The authors describe the operative technique approach and its post-operative course used in an adult patient with coarctation of aorta, in which it was not possible to perform the traditional correction with an end-to-end anastomosis with graft interposition. During the surgery it was necessary to make an extra-anatomic bypass: ascending-descending aorta with an enlarged left posterior-lateral ...

OBJECTIVES The purpose of this study was to characterize operative outcomes for ascending aorta and arch replacement on a national scale and to develop risk models for mortality and major morbidity. BACKGROUND Contemporary outcomes for ascending aorta and arch replacement in North America are unknown. METHODS We queried the Society of Thoracic Surgeons Database for patients undergoing ascen...

BACKGROUND We evaluated the operative outcomes of an extra-anatomic bypass from the ascending aorta to the abdominal aorta in patients with type II or III Takayasu arteritis (TA) with mid-aortic syndrome. METHODS From 1988 to 2014, 8 patients with type II (n=2) or III (n=6) TA underwent an ascending aorta to abdominal aorta bypass. The mean patient age was 43.5±12.2 years and the mean peak pr...

Aneurysm of the aorta is currently treated by open surgical repair or endovascular repair. However, when the aneurysm occurs in regions between the aortic arch and proximal descending aorta, it can be a complex pathology to treat due to its intricate geometry. When complex aortic aneurysms are treated with the conventional procedures, some of the patients present with significant post-operative...

BACKGROUND Reoperations on the aortic root and the ascending aorta after previous aortic valve and proximal aortic surgery are increasingly frequent and highly demanding. The scarce comparability of the published series and the heterogeneity of clinical pictures contribute to the challenges of this subgroup. METHODS Forty-one patients (2004 to 2010) who were reoperated on the aortic root and ...

Introduction Coarctation of the aorta is a common congenital abnormality that requires surgical repair in most instances with a challenging anesthetic management. Fast tracking has been introduced to cardiac anesthesia in order to limit post operative ventilator complications, to conserve expensive resources and to allow a shorter hospital course. Immediate extubation is an integral part of fas...

RECENT experiences with the treatment of saccular aneurysms of the aorta have shown that excision of an aneurysm in any portion of the aorta, with aortic suture, is feasible and that operative risk is not great.' Aneurysms of the distal abdominal aorta are in a more favorable position for surgical attack; however, such lesions are almost always caused by arteriosclerosis. The generalized distri...

BACKGROUND Computed tomographic angiography (CTA) has emerged as the defacto imaging test to rule out acute aortic dissection; however, it is not without flaws. We report a case of a false-positive CTA with respect to Stanford Type A aortic dissection. CASE A 52 year-old male presented with sudden onset shortness of breath. He denied chest pain. Due to severe hypertension and an Emergency Dep...

BACKGROUND Use of a minimally invasive approach for isolated aortic valve surgery is increasing. However, management of the root and/or ascending aorta through a mini-invasive incision is not so frequent. The aim of this study is to report our initial experience with surgery of the ascending aorta through a ministernotomy approach. METHODS We retrospectively analyzed 102 patients treated for ...