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.
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Aorta
May 10, 2018
May 4, 2018
Patient Care and General Interest
An article in the New York Times looks at the ethical dilemma of performing surgery for endocarditis in illicit drug users whose addictions go untreated.
April 27, 2018
Patient Care
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
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.
March 21, 2018
Of 1,232 patients who underwent elective arch repairs at 11 European aortic centers, 155 were selected and their surgical outcomes were analyzed retrospectively. Approximately 13% of patients suffered an aortic event, and 85% of them needed reoperation.
March 19, 2018
Common carotid artery cannulation can provide antegrade blood flow to the whole body during cardiopulmonary bypass, as well as maintain cerebral perfusion even at the time of arch exclusion or repair.
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.
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-
March 9, 2018
Patient Care
Carter Capps, a pitcher for professional baseball team the San Diego Padres, has made himself a necklace out of the rib surgeons removed during his thoracic outlet surgery.