Although relatively uncommon, descending thoracic aortic aneurysms are lethal, with a natural history of progressive dilatation, rupture and death. The traditional treatment of these aneurysms involves open thoracotomy and replacement of the aneurysmal aorta with a prosthetic graft. Although successful and durable, this treatment is potentially associated with significant morbidity and mortalit...

BACKGROUND Formation of aortic aneurysm late after surgical repair of coarctation carries a significant risk of rupture and lethal outcome, and repeat surgery is associated with a 14% in-hospital mortality rate and morbidity from paraplegia, injury to the central nervous system, or from bleeding. The potential of nonsurgical endovascular repair by the use of stent-grafts in lieu of repeat surge...

The authors describe the case of a 59-year-old man, a former smoker, with hypertension, chronic renal failure undergoing hemodialysis, and a history of stent grafting for repair of an abdominal aortic aneurysm and miliary tuberculosis, who was diagnosed with constrictive pericarditis and a thoracic aortic aneurysm. In a patient with such a complex medical history, there were several etiologies ...

A 39-year-old man sustained an acute grade III aortic injury resulting in a type B aortic dissection in the setting of severe traumatic brain injury, cervical spine injury and multiple orthopaedic injuries following a motorcycle crash. The patient underwent an emergent thoracic endovascular aortic repair, complicated by a thoracic pseudoaneurysm rupture and ongoing exsanguination from a persist...

A 67-year-old man was referred to our hospital for an ascending aortic aneurysm, thoracoabdominal aortic aneurysm and aortic regurgitation. Graft repair of the thoracic aortic arch and aortic valve replacement was given priority and completed, however he developed descending aortic rupture before the second scheduled surgery, and endovascular stent grafting was performed. He subsequently develo...

We present a rare manifestation of common pathology: Left sided sensorineural hearing loss secondary to subclavian steal syndrome (SSS) after thoracic endovascular aortic repair (TEVAR) for complicated acute dissection [Figure 1]. describe the vascular physiology that may result in unilateral and provide brief review SSS. This case report highlights importance avid clinical recognition an atypi...

Right-sided aortic arches are rare, affecting approximately 0.1% of the population. They are a result of abnormal development of the primitive aortic arches and may present later in life with later life with aneurysmal expansion of the aberrant left subclavian artery 'Kommerell's diverticulum'. These can be challenging to treat effectively. We report a rare case presenting with mild dysphagia a...

BACKGROUND Conventional open repair is a suboptimal therapy for blunt traumatic aortic injury (BTAI) due to the high postoperative mortality and morbidity rates. Recent advances in the thoracic endovascular repair technique may improve outcomes so that it becomes an attractive therapeutic option. MATERIALS AND METHODS From August 2003 to March 2012, 21 patients (mean age, 45.81 years) with BT...

PURPOSE To report the use of parallel grafts to extend the proximal landing zone for stent-graft repair of aortic transection involving an aberrant right subclavian artery (ARSA). CASE REPORT A 28-year-old patient was referred for treatment of traumatic aortic transection with contained rupture at the level of an ARSA. Immediate thoracic endovascular aortic repair (TEVAR) was planned because ...

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...