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Urgent Pneumonectomy as a Result of an Endoleak Type III-A Late Complication after Aortic Stent Implantation. 主动脉支架植入术后出现III-A型内漏并发症的紧急全肺切除术
AORTA Pub Date : 2022-10-01 DOI: 10.1055/s-0042-1750131
Andreas Kirschbaum, Andreas Mahnken, Pascal Wallot, Nikolas Mirow
{"title":"Urgent Pneumonectomy as a Result of an Endoleak Type III-A Late Complication after Aortic Stent Implantation.","authors":"Andreas Kirschbaum,&nbsp;Andreas Mahnken,&nbsp;Pascal Wallot,&nbsp;Nikolas Mirow","doi":"10.1055/s-0042-1750131","DOIUrl":"https://doi.org/10.1055/s-0042-1750131","url":null,"abstract":"<p><p>We report on an octogenarian, who was hospitalized with acute hemoptysis. Computed tomography angiography revealed a monstrously large thrombosed aortic aneurysm in the left thoracic cavity, completely displacing the lung. Eighteen years ago, the patient had suffered traumatic rupture of the descending aorta loco typico. Surgical exploration revealed a large calcified aneurysmal sac, which had perforated into the left lung. Pneumonectomy was performed, and hemoptysis did not reoccur.</p>","PeriodicalId":52392,"journal":{"name":"AORTA","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9767764/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10419537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Interventional Closure of a Ruptured Sinus of Valsalva with a Konar-Multifunctional Device. 用konar -多功能装置介入治疗瓦尔萨尔瓦窦破裂一例。
AORTA Pub Date : 2022-10-01 DOI: 10.1055/s-0042-1750411
Thomas Krasemann, Michiel Dalinghaus, Gert van den Berg, Bas Rebel
{"title":"Interventional Closure of a Ruptured Sinus of Valsalva with a Konar-Multifunctional Device.","authors":"Thomas Krasemann,&nbsp;Michiel Dalinghaus,&nbsp;Gert van den Berg,&nbsp;Bas Rebel","doi":"10.1055/s-0042-1750411","DOIUrl":"https://doi.org/10.1055/s-0042-1750411","url":null,"abstract":"<p><p>A 14-year-old girl with trisomy 13 presented with signs of respiratory failure. This was caused by the rupture of a sinus of Valsalva aneurysm into the right atrium. A Konar Multifunctional Occluder was used for closure. This is the first report of this device for this indication.</p>","PeriodicalId":52392,"journal":{"name":"AORTA","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9767771/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10419535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Type 1 Endoleak: Management following Thoracic Endovascular Aortic Repair. 1型内漏:胸主动脉血管内修复后的处理。
AORTA Pub Date : 2022-08-01 DOI: 10.1055/s-0042-1756665
Martin Czerny, Maximilian Kreibich, Tim Berger, Stoyan Kondov, Matthias Siepe, Friedhelm Beyersdorf, Bartosz Rylski
{"title":"Type 1 Endoleak: Management following Thoracic Endovascular Aortic Repair.","authors":"Martin Czerny,&nbsp;Maximilian Kreibich,&nbsp;Tim Berger,&nbsp;Stoyan Kondov,&nbsp;Matthias Siepe,&nbsp;Friedhelm Beyersdorf,&nbsp;Bartosz Rylski","doi":"10.1055/s-0042-1756665","DOIUrl":"https://doi.org/10.1055/s-0042-1756665","url":null,"abstract":"<p><p>The best treatment option for type IA endoleak after thoracic endovascular aortic repair (TEVAR) is its avoidance by understanding the underlying disease process, having/creating adequate landing zones, as well as respecting anatomy in combination with knowledge of the capabilities and limitations of the TEVAR device used.</p>","PeriodicalId":52392,"journal":{"name":"AORTA","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9754871/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10363101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Optimal Extent of Repair for Acute Type I Aortic Dissection-Frozen Elephant Trunk? How Long and Why? 急性I型主动脉夹层的最佳修复范围-冷冻象鼻?多长时间，为什么?
