A comprehensive discussion on an important parameter for cardiologists and surgeons dealing with congenital and structural / valve disease, as applicable to the systemic circulation
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Thoracic Aorta
September 27, 2016
The Duke group analyzed their group of patients undergoing proximal aortic operations during a 9-year period (n=869) to determine the incidence and etiology of reintervention on the aorta during follow-up.
March 18, 2016
Not only an authoritative 16 year retrospective report on 957 planned aortic aneurysm surgeries from Cleveland Clinic, but a stimulating critique ( pages 771-774) with Tyrone David who was the invited discussant of the manuscript at its presentation at the AATS last April.
July 23, 2015
Among 4680 TEVAR procedures of the European Registry of Endovascular Aortic Repair Complications, 26 patients suffered from either central airway (aorto-bronchial) or pulmonary parenchymal (aorto-pulmonary) fistulation. A radical surgical approach was superior to any other treatment strategy with regard to overall survival.
May 11, 2015
The authors conducted a retrospective review of two concurrent groups undergoing elective aortic transverse hemiarch reconstruction: Group DHCA underwent deep hypothermic circulatory arrest with retrograde cerebral perfusion; group MHCA underwent moderate hypothermic (>25 degrees C) circulatory arrest with antegrade cerebral perfusion.
January 12, 2015
An interdisciplinary expert panel on the treatment of type B intramural haematoma (IMH) and penetrating atherosclerotic ulcer (PAU) evaluated 46 studies on overall 1386 patients. Recommendations for decision making on medical, open surgical or endovascular treatment are given in the paper.
January 12, 2015
17 manuscripts were included in the final analysis and postoperative data of 722 patients were studied. The mean age of patients was 58 years and mean follow-up was 62 months. Hospital mortality was 1.5% (11 deaths).
January 5, 2015
This patient presented with a large distal arch and proximal descending aortic aneurysm (7 cm). He underwent a Total Arch Replacement and Frozen Elephant Trunk Procedure using the Thoraflex Hybrid Graft (Vascutek Terumo). The entire operation was performed via a hemi-sternotomy (half incision size).
December 3, 2014
This study used data from the International Registry of Acute Aortic Dissection to explore the rates and outcomes of root replacement vs more conservative management in patients with acute type A dissections. Root replacement patients were younger, had greater root diameter, were more often affected by Marfans, had a higher incidence of AI, and were
November 29, 2014
Randomized multicenter trial comparing losartan versus atenolol in young patients with Marfan's syndrome with no significant difference in aortic root dilation between groups.