortic arch, whereas endovascular intervention is indicated for descending aorta dissections that are complicated...
May 2018: Revue Médicale de Liège
https://www.readbyqxmd.com/read/29925964/mylk-pathogenic-variants-aortic-disease-presentation-pregnancy-risk-and-characterization-of-pathogenic-missense-variants
#9
Stephanie E Wallace, Ellen S Regalado, Limin Gong, Alexandra L Janda, Dong-Chuan Guo, Claudio F Russo, Richard J Kulmacz, Nadine Hanna, Guillaume Jondeau, Catherine Boileau, Pauline Arnaud, Kwanghyuk Lee, Suzanne M Leal, Matias Hannuksela, Bo Carlberg, Tami Johnston, Christian Antolik, Ellen M Hostetler, Roberto Colombo, Dianna M Milewicz
PURPOSE: Heritable thoracic aortic disease can result from null variants in MYLK, which encodes myosin light-chain kinase (MLCK). Data on which MYLK missense variants are pathogenic and information to guide aortic disease management are limited. METHODS: Clinical data from 60 cases with MYLK pathogenic variants were analyzed (five null and two missense variants), and the effect of missense variants on kinase activity was assessed. RESULTS: Twenty-three individuals (39%) experienced an aortic event (defined as aneurysm repair or dissection); the majority of these events (87%) were aortic dissections...
June 20, 2018: Genetics in Medicine: Official Journal of the American College of Medical Genetics
https://www.readbyqxmd.com/read/29925469/transradial-approach-to-endovascular-infrarenal-aortic-repair
#10
Saleh El Dassouki, Abdulah Alrifai, Joel A Lardizabal, Juan Pablo Zambrano
Atherosclerotic disease of the abdominal aorta is relatively common. However chronic stenosis of the infrarenal aorta is a fairly rare condition that has been traditionally treated with open endarterectomy and aorto-bifemoral bypass surgery. These surgeries may be associated with a significant increase in mortality and morbidity. Using 2 case examples we describe the feasibility of endovascular treatment of severely calcified infra-abdominal aortic lesion using a transradial endovascular approach that greatly reduce both vascular and access site complications...
May 15, 2018: Cardiovascular Revascularization Medicine: Including Molecular Interventions
https://www.readbyqxmd.com/read/29924790/-surgical-treatment-of-total-thrombosis-of-an-abdominal-aortic-endograft
#11
V V Shlomin, I V Kas'ianov, I G Drozhzhin, P B Bondarenko, P D Puzdriak
Described in the article is a clinical case report regarding successful surgical treatment of total thrombosis of a stent graft in a high-risk surgical patient, having previously undergone endovascular repair of an abdominal aortic aneurysm by means of a unilateral stent graft with suprarenal fixation of its crown and femorofemoral crossover bypass grafting. 5 months after the operation, the patient began complaining of rest pain in his right leg and trophic ulcers of the foot. The findings of MSCT angiography revealed total thrombosis of the stent graft, to be later on followed by operative intervention, i...
2018: Angiologii︠a︡ i Sosudistai︠a︡ Khirurgii︠a︡, Angiology and Vascular Surgery
https://www.readbyqxmd.com/read/29924789/-endoprosthetic-repair-of-the-aorta-for-an-infrarenal-aneurysm-combined-with-occlusion-of-one-of-the-iliac-arteries
#12
I V Popova, A A Karpenko, P V Ignatenko, V B Starodubtsev
Described herein is a clinical case report regarding successful endovascular treatment of a patient presenting with an abdominal aortic aneurysm combined with occlusion of one of the iliac arteries. Cases concerning elimination of such pathology appear to be reported only sporadically in the available literature. The patient underwent reconstructive repair in two stages. The first stage comprised recanalization with stenting of the occluded iliac artery on the right and implantation of the Zenith stent graft...
2018: Angiologii︠a︡ i Sosudistai︠a︡ Khirurgii︠a︡, Angiology and Vascular Surgery
https://www.readbyqxmd.com/read/29924787/-staged-treatment-of-a-multilevel-lesion-of-brachiocephalic-arteries-in-combination-with-coronary-and-valvular-pathology-of-the-heart
#13
M A Cherniavskiĭ, A A Gusev, D V Chernova, I V Iarkov, M L Gordeev
Prevention of neurological complications in cardiosurgical and reconstructive vascular surgery is one of the priority tasks of preserving ability to work and decreasing invalidization of patients in the postoperative period. Presented in the article is a clinical case report regarding multiple-stage treatment of a female patient with a combined aortic defect, coronary pathology, and a multilevel bilateral lesion of the brachiocephalic arteries. The first stage consisted in performing a hybrid operation, i. e...
2018: Angiologii︠a︡ i Sosudistai︠a︡ Khirurgii︠a︡, Angiology and Vascular Surgery
https://www.readbyqxmd.com/read/29923742/a-case-of-nickel-allergy-after-endovascular-aortic-repair
#14
Yohei Kawatani, Hirotsugu Kurobe, Yoshitsugu Nakamura, Takaki Hori
A 78-year-old man with no history of allergy, underwent endovascular aortic repair for abdominal aortic aneurysm rupture. Postoperatively, he had low-grade fever and persistently raised white blood cell counts, but tests showed no infection. A skin rash appeared on the trunk and upper arms; we suspected a drug allergy. Despite withdrawal and/or change of medications, the symptoms remained. Finally, a patch test for nickel showed a strongly positive result. Oral prednisone 5 mg·day-1 was started, and the clinical findings resolved thereafter...
