Ongoing questions in the surgery for type A aortic dissection include arterial cannulation site and the type of distal anastomosis for ascending or hemiarch replacement.
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Aorta
July 24, 2018
This video and article from Desai and colleagues demonstrates double transposition and single branched endovascular repair for total arch replacement in a 59-year-old man who presented with a 7 cm chronically dissected arch and distal aorta. The patient had previously undergone a DeBakey I dissection repair.
July 9, 2018
In this illustrated article, Esposito and colleagues outline the Lupiae technique for hybrid three-stage repair of mega aorta.
July 3, 2018
The authors present an urgent total descending aorta replacement, esophagectomy, stent graft removal, esophagostomy, and gastrostomy to treat an aortoesophageal fistula.
June 26, 2018
The authors provide a step-by-step description of a two-stage repair of a DeBakey type I aortic dissection using the elephant trunk technique.
June 21, 2018
Park and Kim describe the construction and use of semimanufactured eight-branched aortic graft for open repair of thoracoabdominal aortic aneurysm. The authors review the results of open repair using this graft in 12 patients, eight of whom had Marfan syndrome.
June 13, 2018
Size-based parameters have both value and limitations in predicting the risk of aortopathy in patients with bicuspid aortic valves. Given the limitations of these morphological predictive tools, Naito and colleagues review the potential of biomarkers to assess aortic disease in these patients.
June 1, 2018
Kim and colleagues retrospectively analyzed long-term patency of reimplanted branch vessels following thoracoabdominal aortic aneurysm repair in 168 patients. Patency rates were high for visceral branches. For segmental arteries, patency rates depended on reimplantation technique and were worst for graft interpositions.
May 31, 2018
Filmed at the 2017 Aortic Live meeting in Essen, Germany, Mohamad Bashir, Joseph Bavaria, Heinz Jakob, Tilo Kolbel, Gebrine El Khoury, and Stephan Haulon discuss endovascular approaches to aortic disease.
May 4, 2018
Patient Care and General Interest
An article in the New York Times looks at the ethical dilemma of performing surgery for endocarditis in illicit drug users whose addictions go untreated.