This investigation presents additional evidence for the hemodynamic influence of intracardiac anomalies on the development of the aortic arch, based on measurements of different parts of the great vessels. Criteria are given to define the normal aortic arch and the different anomalies of the aortic arch, such as interruption, atresia, tubular hypoplasia, hypoplasia, abnormal long segment and ju...

AIMS To investigate the role of the geometry of the aortic arch in resting hypertension after successful repair of coarctation (CoA). METHODS AND RESULTS 105 patients (15.3+/-6 years) with successful repair of aortic CoA underwent blood pressure (BP) measurements at rest and magnetic resonance imaging (MRI) of the aortic arch and left ventricle. Three categories of aortic arch shape were defi...

objective : double aortic arch (daa) is a rare congenital malformation. strategies for diagnosis and treatment are different. thoracoscopic treatment of daa is limited to case reports or little case series. we report a description of our diagnostic and therapeutic approach and evaluate outcomes. methods: we reviewed charts of infants with double aortic arch who were hospitalized in our departme...

OBJECTIVE To analyze our experience in the surgical correction of transposition of the great arteries associated with aortic arch obstruction. METHOD From January 1998 to December 2005 we performed 223 arterial switch operations for transposition of the great arteries; 21 (9.4%) patients had associated aortic arch obstruction. Aortic arch anatomy showed: localized aortic coarctation (n=10) an...

BACKGROUND Aortic dissection (AD) represents a clinically uncommon aortic pathology which predicts a dismal prognosis if not promptly treated. In acute Debakey type I AD (ADIAD), aortic lesion extends from aortic root to even distal abdominal aorta among which aortic arch and its three main branches still remain a great surgical challenge for repair and reconstruction. Several decades have witn...

Isolated atresia of the aortic arch is rare. In aortic arch atresia the arch is continuous, yet a segment of it is atretic so that apart from a collateral circulation, communication with the lower aortic segment is absent. Haemodynamically, the condition is similar to complete interruption of the aortic arch. To our knowledge only 10 cases of isolated aortic arch atresia or interruption have be...

OBJECTIVE Thoracic endovascular aortic repair (TEVAR) for Type B aortic dissections has come into wide use, despite it is still controversial. In addition, many dissections have entries in distal arch. Therefore, in order to cover distal arch entries, stent grafts needs to be placed in aortic arch. However, TEVAR of the aortic arch has anatomical restrictions, such as the proximity to the great...

Introduction: Patients with primary acute aortic dissection are at higher risk of complications, including increasing aortic aneurysm diameter, aortic rupture, aortic pseudo aneurysm, and recurrent aortic dissection. Case presentation We presented the case of a recurrent pseudo aneurysm and rupture of the aorta in the distal a...

Recent advances in hybrid techniques of aortic arch debranching allow for the repair of thoracic aortic arch aneurysm without requiring cardiopulmonary bypass or hypothermic circulatory arrest. We describe the repair of a ruptured proximal descending thoracic aortic aneurysm, using off-pump aortic arch debranching and antegrade transaortic deployment of a thoracic endograft in an elderly patient.