January 1, 2018: Asian Cardiovascular & Thoracic Annals
https://www.readbyqxmd.com/read/29923082/antegrade-thoracic-endovascular-aortic-repair-via-the-left-axillary-artery-in-a-patient-with-aortoiliac-occlusive-disease-leriche-syndrome
#15
Takeshi Kamada, Ryoichi Tanaka, Hajime Kin, Akihiko Abiko, Tomoyuki Iwase
We present the case of a 77-year-old man with a saccular descending thoracic aortic aneurysm who underwent successful antegrade thoracic endovascular aortic repair (TEVAR) via the left axillary artery. The patient had a history of axillo-bifemoral bypass grafting due to aortoiliac occlusive disease (Leriche syndrome), which precluded normal retrograde TEVAR. Upon successful procedure completion, no endoleak was noted on postoperative computed tomography. The patient was discharged from the hospital without any complications...
June 19, 2018: General Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/29922894/resuscitative-endovascular-balloon-occlusion-of-the-aorta-for-non-traumatic-intra-abdominal-hemorrhage
#16
Melanie R Hoehn, Natasha Z Hansraj, Amelia M Pasley, Megan Brenner, Samantha R Cox, Jason D Pasley, Jose J Diaz, Thomas Scalea
BACKGROUND: Hemorrhagic shock is the second leading cause of death in blunt trauma and a significant cause of mortality in non-trauma patients. The increased use of resuscitative endovascular balloon occlusion of the aorta (REBOA) as a bridge to definitive control for massive hemorrhage has provided promising results in the trauma population. We describe an extension of this procedure to our hemodynamically unstable non-trauma patients. METHODS: This is a retrospective review of patients requiring REBOA for end stage non-traumatic abdominal hemorrhage from our tertiary care facility...
June 19, 2018: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://www.readbyqxmd.com/read/29922726/endovascular-treatment-of-thoracic-aortic-pseudoaneurysm-through-a-subclavian-approach-in-patient-with-aortoiliac-occlusive-disease-a-case-report
#17
Ezequiel Paredes-Mariñas, Carme Llort-Pont, Francisca Castro-Bolance, Vicente Riambau-Alonso
Introduction: Thoracic endovascular aortic repair (TEVAR) has become the preferred option for treatment of thoracic aortic pathology, but lack of vascular access options is a common contraindication to TEVAR. Case report: The authors report a case of a 67 year old male patient with multiple revascularisation procedures: bilateral axillofemoral bypass and thoracic aortofemoral bypass, both occluded. An anastomotic pseudoaneurysm of the thoracic aorta developed and detected on computed tomography angiography (CTA)...
2018: EJVES Short Reports
https://www.readbyqxmd.com/read/29922725/management-of-lower-extremity-ischaemia-during-type-a-dissection-repair
#18
Kathryn L Howe, John Harlock, Dominic Parry
Introduction: Type A aortic dissection can present with malperfusion syndrome. Lower limb ischaemia may resolve with repair of the dissection; however, the long duration of repair and/or persistent ischaemia may leave tissue at risk of necrosis with potential for substantial morbidity. Report: Here, the case of a 67 year old man who presented with a Type A aortic dissection with malperfusion of the lower extremities is described. The Vascular Surgery and Cardiac Surgery divisions were consulted simultaneously...
2018: EJVES Short Reports
https://www.readbyqxmd.com/read/29922020/three-dimensional-printing-in-surgical-planning-a-case-of-aortopulmonary-window-with-interrupted-aortic-arch
#19
Ryan A Moore, William Jack Wallen, Kyle W Riggs, David Ls Morales
Better anatomical understanding and conceptualization of complex congenital heart defects using three-dimensional (3D) printing may improve surgical planning, especially in rare defects. In this report, we utilized 3D printing to delineate the exact cardiac anatomy of a neonate with an aortopulmonary window associated with interrupted aortic arch to devise a novel approach to the repair.
May 2018: Annals of Pediatric Cardiology
https://www.readbyqxmd.com/read/29922007/population-based-treated-prevalence-risk-factors-and-outcomes-of-bicuspid-aortic-valve-in-a-pediatric-medicaid-cohort
#20
Avnish Tripathi, Yinding Wang, Jeanette M Jerrell
Background: We investigated the treated prevalence of bicuspid aortic valve in a pediatric population with congenital heart disease and its incident complications. Materials and Methods: A 15-year retrospective data set was analyzed. Selection criteria included age ≤17 years, enrollees in the South Carolina State Medicaid program and diagnosed as having bicuspid aortic valve on one or more service visits. Results: The 15-year-treated prevalence of predominantly isolated bicuspid aortic valve was 2% (20/1000) of pediatric congenital heart disease cases, with a non-African American: African-American ratio of 3...
May 2018: Annals of Pediatric Cardiology
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