Endovascular Aneurysm Repair (EVAR) was successfully reported by Dr. Juan Parodi in the early 1990’s. His initial report of this monumental change in the management of aneurysm disease has allowed for the continued evolution of endovascular therapyfor theaorta.Dr. Yoshidaandcolleagues report two difficult cases that demonstrate this continued evolution in endovascular therapies for aneurysmal d...

Superior mediastinum contains many important vessels and tubes, variation of one may affect the other. Left brachiocephalic vein crosses arch of the aorta and its branches superficially. Arch of the aorta from its convex superior aspect usually provides brachiocephalic, left common carotid and left subclavian artery from the right to left. Left subclavian artery continues as axillary artery and...

Correspondence To the Editor: Aberrant right subclavian artery (ARSA) is a congenital vascular anomaly. Stanford‑type A aortic dissection with ARSA is rare. We reported a strategy that involved the use of a four‑branch prosthetic graft to reconstruct the four supra‑arch branch vessels for a Stanford type A aortic dissection with ARSA. A 46‑year‑old male was admitted to Beijing Anzhen Hospital b...

In this study, the aim was to investigate the anatomy of the aortic arch arteries in mole-rats (Spalax leucodon). Six adult mole-rats were used for this purpose. Coloured latex was injected into the left ventriculus of the hearts of all animals. The materials were carefully dissected and the arterial patterns of arteries originating from the aortic arch were examined. The brachiocephalic trunk,...

AIM The aim of this retrospective study was to examine the early and mid-term outcomes for patients undergoing elective aortic arch surgery over a 13-years period in the single low-volume centre. Results of aortic arch surgery published in the literature are usually results of high-volume centers, but the majority of institutions have much lower caseload. METHODS From January 1999 to March 20...

BACKGROUND Aortic arch reconstruction is associated with high neurological morbidity. Our purpose is to describe our experience using a 4-branched graft and selective antegrade brain perfusion (SABP) for total aortic arch replacement (TAR). METHODS We retrospectively reviewed the medical records of 12 patients who received TAR, with or without ascending aorta replacement, with a 4-branched gr...

OBJECTIVE Right axillary artery (AxA) perfusion, which can prevent cerebral embolism caused by retrograde perfusion via the femoral artery (FA), was used for selective cerebral perfusion (SCP) as well as cardiopulmonary bypass (CPB) in aortic arch repair. We review the outcome of aortic arch surgery using SCP with right AxA perfusion to clarify its efficacy. METHOD Between 1998 and 2002, 120 ...

controlled intradermal injection of botulinum toxin type A in recalcitrant axillary hyperhidrosis. J Am Acad Dermatol 1999;41:987-90. 8 Naumann M, Flachenecker P, Bröcker E-B, Toyka KV, Reiners K. Botulinum toxin for palmar hyperhidrosis. Lancet 1997;349:252. 9 Naumann M, Hofmann U, Bergmann I, Hamm H, Toyka KV, Reiners K. Focal hyperhidrosis: effective treatment with intracutaneous botulinum t...