a strategy employing moderate hypothermia for the replacement of the aortic arch is proposed to avoid the complications of profound hypothermic circulatory arrest. two patients underwent the complete replacement of the aortic arch using three pumps - for the brain, thoracoabdominal aorta, and heart, respectively. there were no complications and the patients were extubated uneventfully. the meth...

PURPOSE To examine the feasibility of a direct videoscopic approach to the descending thoracic aorta for branched endograft delivery to the aortic arch and abdominal aorta. METHODS Aneurysms were created in the aortic arch and pararenal aorta of 3 human cadavers, and pulsatile flow was established using a roller pump. Thoracoscopically, 2 double-felted purse-string sutures were placed on the ...

BACKGROUND The branch anatomy of the aortic arch varies widely between individuals. These are likely due to alterations in the development of aortic arch arteries during the embryonic period. The purpose of this study is to determine the frequency of the aortic arch branch variations in the local population and provide useful data to intervention radiologists, neck and thoracic surgeons. METH...

Case presentation A 6-month-old infant presented with a longstanding persistent cough, episodic spells of shortness of breath, gasping-like efforts after feeding, and an unusual noise while breathing, and was reported to have turned blue on two occasions after feeding. A chest X-ray showed significant narrowing of the trachea 2 cm above the carina. An upper gastro-intestinal study (Fig. 1) show...

1 of 2 DESCRIPTION A 56-year-old man presented with epigastralgia and had lost 10% of his body weight over a period of 6 months. The results of physical examination were normal. No abnormal shadow was detected on chest x-ray ( fi gure 1A ). Oesophagography showed compression of the oesophagus ( fi gure 1B , arrow), although the patient did not complain of dysphagia. Oesophagogastroduodenoscopy ...

Tracheal stenosis in association with the double aortic arch (DAA) is uncommon; however, it carries a high risk of morbidity, mortality, and restenosis. Although surgery is the mainstay of managing a case of the DAA with tracheal stenosis, management of tracheal restenosis requires a multidisciplinary approach. In this case report, we present our successful experience in managing a child of DAA...