The authors compare 3 groups of patients undergoing aortic root replacement for ascending aorta aneurysm: valve-sparing root replacement (VSRR, n = 178), Bentall procedure with biological conduit (n = 91) or mechanical conduit (n = 101). Patients with VSRR had the best 5-year survival and low incidence of bleeding complications.
This site is not optimized for Internet Explorer 8 (or older).
Please upgrade to a newer version of Internet Explorer or use an alternate browser such as Chrome or Firefox.
October 9, 2014
September 24, 2014
This video commences with a brief presentation on the management of Type A aortic dissections and proceeds into an operative video showing the steps used when operating on these cases.
September 16, 2014
This retrospective review summarizes a single institution experience with thoracic aortic endovascular stenting in 420 pts over 20 years. Indications were aneurysm (238), dissection (100) and trauma (39). 78% of pts were deemed to be at high risk for open repair. Mortality was 4.8%, stroke incidence was 5%, and cord ischemia was temporary in 7.9%
August 28, 2014
This video contains a brief case presentation and a step-by-step guide for tackling the problem of aortic root endocarditis.
August 25, 2014
This video demonstrates a mini-bentall procedure, where an aortic root replacement with re-implantation of the coronary buttons is performed via a minimally invasive approach.
Preoperative Methylprednisolone Enhances Recovery After Endovascular Aortic Repair: A Randomized, Double-Blind, Placebo-Controlled Clinical Trial
August 14, 2014
This double-blind placebo-controlled trial involved 153 pts undergoing elective endovascular aortic aneurysm repair, of whom half received methylprednisolone preoperatively. The intervention reduced the systemic inflammatory response from 92% to 27%, plasma IL-6 was decreased by 90%, and CRP, body temperature, IL-8, and TNF were also reduced. MMP-9
Repair of Extensive Aortic Aneurysms: A Single-Center Experience Using the Elephant Trunk Technique Over 20 Years
August 14, 2014
This retrospective review reports on single-institution results for management of aneurysms involving the entire aorta using a 2-stage elephant trunk technique. 288 pts had only a first stage operation, and 157 pts underwent a complete 2 stage repair. Mortality was 9.1% and stroke rate after stage 1 was 3.4%. Mortality prior to 2nd stage repair w
August 5, 2014
The outcomes of repair of acute type A dissection using aortic valve resuspension and sinus of Valsalva reinforcement were tracked in 489 pts operated 1993-2013. Hospital mortality was 11%. 5-year survival was 69%, and freedom from proximal reoperation was 96% at 5 years.
August 4, 2014
This video demonstrates a minimally invasive repair of a bicuspid aortic valve and ascending aortic aneurysm through the upper ministernotomy approach.
July 28, 2014
The authors deal with a dramatic complication of acute Type A aorticdissection - mesenteric malperfusion. They reviewed 309 papers on acuteaortic dissection and concluded that initial interventional management ofmesenteric malperfusion followed by delayed proximal aortic repair is a