Essential reading, paying particular attention to the table in Section 7: the European experts recommend, again, that in Marfan and other systematic connective tissue diseases conventional techniques are still advantageous because the landing zones will eventually degenerate.
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Descending Thoracic Aorta
November 26, 2018
The authors compared the early and long-term survival in 9165 patients undergoing medical therapy (95%), open repair (2%), and thoracic endovascular aortic repair (TEVAR, 2.9%) for uncomplicated acute type B dissection. One- and 5-year survivals were 84% and 60% for medical therapy, 76% and 67% for open repair, and 85% and 76% for TEVAR (log-rank, P
November 7, 2018
Watanabe and associates studied the association between false lumen remodeling late after type A dissection repair and the shape of the true lumen in the early postoperative period. They found that the true lumen shape in the early postoperative period predicts false lumen remodeling late after surgery.
October 23, 2018
Farhood Saremi and colleagues from the University of Southern California contributed a comprehensive review of the computed tomography angiographic (CTA) findings that improve the accuracy of diagnosis of thoracic aortic dissection and predict the outcomes of different management strategies for this highly lethal disease.
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 2, 2018
Yoshioka and colleagues evaluated the artery of Adamkiewicz using multidetector row computed tomography in 64 patients. These patients had descending thoracic or thoracoabdominal aortic aneurysms that were associated with the occlusion of the segmental artery from which the artery of Adamkiewicz originated.
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.
February 17, 2018
A balanced comment on the occasion of the latest retrospective nonrandomised Coselli report on redo thoracoabdominal aortic aneurysms (TAAAs).
December 15, 2017
Erythropoietin (EPO) signaling is an important component of neuroprotection in ischemic reperfusion injury following aortic surgery. EPO also induces hematopoiesis, a fact that has limited its clinical usefulness for treating spinal cord ischemia after aortic surgery.
November 30, 2017
Sato and colleagues applied elliptic Fourier analysis to morphological aortic measurements from 80 patients with uncomplicated type B aortic dissection. The patients were divided in two groups according to aortic enlargement during follow-up.