INTRODUCTION Open repair for chronic aortic dissection remains a challenging surgical option. Different centers report diverse experiences and outcomes pertaining to thoracoabdominal aortic aneurysm repair (TAAAR) for chronic type B dissection. We highlight our center's experience and results on a background of published literature and current evidence. METHODS We reviewed 214 open TAAAR perf...

A 32-year-old female was diagnosed with a giant mediastinal mass extending to the retroperitoneal space (Fig. 1A and B). Histological examination showed a malignant neuroendocrine tumour, G3. Induction chemotherapy was administered followed by the complete removal of the tumour via a left thoracophreno-laparatomy approach (Fig. 2A and B) with an uneventful outcome. Figure 1: Computed tomography...

Objective: The aim of this study was to detect and describe the existence and incidence of anatomical variations of the coeliac trunk by Using imaging technique. Materials and Methods: 80 patients visited the, radiology department of S.M.S.MEDICAL college jaipur . To cover the whole abdominal aorta in each patient, spiral CT angiography scan will be made and thin slices (0.6 mm) axial images wi...

We evaluated 18 patients with renal pelvic and ureteral carcinoma focusing on the operative treatment. All the patients underwent nephroureterectomy and partial cystectomy, except for two patients, with CIS of the ureter and renal insufficiency, and one with invasive bladder carcinoma, in whom partial ureterectomy and total cystectomy were performed, respectively. Lymphadenectomy were performed...

Normothermic ischemic arrest of the heart as an adjunct to open-heart surgery has gained widespread clinical acceptance. This form of arrest, achieved by simply cross-clamping the ascending aorta to eliminate coronary perfusion, is convenient in that it provides a bloodless operative field and a relaxed myocardium. The upper limit ofthe safe period of such ischemia is generally considered to be...

Aortic regurgitation (AR) is not a rare complication of Takayasu's disease and is now considered as an important risk factor related to mortality. Aortic-valve replacement surgery is the only curative treatment, but cardiac function and mortality after surgery have not been reported, so a follow-up study in 10 patients with Takayasu's disease complicated by AR was performed. Six patients underw...

A case of isolated acute DeBakey II redissection which occurred in a postoperative survivor who underwent an arch replacement for acute DeBakey IIIb dissection is reported. The operative findings revealed that there was an intimal tear above the left coronary cusp, that there was a false lumen in the native ascending aorta, and that a residual false lumen caused by the initial operation had not...

OBJECTIVES We present our experience of total aortic arch replacement. METHODS Twenty-nine patients (21 males and 8 females; mean age 63.3 ± 13.3 years) with extended thoracic aortic aneurysms underwent graft replacement. The pathology of the diseased aorta was non-dissecting aneurysm in 11 patients, including one aortitis and aortic dissection in 18 patients (acute type A: one, chronic type ...