AORTA Pub Date : 2022-08-01 DOI: 10.1055/s-0042-1756664
Jessica G Y Luc, Ourania Preventza
{"title":"Optimal Extent of Repair for Acute Type I Aortic Dissection-Frozen Elephant Trunk? How Long and Why?","authors":"Jessica G Y Luc,&nbsp;Ourania Preventza","doi":"10.1055/s-0042-1756664","DOIUrl":"https://doi.org/10.1055/s-0042-1756664","url":null,"abstract":"<p><p>Acute Type A dissection is a life-threatening condition requiring urgent surgical treatment. The operative technique involves repairs of a variety of distal extents of the transverse aortic arch and the downstream aorta. We review the evidence surrounding the extent of repair for acute Type A aortic dissection and describe our approach to this disease.</p>","PeriodicalId":52392,"journal":{"name":"AORTA","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9754864/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10363100","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Frozen Elephant Trunk Sizing: A 30,000-Feet Perspective with Thoraflex Hybrid Stent Graft. 冷冻象鼻尺寸:30,000英尺透视与Thoraflex混合支架移植。
AORTA Pub Date : 2022-08-01 DOI: 10.1055/s-0042-1756667
Sven Z C P Tan, Idhrees Mohammed, Mohamad Bashir
{"title":"Frozen Elephant Trunk Sizing: A 30,000-Feet Perspective with Thoraflex Hybrid Stent Graft.","authors":"Sven Z C P Tan,&nbsp;Idhrees Mohammed,&nbsp;Mohamad Bashir","doi":"10.1055/s-0042-1756667","DOIUrl":"https://doi.org/10.1055/s-0042-1756667","url":null,"abstract":"<p><p>There is currently no standard, evidence-based approach for sizing the Thoraflex Hybrid prosthesis in frozen elephant trunk surgery. We present regional data on 906 Thoraflex grafts implanted in the United Kingdom between December 2012 and August 2021 to emphasize the heterogeneity in sizing practices and evaluate the impact this may have on clinical outcomes. Highlighting this heterogeneity will help develop an evidence-based approach to prosthesis sizing, thereby aiding decision-making for arch repair.</p>","PeriodicalId":52392,"journal":{"name":"AORTA","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9754870/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10367707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Iatrogenic Type A Aortic Dissection: Challenges and Frontiers-Contemporary Single Center Data and Clinical Perspective. 医源性A型主动脉夹层:挑战和前沿-当代单中心数据和临床观点。
AORTA Pub Date : 2022-08-01 DOI: 10.1055/s-0042-1756670
Konstantin von Aspern, Sergey Leontyev, Christian D Etz, Josephina Haunschild, Martin Misfeld, Michael A Borger
{"title":"Iatrogenic Type A Aortic Dissection: Challenges and Frontiers-Contemporary Single Center Data and Clinical Perspective.","authors":"Konstantin von Aspern,&nbsp;Sergey Leontyev,&nbsp;Christian D Etz,&nbsp;Josephina Haunschild,&nbsp;Martin Misfeld,&nbsp;Michael A Borger","doi":"10.1055/s-0042-1756670","DOIUrl":"https://doi.org/10.1055/s-0042-1756670","url":null,"abstract":"<p><p>Iatrogenic aortic dissection (IAD) is a rare but devastating complication in cardiac surgery and related procedures. Due to its rarity, published data on emergency surgery following IAD are limited. Herein, we discuss IAD occurring intra- and postoperatively, including those occurring during transcatheter aortic valve replacement and cardiac catheterization, and present benchmark data from our consecutive, single-center experience. We demonstrate changes in patient characteristics, surgical approaches, and outcomes over a 23-year period.</p>","PeriodicalId":52392,"journal":{"name":"AORTA","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9754867/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10367709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Spinal Cord Ischemia in Open and Endovascular Aortic Repair. 开放和血管内主动脉修复中的脊髓缺血。
AORTA Pub Date : 2022-08-01 DOI: 10.1055/s-0042-1756669
Enrico Rinaldi, Diletta Loschi, Nicola Favia, Annarita Santoro, Roberto Chiesa, Germano Melissano
{"title":"Spinal Cord Ischemia in Open and Endovascular Aortic Repair.","authors":"Enrico Rinaldi,&nbsp;Diletta Loschi,&nbsp;Nicola Favia,&nbsp;Annarita Santoro,&nbsp;Roberto Chiesa,&nbsp;Germano Melissano","doi":"10.1055/s-0042-1756669","DOIUrl":"https://doi.org/10.1055/s-0042-1756669","url":null,"abstract":"<p><p>Despite the improvements, spinal cord ischemia is still one of the major and most dramatic potential complications after thoracic and thoracoabdominal aortic treatments, for both open and endovascular procedures. A multimodal approach, which includes several intraoperative and postoperative maneuvers, may contribute to optimizing the spinal cord tolerance to ischemia. The aim of this article is to report the different techniques employed to improve spinal cord perfusion, directly and indirectly through collateral circulation.</p>","PeriodicalId":52392,"journal":{"name":"AORTA","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9754877/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10367710","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Frozen Elephant Trunk Procedure and Risk for Distal Stent-Graft-Induced New Entries. 冷冻象鼻手术和远端支架移植诱导的新骨入骨的风险。
