A 58-year-old man with fever and chest wall tenderness was seen 8 weeks after aortic valve replacement. His initial postoperative course had been complicated by mediastinitis, requiring antibiotics and surgical debridement. A transthoracic echocardiogram did not reveal the culprit lesion. Pseudoaneurysm of the ascending aorta was suspected, based on computerized tomographic and magnetic resonan...

A 71-year-old male with a past medical history of coronary artery bypass surgery developed multiple, infected pseudoaneurysms of the ascending aorta and aortic root 1 year after cardiac catheterization. He underwent aortic root replacement with a 24-mm homograft. Tissue culture from operative specimens revealed invasive Aspergillus fumigatus infection. He was treated with voriconazole for 3 mon...

Operative correction of a Taussig-Bing malformation was successfully accomplished in a 23-mo-old boy, weighing 6.8 kg. Associated coarctation of the aorta and reversed patent ductus arteriosus were corrected in a preliminary operation. The patient's management was complicated by severe preoperative thrombocytopenia which responded to multiple phlebotomies. Surgical repair of the Taussig-Bing ma...

Four patients referred for surgical treatment of aortic stenosis presented an unexpected extremely calcified (porcelain) ascending aorta at the intraoperative epiaortic ultrasonography scanning. In each patient, replacement of the aortic valve was successfully performed using a sutureless implantable bioprosthesis during a short period of hypothermic circulatory arrest. In the era of transcathe...

A 65-year-old Caucasian man was admitted to the Cardiothoracic Department for elective coronary artery bypass graft (CABG). At pre-operative bidimensional transthoracic echocardiography (TTE), a narrowing of the ascending aorta was observed: the inner lumen was reduced by a circumferential, bulky ridge of tissue projecting from the aortic wall and causing a mild supravalvular stenosis (mean PG ...

Penetrating aortic ulcers were initially described by Shennan in 1934 [1]. Shumacker and King reported the first operative repair of a ruptured descending aorta secondary to a penetrating aortic ulcer in 1959 [2]. The clinical and pathologic entity of penetrating aortic ulcers was not established, however, until 1986 by Stanson [3]. Since that time, the body of literature on this disease has in...

Background: Transposition of the great arteries (TGA) is a cyanotic heart disorder characterized by aorta being positioned to pulmonary artery's right-anterior. Arterial switch operation (ASO) main surgical procedure for TGA correction that has favorable outcomes. This case report aims explain findings cases were performed successfully ASO surgery at Dr. Soetomo Hospital in Surabaya.Case Presen...

OBJECTIVES Recent studies have linked abnormal aortic medial pathology to progressive aortic root dilatation in patients with tetralogy of Fallot (TOF). To explore whether the aortic medial pathology in TOF is linked to aortic mechanical property, the present study tested the hypothesis that the distribution of impaired aortic elasticity corresponds to the known distribution of abnormal medial ...

A dilated ascending aorta or aortic root is susceptible to fatal aortic dissection or rupture. This risk may be attributed to increased circumferential stresses due to an increase in aortic lumen diameter. However, the effect of complex geometry on wall stresses in the dilated ascending aorta is not well understood. In this study, we combined pre-operative MRI data and measured mechanical prope...