While superficial temporal artery (STA) vasculitis is typically a disease of the elderly, spontaneous STA aneurysm in children is anecdotic and usually caused by a subjacent vasculitis. Since 1948 around 40 cases have been listed in literature and just 6 of them under the age of 18. Three main forms have been classified: juvenile temporal arteritis, typical giant cells arteritis and temporal ar...

OBJECTIVES Coarctation of the aorta is one of the most common congenital heart defects. Its diagnosis may be difficult in the presence of a patent ductus arteriosus, of other complex defects or of a poor echocardiographic window. We sought to demonstrate that the carotid-subclavian artery index (CSA index) and the isthmus-descending aorta ratio (I/D ratio), two recently described echocardiograp...

A recently recognized connective tissue disorder, Loeys-Dietz syndrome (LDS) is a genetic aortic aneurysm syndrome caused by mutations in the transforming growth factor-receptor type I or II gene (TGFBR1 or TGFBR2). They have distinctive phenotypic abnormalities including widely spaced eyes (hypertelorism), bifid uvula or cleft palate, and arterial tortuosity with aortic aneurysm or dissection ...

Atresia of the aortic arch is a rare congenital heart defect with a high mortality when associated with other intracardiac defects. Cardiac magnetic resonance (CMR) provides the exact anatomy of the aortic arch and collateral circulation and is useful to diagnose-associated aortic arch anomalies. This report describes the case of a 4-year-old child with atresia of the aortic arch, referred to o...

Method From 2003 to 2015 a total number of 84 patients, 63 male and 21 female with average age 51.7 years (from 26 to 86 years), underwent hybrid management of complex aortic pathology. Patients were divided in 5 groups: Group 1: Hybrid aortic debranching in 12 pts (for Aortic dissection type B with retrograde arch dissection in 10 patients and Aortic re-dissection type A after surgical treatme...

In a survey of 7,044 necropsies there were 99 cases of aneurysm of the abdominal aorta and 523 cases of peptic ulceration. The incidence of peptic ulceration in the general necropsy population was 7.2% whilst in cases with aneurysm it was 22.6%. There was a significant increase in duodenal ulceration in males with abdominal aortic aneurysms. The possible causes for this increased incidence are ...

Objective: To compare results of dilatation of native coarctation of the aorta with and without stent implantation. Design: Open, observational, non-randomised study. Patients: 54 consecutive adult patients: 32 with balloon angioplasty alone (group 1) and 22 with stent placement (group 2). Interventions: Balloon dilatation from 1995 to 1997; dilatation with Palmaz stent placement from 1997 to 1...

OBJECTIVES We sought to assess the effect of successful stenting on the Doppler profile of aortic coarctation and to identify echocardiographic indexes that could be used for follow-up of such patients. BACKGROUND Doppler echocardiography demonstrates characteristic flow patterns in significant aortic coarctation. METHODS We undertook retrospective echocardiographic analyses before and at s...

C oarctation and recoarctation of aorta have been treated successfully with endovascular therapy, including balloon angioplasty or stent angioplasty, for >3 decades. 1–4 After successful surgical repair reported by Craafoord and Nylin, 5 the concept of angioplasty in the coronary arteries reported by Gruntzig et al 6 opened up a new strategy of treatment of native and recoarctation. Balloon ang...

Tuberculous aneurysm of the aorta is exceedingly rare. To date, the standard therapy for mycotic aneurysm of the abdominal aorta has been surgery involving in-situ graft placement or extra-anatomic bypass surgery followed by effective anti-tuberculous medication. Only recently has the use of a stent graft in the treatment of tuberculous aortic aneurysm been described in the literature. We repor...