This illustrated, instructional article details a reproducible, total-arterial surgical revascularization technique which does not require cardiopulmonary bypass or any manipulation of the ascending aorta.
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Aorta
September 13, 2018
September 11, 2018
In this review article, the authors focus on epigenetic regulation of gene expression, including the role of histone methylation and acetylation, deoxyribonucleic acid methylation, and noncoding ribonucleic acids in the pathogenesis of thoracic aortic aneurysms (TAA) and ascending aortic dissection (AAD).
August 24, 2018
Patient Care and General Interest
August 24, 2018
Nguyen and colleagues evaluated whether left atrium (LA) enlargement in hypertrophic cardiomyopathy was reversed after septal myectomy. The authors retrospectively reviewed transthoracic echocardiographic measurements of LA volume index from 656 patients who underwent myectomy over eight years at their center.
August 23, 2018
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.
August 22, 2018
This video and article detail the author’s technique for the classic hybrid arch debranching procedure. It is performed for patients who have had a prior type A dissection repair with aortic arch and descending thoracic aortic dilation but who are not felt to be candidates for more extensive hybrid repairs that require total arch replacement.
August 6, 2018
Endoleak is a potential complication of total endovascular aortic repair (TEVAR). This video and article from Fukuhara and Roselli illustrate a modified reverse frozen elephant trunk to repair a type IA endoleak from a prior TEVAR for an acute type B dissection.
August 3, 2018
Ongoing questions in the surgery for type A aortic dissection include arterial cannulation site and the type of distal anastomosis for ascending or hemiarch replacement.
July 24, 2018
This video and article from Desai and colleagues demonstrates double transposition and single branched endovascular repair for total arch replacement in a 59-year-old man who presented with a 7 cm chronically dissected arch and distal aorta. The patient had previously undergone a DeBakey I dissection repair.
July 9, 2018
In this illustrated article, Esposito and colleagues outline the Lupiae technique for hybrid three-stage repair of mega aorta.