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Aorta

August 14, 2014
This double-blind placebo-controlled trial involved 153 pts undergoing elective endovascular aortic aneurysm repair, of whom half received methylprednisolone preoperatively.  The intervention reduced the systemic inflammatory response from 92% to 27%, plasma IL-6 was decreased by 90%, and CRP, body temperature, IL-8, and TNF were also reduced.  MMP-9
August 14, 2014
This retrospective review reports on single-institution results for management of aneurysms involving the entire aorta using a 2-stage elephant trunk technique.  288 pts had only a first stage operation, and 157 pts underwent a complete 2 stage repair.  Mortality was 9.1% and stroke rate after stage 1 was 3.4%.   Mortality prior to 2nd stage repair w
August 5, 2014
The outcomes of repair of acute type A dissection using aortic valve resuspension and sinus of Valsalva reinforcement were tracked in 489 pts operated 1993-2013.  Hospital mortality was 11%.  5-year survival was 69%, and freedom from proximal reoperation was 96% at 5 years.
February 14, 2014
The operating surgeons report an elderly female patient with a 7 cm ascending aorta aneurysm. The operating surgeons used a simple Dacron sleeve technique that avoided circulatory arrest and shortened the cross clamp and cardiopulmonary support time. Moreover, the single aortic suture line decreased the haemostasis problem.
January 2, 2014
CTSNet Co-Editor Joel Dunning interviews Duke Cameron, a leading cardiac surgeon specializing in the treatment of aortic aneurysm. In this interview, Dr. Cameron discusses aortic root replacement in patients with Marfan syndrome and his surgical techniques.

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