This video demonstrates a mini-bentall procedure, where an aortic root replacement with re-implantation of the coronary buttons is performed via a minimally invasive approach.
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Vascular
August 14, 2014
This double-blind placebo-controlled trial involved 153 pts undergoing elective endovascular aortic aneurysm repair, of whom half received methylprednisolone preoperatively. The intervention reduced the systemic inflammatory response from 92% to 27%, plasma IL-6 was decreased by 90%, and CRP, body temperature, IL-8, and TNF were also reduced. MMP-9
August 14, 2014
This retrospective review reports on single-institution results for management of aneurysms involving the entire aorta using a 2-stage elephant trunk technique. 288 pts had only a first stage operation, and 157 pts underwent a complete 2 stage repair. Mortality was 9.1% and stroke rate after stage 1 was 3.4%. Mortality prior to 2nd stage repair w
August 5, 2014
The outcomes of repair of acute type A dissection using aortic valve resuspension and sinus of Valsalva reinforcement were tracked in 489 pts operated 1993-2013. Hospital mortality was 11%. 5-year survival was 69%, and freedom from proximal reoperation was 96% at 5 years.
July 4, 2014
The timing of repair of blunt aortic injury in patients with concomitant traumatic brain injury is controversial. This single institution retrospective review analyzed outcomes in 75 pts with blunt aortic injury and traumatic brain injury, comparing early repair (<24 hrs after admission) to delayed repair. Pts undergoing early repair suffered wo
July 3, 2014
Ara Vaporciyan, Deputy Chair of the Department of Thoracic and Cardiovascular Surgery at the University of Texas M.D. Anderson Cancer Center, discusses new electronic education opportunities that can enhance the training of cardiothoracic surgery residents.
July 3, 2014
Good news for lovers of dark chocolate. In this randomized study of 20 pts with peripheral arterial disease, walking distance and maximal walking time were evaluated 2 hr after ingestion of either dark chocolate or milk chocolate in a cross-over design. Dark chocolate ingestion was associated with an 11% increase in distance and a 15% increase in t
June 22, 2014
In two double blind trials involving nearly 1400 pts being treated with opiods for non-cancer pain and experiencing constipation, oral naloxegol was compared to placebo with the primary outcome being spontaneous bowel activity. Naloxegol was superior to placebo overall and in the subgroup of patients who had failed to respond to laxatives. Pain sco
June 20, 2014
The retrospective study compared 143 patients who underwent open aortic repair and 50 patients with hybrid thoracic endovascular aortic repair (TEVAR) for non-dissecting aortic arch aneurysms.
June 20, 2014
This well documented report analyses different techniques for Bentall procedures performed using biological valved conduit, which have dramatically expanded mainly due to the increased incidence of aortic disease in the aging population, many patients not being amenable to aortic valve repair.