C urrently, acute aortic dissection remains the most common aortic catastrophe, 1–3 with management and prognosis determined by location of the affected aortic segment. Acute aortic dissection involving the ascending aorta, Stanford type A or DeBakey type I or II, is treated with urgent surgical intervention, whereas acute aortic dissection involving the descending thoracic aorta or thoracoabdo...

OBJECTIVE To evaluate the safety and feasibility of a novel stent-graft for thoracic endovascular aortic repair (TEVAR) in a canine model, 9 adult hybrid dogs were used for the experiment. METHODS All animals were implanted with a novel thoracic aortic stent-graft via femoral artery. Blood sample was collected at pre-operation and 1, 2, 4, 8 and 12 weeks after implantation for hematological e...

A 77-year-old woman who had undergone graft replacement of the descending aorta 18 years prior presented to our hospital complaining a cough with bloody sputum. She was diagnosed aortobronchial fistula by computed tomography. Thoracic endovascular aortic repair performed, and patient discharged from without any major complications. Postoperatively, sputum disappeared, tomography examination at ...

Endovascular treatment has emerged as a less traumatic alternative treatment for several diseases of the thoracic aorta. However, the complications of the endovascular management of ascending aortic dissections are still high. We present a case of two iatrogenic complications after endovascular repair (EVAR) of type A (ascending) aortic dissection. Retrograde aortic dissection at the proximal p...

Thoracic endovascular aortic reconstruction (TEVAR) is increasingly used in the management of descending aortic pathology including aneurysms, dissections and transaction. When treating aortic arch pathology, hybrid procedures have been devised, in which major supra-aortic arteries are translocated using a variety of techniques. Such hybrid procedures offer an attractive alternative to open arc...

A 69-year-old man underwent thoracic endovascular aortic repair of a descending aortic aneurysm. Three years later, he developed impending rupture due to aneurysmal expansion that included the proximal landing zone. Urgent open surgery was performed via lateral thoracotomy, and a Dacron graft was sewn to the previous stent graft distally with Teflon felt reinforcement. Postoperatively, four seq...

Thoracic endovascular aortic repair (TEVAR) has emerged as an effective therapy for a variety of thoracic aortic pathologies. However, various types of endoleak remain a major concern, and its treatment is often challenging. We report a case of type I endoleak occurring 19 months after zone II hybrid TEVAR. The endoleak was successfully repaired by the frozen elephant trunk technique, without r...

Mycotic aneurysms constitute a small proportion of aortic aneurysms. Endovascular repair of mycotic aneurysms has been applied with good short-term and midterm results. However, the uncommon aortoenteric fistula formation remains a potentially fatal complication when repairing such infective aneurysms. We present the case of an 80-year-old woman with thoracic and abdominal aortic mycotic aneury...

A 25-year-old woman committed suicide with a high-rise fall and presented hypovolemic shock caused by blunt thoracic, abdominal injury. Enhanced computed tomography scan showed the pelvic hemorrhage and the transection of the descending thoracic aorta. After urgent transcatheter arterial embolization to stabilize bleeding from pelvic fracture, the thoracic aortic injury was treated with endovas...

1. A retrospective, observational, multicenter study evaluated aortic remodeling and associated complications in 47 patients treated with thoracic endovascular aneurysm repair (TEVAR) for blunt traumatic injuries (BTAI). Which of the following is correct?1A.Aortic remodelling more common young patientsB.Aortic occurs mainly during first year after TEVAR its occurrence thereafter rare.C.Aortic c...