Gripping vignette of a fatal case of renocardiac pathologies. The stills from the (sadly non-contrast) CTA are most interesting.
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May 18, 2022
February 16, 2022
A useful short review accompanied by media , related to the background of the ARISE Study. The esteemed authors discuss the potential endovascular options for zone 0 for inoperable Acute Aortic Syndromes.
2021 The American Association for Thoracic Surgery Expert Consensus Document: Surgical Treatment of Acute Type A Aortic Dissection
January 21, 2022
Acute type A aortic dissection remains a challenging emergency in cardiovascular surgery.The management of life-threatening complications has evolved to include endovascular options and complex aortic repair, but expeditious open replacement of the ascending aorta remains the preferred approach.
December 12, 2021
Interesting early work on the prognostic value in aortic disease of the cross-link component in the elastin.
October 31, 2021
In this large series, Dr.
October 22, 2021
A brief focused commentary on a recent medium size Japanese series of succesful surgery for Acute Aortic Syndrome. The limitations of the series presented in well- written Uchida manuscript( and already to the last AATS Meeting) are being explored, and the commentators' allusion to the need for randomised trial is evident.
Ultrasound- Versus Fluoroscopy-Guided Strategy for Transfemoral Transcatheter Aortic Valve Replacement Access: A Systematic Review and Meta-Analysis
September 27, 2021
A small meta-analysis suggesting a bemefit of vascular ultrasound for access to the groin vessels in TAVI. The utility of ultrasonography may be extended in access for groin cannulation in aortovascular surgery and ECMO
2021 The American Association for Thoracic Surgery expert consensus document: Surgical treatment of acute type A aortic dissection
September 24, 2021
A comprehensive update on the evidence on the management of acute aortic syndromes, including IMH. Of particular interest is the robust recommendation to bypass non-dedicated aortic centers even to the expense of increased transit time in order to offer management in a Comprehensive Aortic Center (CAC).
Determinants of outcomes following surgery for type A acute aortic dissection: the UK National Adult Cardiac Surgical Audit
September 14, 2021
Based on data of 4203 patients with acute type A dissection in the UK National Adult Cardiac Surgical Audit, Benedetto and associates have identified the following risk factors for operative mortality: age (odds ratio, OR, 1.02), malperfusion (OR 1.79), left ventricular ejection fraction (moderate: OR 1.40; poor: OR 2.83), prior cardiac surgery (OR 2
Commentary: Cardioplegia in complex root surgery for adults: Many solutions, but does it really matter?
September 13, 2021
A brief but dense editorial included in a compedium on cardioplegia. The last sentence summarises what many colleagues would think on the matter of single-shot plegia for root surgery.