HYPOTHESIS Hypothermic total circulatory arrest (TCA) in the resection and replacement of the thoracoabdominal and descending thoracic aorta is safe, will significantly decrease the incidence of postoperative renal failure, and should be preferentially performed over left heart bypass (LHB). DESIGN Retrospective review case series. SETTING Large, private, urban teaching hospital. PATIENTS...

BACKGROUND Stent grafting is a very important treatment for type B dissection. Some patients are unsuitable for endograft repair because of inadequate proximal and/or distal fixation zones. We reviewed our experience of proximal descending thoracic replacement combined with short-stented elephant trunk implantation for type B dissection for patients without adequate fixation zones for endograft...

ABSTRACT Dysphagia aortica is an uncommon condition defined by the difficulty in swallowing caused by extrinsic compression of the esophagus due to an ectatic, tortuous, or aneurysmatic atherosclerotic thoracic aorta. We report the case of a 93 year old woman with dysphagia secondary to extrinsic compression by a giant sacciform aneurysm of the descending thoracic aorta. As a consequence of sma...

The combination of coronary artery disease and its complications (ischemic mitral regurgitation etc.) with the aneurysm of the descending thoracic aorta is not a rare case. The single-stage correction of coronary/intracardiac/aortic lesions may be considered as a way of managing the combined patients. Simultaneous multi-vessel coronary artery bypass grafting, suture mitral annuloplasty and desc...

While the exact mechanisms that initiate atherosclerotic lesions are unknown, considerable evidence supports a role for low density lipoprotein (LDL). We investigated whether in the normal rabbit, LDL metabolism in areas of aorta that are destined to become lesioned during cholesterol feeding differed from the metabolism in adjacent lesion-resistant aorta. These studies took advantage of the pr...

=AbstractZFetal descending thoracic aorta blood flow velocity waveforms were measured in 63 pregnancies. They were either delivered by elective CIS before labor (56 patients) or suffered an antefartum fetal death (7 patients). There was a significant correlation between the aorta waveforms and the cord arterial pH. A cord arterial pH less than 7.20 or an intrauterine fetal death were used as ou...

This report describes a patient with right-sided aortic arch, aberrant left subclavian artery and Kommerell diverticulum, who presented aneurysmal degeneration of the root to descending aorta, in addition an acute Type B 2-10 dissection. He underwent hybrid treatment valve-sparing replacement, transverse arch replacement reattachment right artery, bilateral common carotid arteries, thoracic end...

Background—To simplify extensive primary repair of the thoracic aorta in acute type A aortic dissection, we developed the open triple-branched stent graft placement technique. The early results of this new technique are reported. Methods and Results—Between June 2008 and November 2009, 30 patients with acute Stanford type A aortic dissection underwent extensive primary repair of the thoracic ao...