Open repair is the standard for aneurysmal degeneration of the arch. Endovascular techniques offer an alternative for patients with prohibitive comorbidities. This video describes a complete endovascular arch reconstruction using a modified stent graft approach, combined with cervical debranching.
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Aorta
February 16, 2015
This video shows a very rare vascular injury occurring during VATS left upper lobectomy, and its repair. The case suggests some of the limitations of VATS procedures.
February 3, 2015
This video shows the surgical correction of two large thoracic aortic aneurysms in a 15-year-old girl.
January 21, 2015
This video demonstrates a technique for aortic arch debranching and reconstruction in an elderly patient.
January 14, 2015
Deep hypothermia and cardioplegic myocardial arrest, with or without selective cerebral perfusion, is traditionally performed during aortic arch reconstruction. In this video, the authors describe a technique for selective cerebral perfusion combined with controlled coronary perfusion for hypoplastic aortic arch repair.
January 12, 2015
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.
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.