Pseudoaneurysm is an infrequent complication of aortic coarctation repair. It occurs in 5-9% patients. Further complications such as pseudoaneurysm rupture or aorto-pulmonary fistula (APF) carry a high mortality rate and represent therapeutical.

Classically, infrarenal aortic exposure is achieved by xyphopubic or xypho-infraumbilical laparotomy, in transperitoneal approach, or through a left abdominal incision, in retroperitoneal approach. The transperitoneal approach is associated with longer intestinal activity resumption time and incisional hernias on long term, due to intestinal extracavitary mobilization and long incision. These d...

BACKGROUND To remark the feasibility of endovascular treatment of an aorto-caval fistula in a old high risk patient with "hostile" abdomen for previous surgeries. METHODS In September 2009 a 81-years-old patient was admitted in emergency at our department because of abdominal pain and massive oedema of the lower extremities associated to dyspnoea (New York Heart Association (NYHA) functional ...

Results Our surgical strategy for active IE is 1) complete debridement of infective tissue, 2) reconstruction with biological material. Six cases of 21 required reconstruction of the aorto-mitral continuity using butterfly shaped bovine pericardial patch in 4, and mono bloc aorta-mitral tissue valves replacement in 2. For the other 15 cases, resected aortic annulus were reconstructed using peri...

Chronic congestive heart failure (CHF) was induced in dogs by the construction of an aorto-caval fistula below the level of the renal arteries. Aorto-caval fistula dogs showed signs of CHF which included ascites, hind limb edema, and pulmonary congestion. Ventricular catheterization indicated a significantly higher left ventricular end diastolic pressure and lower maximum velocity of left ventr...

Clinical differentiation of buttock claudication from pseudo-claudication (neuromuscular etiology) is often challenging and cannot be diagnosed non-invasively using standard ankle-brachial index (ABI) with exercise. The aim this study was to evaluate the reliability exercise transcutaneous oximetry (ExTcPO2) accurately detect significant internal iliac artery (IIA) inflow stenosis. Methods: Dat...

Aorto-right ventricular fistula is a very rare complication of aortic dissection. We report a case of acute aortic dissection extending into the right ventricle as documented by echocardiography. The patient survived after successful surgical repair.