Background Abnormal aortic arch geometry, in particular the ‘gothic arch’, has been associated with reduced exercise performance in patients with repaired aortic coarctation. Following the arterial switch operation (ASO) for transposition of the great arteries (TGA), the morphology of the aorta is also known to be abnormal, presenting with dilated aortic root and ‘gothic’ deformity of the aorti...

Since 1991 ten patients, 9 male and 1 female, with aortic arch aneurysm underwent surgical therapy with trapdoor thoracotomy. The mean age was 67.4 +/- 9.1 (standard deviation) years at operation. In addition to the aortic arch repair, we also performed seven descending aortic replacements. We performed one partial arch replacement, one total arch replacement, and one aneurysmorrhaphy and wrapp...

A total of 25 (13 male, 12 female) adult, healthy Swiss albino mice were used to investigate the origin, course and anastomoses of coronary arteries. Coloured latex was injected into the aortic arch to enable these arteries to be clearly discerned. A. coronaria sinistra was larger than A. coronaria dextra. It was divided into a Ramus interventricularis paraconalis and a Ramus circumflexus sinis...

Total aortic arch replacement remains a complex surgical procedure, best practiced in high-volume aortic centers. The following report details the surgical procedure for total arch replacement with selective antegrade cerebral perfusion (SACP) for distal arch aneurysm. Following moderate hypothermic circulatory arrest and SACP, the distal arch, and then the proximal arch, is reconstructed, foll...

We report a case of simultaneous repair of an extensive thoracic aortic aneurysm from the aortic root to the distal aortic arch. A 54-year-old male had annuloaortic ectasia and a transverse aortic and distal arch aneurysm. Aneurysms of the descending aorta and the abdominal aorta were also demonstrated. The patient underwent aortic valve-sparing root reconstruction, replacement of the aortic ar...

Post-aortic left innominate vein (PALIV) is a rare abnormality passing over the aortic arch. A 70-year-old male was diagnosed with PALIV and distal aortic arch aneurysm (Fig. 1). Total arch replacement was successfully performed using antegrade selective cerebral perfusion of 20 8C. PALIV was preserved by complete exposure and retraction (Fig. 2). Fig. 2. Intraoperative surgeon's view: (A) post...

BACKGROUND Many cardiovascular diseases, such as aortic dissection, frequently occur on the aortic arch and fluid-structure interactions play an important role in the cardiovascular system. Mechanical stress is crucial in the functioning of the cardiovascular system; therefore, stress analysis is a useful tool for understanding vascular pathophysiology. The present study is concerned with the s...