Reoperations on Thoracic Aorta and Aortic Root: Surgical Technique and Pitfalls

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Surgical case of aortic root and thoracic aortic aneurysm after the Wheat procedure.

A 52 year-old man underwent aortic valve replacement and ascending aortic replacement (Wheat procedure) for acute dissection (Stanford type A) and aortic regurgitation (grade 3/4). At that time, the aortic root was slightly dilated at about 45 mm and the descending aorta was within a normal range at about 35 mm. Forty months after the initial operation, a follow-up chest enhanced computed tomog...

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[Aortic root homograft in the surgical treatment of aortic valve disease with dilated ascending aorta].

INTRODUCTION AND OBJECTIVES Patients with aortic valve disease and a dilated ascending aorta are usually treated with a composite graft comprising a valve and conduit. We review here the results of treatment with an aortic root homograft as a valid alternative. PATIENTS AND METHOD Twenty-two consecutive patients with a mean age of 64.8 (8.8) years were studied. Mean ascending aorta dilation w...

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Surgical Indication for Chronic Aortic Dissection in Descending Thoracic and Thoracoabdominal Aorta.

BACKGROUND To address the lack of information about the size of ruptures associated with chronic dissection in the descending and thoracoabdominal aorta, we evaluated the natural history of this pathology. METHODS AND RESULTS We analyzed data from 571 patients (mean age, 69.4±11.6 years) with unrepaired chronic aortic dissection in the descending or thoracoabdominal aorta with a maximal aorti...

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Endovascular Repair of the Aortic Arch and Ascending Thoracic Aorta

Background The aortic arch is wide, compliant, and mobile. Its flow rate is high and its branches supply an organ, the brain, with no tolerance for ischemia. In this location, an endovascular stent graft is difficult to deliver, difficult to secure, and prone to fatigue fracture, graft erosion, or migration. The only advantage is the opportunity for downstream access to vital arterial branches,...

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ژورنال

عنوان ژورنال: International Journal of Angiology

سال: 2018

ISSN: 1061-1711,1615-5939

DOI: 10.1055/s-0038-1649514