AORTA Pub Date : 2022-08-01 DOI: 10.1055/s-0042-1756666
Maximilian Kreibich, Tim Berger, Bartosz Rylski, Matthias Siepe, Martin Czerny
{"title":"Frozen Elephant Trunk Procedure and Risk for Distal Stent-Graft-Induced New Entries.","authors":"Maximilian Kreibich,&nbsp;Tim Berger,&nbsp;Bartosz Rylski,&nbsp;Matthias Siepe,&nbsp;Martin Czerny","doi":"10.1055/s-0042-1756666","DOIUrl":"https://doi.org/10.1055/s-0042-1756666","url":null,"abstract":"<p><p>The frozen elephant trunk (FET) procedure is known as an effective treatment option for patients with any aortic pathology involving the aortic arch. However, there is growing evidence that many patients often require secondary intended, expected, or unexpected aortic reinterventions during follow-up. In those with underlying aortic dissection pathology, a substantial risk for developing distal stent-graft-induced new entries (dSINEs) has been identified as one cause for secondary aortic reinterventions. dSINE can develop at any time after the FET procedure. Endovascular treatment is generally feasible and safe to close the newly formed entry with low procedural risk. Nevertheless, all patients need continuous follow-up after FET treatment, ideally in a specialized aortic outpatient clinic.</p>","PeriodicalId":52392,"journal":{"name":"AORTA","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9754859/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10363099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Guillain-Barre Syndrome-A Rare Cause of Quadriparesis after the Bentall Procedure for Type A Aortic Dissection. 吉兰-巴雷综合征--A型主动脉夹层本托尔手术后四肢瘫痪的罕见病因。
AORTA Pub Date : 2022-08-01 Epub Date: 2022-12-15 DOI: 10.1055/s-0042-1756668
Rajeev T Chellasamy, Aravind Kalyanasundaram, Hemachandren Munuswamy, Ramkumar Sugumaran, Rajesh K Meher
{"title":"Guillain-Barre Syndrome-A Rare Cause of Quadriparesis after the Bentall Procedure for Type A Aortic Dissection.","authors":"Rajeev T Chellasamy, Aravind Kalyanasundaram, Hemachandren Munuswamy, Ramkumar Sugumaran, Rajesh K Meher","doi":"10.1055/s-0042-1756668","DOIUrl":"10.1055/s-0042-1756668","url":null,"abstract":"<p><p>Neurological complications following aortic surgery are most often cerebrovascular accidents due to embolism, or spinal infarcts resulting in hemiparesis or hemiplegia. Guillain-Barre syndrome is a rare cause of quadriparesis. Here, we report a 49-year old male who presented with acute aortic dissection and underwent the Bentall procedure following which he developed quadriparesis, subsequently diagnosed to be a case of Guillain-Barre syndrome. He was successfully treated with intravenous immunoglobulin.</p>","PeriodicalId":52392,"journal":{"name":"AORTA","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9754875/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10367708","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
From India-International Aortic Summit: There Is Nothing Impossible for Those Who Will Try! 来自印度-国际主动脉峰会:世上无难事，只怕有心人!
AORTA Pub Date : 2022-08-01 DOI: 10.1055/s-0042-1756672
Mohammed Idhrees, Mohamad Bashir, Bashi V Velayudhan
{"title":"From India-International Aortic Summit: There Is Nothing Impossible for Those Who Will Try!","authors":"Mohammed Idhrees,&nbsp;Mohamad Bashir,&nbsp;Bashi V Velayudhan","doi":"10.1055/s-0042-1756672","DOIUrl":"https://doi.org/10.1055/s-0042-1756672","url":null,"abstract":"The aorta is a dynamic living structure, central to all vital organs with its aortovascular branches. At the center of the affair, the aorta is af fl ictedwith aneurysm disease, a complex condition that warrants attention and a multidisciplinary huddle to understand and ameliorate its dire effects. The International Aortic Summit in Chennai, India, is not just a conference","PeriodicalId":52392,"journal":{"name":"AORTA","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9754856/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10367711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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