A unique approach to surgical repair in a very high-risk patient with severe peripheral and cerebrovascular occlusive disease, coronary artery disease, chronic renal failue and COPD is described.
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Descending Thoracic Aorta
September 1, 2010
September 3, 2008
Introduction
September 3, 2008
Traumatic rupture of the thoracic aorta is a common cause of death after motor vehicle accidents. The gold standard for treatment of traumatic rupture of the descending thoracic aorta is a left thoraoctomy with replacement of the affected aorta. The endovascular treatment of aortic transection is an emerging alternative in multi-traumatized patients.
June 30, 2008
Several surgical approaches have been described for the management of
adult patients with acquired heart disease and paraductal coarctation
of the aorta. Options are a staged procedure using median sternotomy
and left thoracotomy, a catheter-based intervention of the coarctation
combined with sternotomy, and single-stage simultaneous correction of
lesions via sternotomy.
May 24, 2008
Patient Selection
Editor's Note
June 26, 2005
A 72 year old white male presented with a complaint of recent onset of upper mid-back pain. He states that the pain starts in his chest and radiates to his upper back, and that the symptoms have been relatively constant for the last several weeks.