A Consensus Statement issued by the International Aortic Arch Surgery Study Group, on the standardization of clinical endpoints for aortic arch surgery. This guideline recommends a list important secondary outcomes that should be reported to enable comprehensive analysis of patient outcomes.
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April 28, 2014
April 23, 2014
A brief case presentation is followed by an operative video detailing the technique for performing an aortic valve replacement in the setting of endocarditis. In this particular video, a pericardial patch is used to reconstruct the area of the commissure between the right and left coronary sinuses. A prosthetic tissue valve is then implanted.
April 21, 2014
This article on Type A Aortic Dissection was selected as a top article from 2013 by the 2014 Circulation editors. The original article is here: http://circ.ahajournals.org/content/128/15/1602.full?sid=a7153f9d-9551-4...
April 2, 2014
This report summarizes outcomes in 40 reoperated patients (mean age 33 years) of an original 122 who underwent initial aortic root surgery for Marfans. Reoperations took place a mean of nearly 10 years later. 5 and 10 year survivals after second operations were 80% and 66%. Open and stent grafts procedures did not appear to have different outcomes.
April 1, 2014
This video shows a teenager with a large neo-aortic root aneurysm and severe aortic valve regurgitation following a Ross procedure, which was treated with a valve-sparing aortic root replacement. The case also highlights the intra-operative management of inadvertent aortic injury during reentry in the setting of severe aortic regurgitation.
Moderate mitral regurgitation in aortic root replacement surgery: Comparing mitral repair with no mitral repair
February 15, 2014
Pts undergoing aortic root replacement who moderate MR preoperatively were evaluated for outcomes after mitral repair vs no repair. Mitral repair was associated with longer crossclamp times, and postoperative renal failure. Root replacement improved MR without mitral repair, but mitral repair further improved the degree of regurgitation.
February 14, 2014
The operating surgeons report an elderly female patient with a 7 cm ascending aorta aneurysm. The operating surgeons used a simple Dacron sleeve technique that avoided circulatory arrest and shortened the cross clamp and cardiopulmonary support time. Moreover, the single aortic suture line decreased the haemostasis problem.
January 2, 2014
CTSNet Co-Editor Joel Dunning interviews Duke Cameron, a leading cardiac surgeon specializing in the treatment of aortic aneurysm. In this interview, Dr. Cameron discusses aortic root replacement in patients with Marfan syndrome and his surgical techniques.
November 14, 2013
This video shows a 53-year-old male patient with severe COPD. His computed angiography showed a Crawford Type I thoracoabdominal aneurysm. His right kidney was atrophic, and the aneurysm was extending just proximal to the left renal artery.
October 3, 2013
Mini-sternotomy is being increasingly adopted for surgery of the aortic valve and ascending aorta. This adds greater complexity when compared to a standard median sternotomy approach. This video describes technical modifications that allow the surgeon to overcome these challenges in a case requiring deep hypothermic circulatory arrest (DHCA), aortic valve, and hemiarch repair.