We describe a man with the Marfan syndrome and a prior ascending aortic aneurysm resection who presented with knee pain and concern of endocarditis. Transesophageal echocardiogram showed no vegetations, and computed tomography angiogram of the heart showed a possible pseudoaneurysm. Cardiac catheterization and aortogram revealed the diagnosis of an aorto-right atrial fistula, which was then ope...

Surgical treatment is effective to exclude all infected tissue in patients with infective endocarditis. Although various techniques have been reported, it has remained a great challenge for patients with extensive infected regions. A patient with extensive bivalvular endocarditis including the aortic and mitral valve and aorto-mitral continuity is described. A handmade aorto-mitral bioprostheti...

Progressive late obstruction of an aorto-coronary venous bypass graft is reported in a 44-year-old man who died of bi-ventricular failure 114 days after surgery. The first portion of the vein graft had a residual lumen of one mm. Histology showed marked intimal fibrosis. Mechanism for this occlusion and fibrosis is unclear. This representsc the first documented case of late obstruction of an ao...

PURPOSE Most outcome studies of bypass surgery are limited to five years of follow-up. However, as human life expectancy has increased, analyses of more long-term outcomes are needed. The aim of this study is to evaluate 10-year outcomes of anatomical bypasses in aortoiliac occlusive disease. METHODS From 1996 to 2009, 92 patients (82 males and 10 females) underwent aortic anatomical bypasses...

INTRODUCTION Small Aorta Syndrome (SAS) or hypoplastic aorto-iliac syndrome is a rare pathology of the aorta that affects almost exclusively young or middle-aged women and is characterized by smaller dimension of the aorta and iliac axes. Etiopathogenesis is unclear and many factors have been invoked. The smaller caliber of the aorta and iliac arteries may predispose to aorto-iliac occlusive di...

Background: Aorto-enteric fistula formation after endovascular repair without previous abdominal surgery is exceedingly rare. It can occur at any time postoperatively.

OBJECTIVES This study examined the immediate angiographic and long-term clinical results of stenting saphenous vein graft aorto-ostial stenosis at a single center. BACKGROUND Data on the feasibility, safety and short- and long-term clinical results of stent implantation in aorto-ostial lesions in patients with unstable angina are limited. METHODS Palmaz or Palmaz-Schatz stents were deployed...

We report a case of aorto-bronchial ®stula 7 years after implantation of a self-expanding metal stent into the left main bronchus. The clinical presentation was characterised by left-sided chest pain, dyspnea and a single bout of haemoptysis. The ®stula was surgically managed by aortic resection and primary repair of the aorta, and patch repair of the left main bronchus over a Poly ̄ex covered b...

Background Computational Fluid Dynamics (CFD) can be utilized to evaluate hemodynamic characteristics in patients with surgically implemented Total Cavo Pulmonary Connection (TCPC). The simulation process is however often complex and rarely takes into account characteristics such as pulmonary resistance and Aorto-Pulmonary Collaterals in analyses to predict outcome of interventions. The aim of ...

The superior mesenteric artery extends anteriorly and inferiorly off the aorta at the level of the first lumbar vertebrae. The duodenal sweep and left renal vein are located in the aorto-mesenteric angle space. A decrease from the normal angle may compress these two structures. The case presented here discusses a unique patient with significant compression of the third portion of the duodenum a...