An interdisciplinary expert panel on the treatment of type B intramural haematoma (IMH) and penetrating atherosclerotic ulcer (PAU) evaluated 46 studies on overall 1386 patients. Recommendations for decision making on medical, open surgical or endovascular treatment are given in the paper.
ALERT!
This site is not optimized for Internet Explorer 8 (or older).
Please upgrade to a newer version of Internet Explorer or use an alternate browser such as Chrome or Firefox.
Aorta
January 12, 2015
January 12, 2015
17 manuscripts were included in the final analysis and postoperative data of 722 patients were studied. The mean age of patients was 58 years and mean follow-up was 62 months. Hospital mortality was 1.5% (11 deaths).
January 5, 2015
This patient presented with a large distal arch and proximal descending aortic aneurysm (7 cm). He underwent a Total Arch Replacement and Frozen Elephant Trunk Procedure using the Thoraflex Hybrid Graft (Vascutek Terumo). The entire operation was performed via a hemi-sternotomy (half incision size).
January 5, 2015
This video illustrates a novel technique for repairing a type A aortic dissection.
December 11, 2014
Provocative study that analyzes lower body perfusion in a porcine model during cardiopulmonary bypass with an actuated IABP in place to effect pulsatile perfusion. Parameters of distal perfusion including measurement of pressures and microsphere perfusion indicate that flow distal to the balloon pump may be impaired.
December 3, 2014
In this video, the authors present their technique for aortic root replacement using a freestyle aortic root prosthesis and a Dacron graft, thus achieving a "Biological Bentall."
December 3, 2014
This study used data from the International Registry of Acute Aortic Dissection to explore the rates and outcomes of root replacement vs more conservative management in patients with acute type A dissections. Root replacement patients were younger, had greater root diameter, were more often affected by Marfans, had a higher incidence of AI, and were
November 29, 2014
Randomized multicenter trial comparing losartan versus atenolol in young patients with Marfan's syndrome with no significant difference in aortic root dilation between groups.
November 26, 2014
Goldberg and colleagues provide an excellent review on a complex topic: intramural hematomas.
November 17, 2014
This video illustrates the technique used to repair an aortic dissection with a tear involving the aortic root contiguous with the right coronary artery (RCA). In addition to the dissection repair, an aortic root replacement and a jump graft to the RCA are performed.