A 55-year-old man presented with clinical signs of an aortic arch aneurysm. Angiography, MRI and CT demonstrated an aortic arch aneurysm and an aneurysm of the aberrant right subclavian artery. Coronary angiography revealed 95% stenosis in the right coronary artery. Right common carotid artery-right subclavian artery bypass, arch graft replacement and coronary artery bypass grafting were perfor...

The aorta, acting as the main conduit through which cardiac output is delivered to the systemic arterial bed, is continuously exposed to high pulsatile pressure and shear stress, making it prone to mechanical injury. It is also more prone to rupture than other vessels, particularly with the development of aneurysmal dilation. Fifty percent of patients who experience a rupture of a aortic aneury...

Interaction of carotid sinus and aortic arch reflex control of total peripheral resistance was studied in eight dogs anesthetized with sodium pentobarbital and placed on constant flow cardiac bypass. Carotid sinus and aortic arch baroreceptor areas were isolated and separately perfused at controlled pressures. Combinations of carotid sinus and aortic arch pressures were delivered at random in s...

To evaluate the predictive accuracy of two-dimensional echocardiography in the diagnosis of aortic arch ebstruction, 540 consecutive patients aged 2 days to 15 years (mean 2 months) who underwent subsequent cardiac catheterization and angiography were prospectively studied. At angiography, 51 patients had aortic arch obstruction; of these, 35 had juxtaductal coarctation, 15 isthmic hypoplasia a...

Neonatal arterial thrombosis is a very rare entity with clinical findings resembling coarctation of aorta or interrupted aortic arch. A two day-old male newborn was admitted to a different hospital with difficulty in sucking and sleepiness. On echocardiographic examination, a diagnosis of interrupted aortic arch was made and he was treated with prostoglandin E2. When the patient presented to ou...

OBJECTIVES Partial upper sternotomy is a routine approach to aortic valve surgery. For surgery of the ascending aorta or the aortic arch, this method is not well established yet. METHODS From October 2007 to October 2010, 50 consecutive patients underwent procedures of the ascending aorta and the aortic arch using partial upper sternotomy. Thirty-six patients underwent replacement or tighteni...

This study defines normal growth for the various aortic segments in 128 spontaneously aborted human foetuses aged 15-34 weeks. With the use of anatomical dissection, digital-image analysis (using the Leica Q Win Pro 16 system) and statistical analysis (ANOVA, regression equation), a range of length measurements for the ascending aorta, aortic arch and thoracic aorta was examined. No significant...

OBJECTIVE Multiple subsequent procedures directed at the arch and/or the left ventricular outflow tract are frequently required after interrupted aortic arch repair. We the investigated patterns and factors associated with these subsequent procedures and mortality. METHODS We reviewed the data from 447 patients with interrupted aortic arch at 33 institutions enrolled from 1987 to 1997. We cla...

A port-a-cath was accidentally inserted into an arterial vessel of a 78-year-old woman. Chest X-ray was suggestive for aortic placement (Fig. 1A) being confirmed by computed tomography (Fig. 1B). The patient was immediately scheduled for surgery, which could be performed without cardiopulmonary bypass (Fig. 1C and D). The patient made a swift recovery. Fig. 1. (A) Port-a-cath as shown in the pr...