PURPOSE To report an unusual case of dysphagia that developed immediately after stent-grafting of a thoracoabdominal aortic aneurysm. CASE REPORT A 79-year-old woman was submitted to a staged hybrid repair of a thoracoabdominal aortic aneurysm and developed new onset dysphagia and regurgitation early after stent-grafting of the thoracic aorta. Esophageal imaging showed a marked endoluminal st...

Glucocorticoid remediable aldosteronism (GRA) is rare familial form of primary aldosteronism characterized by a normalization of hypertension with the administration of glucocorticoids. We present a case of GRA and thoracoabdominal aneurysm complicated by multiple aortic dissections requiring complex surgical and endovascular repairs. Registry studies have shown a high rate of intracranial aneu...

Aortic aneurysm (AA) is a life threatening condition. Large AA carries a substantial risk of rupture. Observational studies have reported a 14.1% annual incidence rate of aortic rupture. Once the aorta has reached a diameter of 6 cm the risk of rupture increases in proportion to the aortic diameter (Elefteriades, 2002). The 5-year cumulative risk of rupture has been estimated to be 31 % among a...

BACKGROUND Current practice guidelines recommend surgical repair of large thoracic aortic aneurysms to prevent fatal aortic dissection or rupture, but limited natural history data exist to support clinical criteria for timely intervention. METHODS AND RESULTS Of 3247 patients with thoracic aortic aneurysm registered in our institutional Thoracic Aortic Center Database, we identified and revie...

OBJECTIVE To evaluate the results of the open repair of ruptured thoracic and thoracoabdominal aortic aneurysms. METHODS From January 1997, a total of 100 consecutive open repairs of ruptured thoracic or thoracoabdominal aortic aneurysms were performed (43 thoracic and 57 thoracoabdominal). These patients were compared with contemporary cases that underwent repair of corresponding intact aneu...

Aortic aneurysms are classified as complex based on their extent and involvement of side branches. Complex aortic aneurysms include arch, thoracoabdominal, juxtarenal and suprarenal aortic aneurysms. Open surgical repair carries high morbidity and mortality beyond large tertiary care centers. During the last decade, numerous technological advances have allowed incorporation of side branches usi...

Although aortic aneurysms associated with Takayasu arteritis are not rare, a total occlusion of the thoracoabdominal aorta enlargement is rare. We have experienced 60-year-old man who underwent second-stage surgery for aneurysm nine years after prior operation an ascending aorta-abdominal bypass atypical coarctation due to arteritis. present successful case treatment result 4 years’ follow-up.

BACKGROUND Paraplegia is a devastating complication for patients undergoing repair of thoracoabdominal aortic aneurysms. A monitor to detect spinal cord ischemia is necessary if anesthesiologists are to intervene to protect the spinal cord during aortic aneurysm clamping. METHODS The medical records of 60 patients who underwent thoracoabdominal aortic aneurysm repair with regional lumbar epid...

Although surgical repair of thoracic (TAA) and thoracoabdominal aortic aneurysms (TAAA) is an effective therapeutic option with excellent long-term results, with a number needed to treat of two, it is also a potentially problematic procedure, owing to both technical difficulties of aortic reconstruction and organ stress suffered in patients who are often elderly and afflicted by multiple comorb...

Endovascular aortic aneurysm repair has been established as an alternative to open surgical repair. One of the main limitations of endovascular aortic aneurysm repair is the need for a sufficient sealing zone below or above vital aortic branches. During the last 10 years, efforts have been made to overcome these limitations by incorporating fenestrations or branches into customized stent grafts...