A brief, useful editorial advancing the position of watchful waiting in selected aneurysmopathic patients, on the occasion of new AATS guideline on bicuspid aortic valve (BAV) aortopathy.
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August 23, 2018
May 10, 2018
The authors describe an open surgical repair for a patient who presented with an aortic root fistula from a device previously inserted to close an atrial septal defect.
Fate of the Aortic Arch Following Surgery on Aortic Root and Ascending Aorta in Bicuspid Aortic Valve
April 26, 2018
The authors retrospectively evaluated the long-term fate of the aortic arch in 168 patients with bicuspid aortic valves who had undergone either ascending aortic (24%) or aortic root (76%) replacement. At a median follow-up of 5.9 years, the mean aortic arch diameter went from 2.9 cm preoperatively to 3.0 cm at follow-up (p=ns). The authors conclud
Zone Zero Thoracic Endovascular Aortic Repair: A Proposed Modification to the Classification of Landing Zones
April 13, 2018
The authors present their experience in treating 39 patients with thoracic aortic endovascular repair of the ascending aorta who were determined to be very high risk for open surgical repair from 2006 to 2016.
MiniStern Trial: A Randomised Trial Comparing Ministernotomy to Full Median Sternotomy for Aortic Valve Replacement
March 19, 2018
A medium-size RCT comparing full sternotomy to limited sternotomy for conventional aortic valve replacement, presented at the SCTS Annual Meeting in Glasgow. The 7-10% one year attrition rate seems quite disappointing, and will most probably be discussed. We will await the full paper to see what was the learning curve for the innovative approach.
Anatomical and Clinical Predictors of Valve Dysfunction and Aortic Dilation in Bicuspid Aortic Valve Disease
March 18, 2018
The authors studied 852 adults with bicuspid aortic valves. The prevelance of three morphotypes was tallied. Relative fusion rates were: RL 72.9%, RN 24.1% and LN 3%. Additionally, 18.3% had no raphe. Aortic regurgitation was unrelated to morphotype. Aortic stenosis was more common in the RN fusion group and in the presence of a raphe. Seventy-
Limited Root Repair in Acute Type A Aortic Dissection Is Safe but Results in Increased Risk of Reoperation
March 1, 2018
This Stanford group retrospectively reviewed their experience over a 10-year period with 293 patients who underwent either limited aortic root repair or root replacement. Results:
February 26, 2018
A succinct, readable, and well-referenced editorial on extending criteria for surgery on bicuspid aortopathy below the threshold of 4.5 cm diameter. It is even more interesting in the era of increasing industry pressure for transcatheter aortic valve replacement.
February 17, 2018
A balanced comment on the occasion of the latest retrospective nonrandomised Coselli report on redo thoracoabdominal aortic aneurysms (TAAAs).
January 5, 2018
A handy free, short, good quality video on an open valve-in valve procedure.