Subcallosal and Heubner artery infarcts following surgical repair of an anterior communicating artery aneurysm: a causal relationship with postoperative amnesia and long-term outcome

✓ The long-term prognosis (15 years) was determined for 17 patients who had undergone anterior cerebral artery (ACA) ligation as the sole treatment for an anterior communicating artery aneurysm. The number of early and late rebleeds was lower than expected from previously ruptured aneurysms. Late ischemia was not a major complication while late postoperative epilepsy occurred in 19% of survivors. In a review of previously published series, ACA ligation appears to have significantly reduced the rates of both early and late rebleeding. This study helps to define the late results of “conservative” operations for ruptured aneurysms.

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Faculty Opinions recommendation of Long-term outcome of endovascular popliteal artery aneurysm repair.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.732392592.793541911 ◽

2018 ◽

Author(s):

Norman Hertzer

Keyword(s):

Popliteal Artery ◽

Artery Aneurysm ◽

Term Outcome ◽

Long Term Outcome ◽

Popliteal Artery Aneurysm ◽

Aneurysm Repair

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Long-Term Outcome After Ablation of Right Atrial Tachyarrhythmias After the Surgical Repair of Congenital and Acquired Heart Disease

The American Journal of Cardiology ◽

10.1016/j.amjcard.2015.03.017 ◽

2015 ◽

Vol 115 (12) ◽

pp. 1705-1713 ◽

Cited By ~ 17

Author(s):

Ignasi Anguera ◽

Paolo Dallaglio ◽

Rosa Macías ◽

Javier Jiménez-Candil ◽

Rafael Peinado ◽

...

Keyword(s):

Heart Disease ◽

Surgical Repair ◽

Right Atrial ◽

Term Outcome ◽

Long Term Outcome ◽

Atrial Tachyarrhythmias ◽

Acquired Heart Disease

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Hypospadias: clinical approach, surgical technique and long-term outcome

BMC Pediatrics ◽

10.1186/s12887-021-02941-4 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Pier Luca Ceccarelli ◽

Laura Lucaccioni ◽

Francesca Poluzzi ◽

Anastasia Bianchini ◽

Diego Biondini ◽

...

Keyword(s):

Functional Outcome ◽

Surgical Repair ◽

Adult Life ◽

Clinical Approach ◽

Term Outcome ◽

Long Term Outcome ◽

Initial Surgery ◽

Significant Difference ◽

Corrective Procedures

Abstract Background Hypospadias is one of the most common congenital abnormalities in male newborn. There is no universal approach to hypospadias surgical repair, with more than 300 corrective procedures described in current literature. The reoperation rate within 6–12 months of the initial surgery is most frequently used as an outcome measure. These short-term outcomes may not reflect those encountered in adolescence and adult life. This study aims to identify the long-term cosmetic, functional and psychosexual outcomes. Methods Medical records of boys who had undergone surgical repair of hypospadias by a single surgical team led by the same surgeon at a single centre between August 2001 and December 2017 were reviewed. Families were contacted by telephone and invited to participate. Surgical outcome was assessed by combination of clinical examination, a life-related interview and 3 validated questionnaires (the Penile Perception Score-PPS, the Hypospadias Objective Score Evaluation-HOSE, the International Index of Erectile Function-5-IIEF5). Outcomes were compared according to age, severity of hypospadias, and respondent (child, parent and surgeon). Results 187 children and their families agreed to participate in the study. 46 patients (24.6%) presented at least one complication after the repair, with a median elapsed time of 11.5 months (6.5–22.5). Longitudinal differences in surgical corrective procedures (p < 0.01), clinical approach (p < 0.01), hospitalisation after surgery (p < 0.01) were found. Cosmetic data from the PPS were similar among children and parents, with no significant differences in child’s age or the type of hypospadias: 83% of children and 87% of parents were satisfied with the cosmetic result. A significant difference in functional outcome related to the type of hypospadias was reflected responses to HOSE amongst all groups of respondents: children (p < 0.001), parents (p=0.02) and surgeon (p < 0.01). The child’s HOSE total score was consistently lower than the surgeon (p < 0.01). The HOSE satisfaction rate on functional outcome was 89% for child and 92% for parent respondents. Conclusion Surgeons and clinicians should be cognizant of the long-term outcomes following hypospadias surgical repair and this should be reflected in a demand for a standardised approach to repair and follow-up.

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Impact of age on early outcomes and long-term survival of patients undergoing aortic repair with Stanford A dissection

Perfusion ◽

10.1177/0267659118786332 ◽

2018 ◽

Vol 33 (8) ◽

pp. 687-695 ◽

Cited By ~ 1

Author(s):

Julia Merkle ◽

Anton Sabashnikov ◽

Carolyn Weber ◽

Georg Schlachtenberger ◽

Johanna Maier ◽

...

Keyword(s):

Surgical Repair ◽

Age Groups ◽

Term Outcome ◽

Term Survival ◽

Long Term Outcome ◽

Long Term Survival ◽

Cerebrovascular Events ◽

Short And Long Term ◽

Male Patients

Objectives: Stanford A acute aortic dissection (AAD) is a life-threatening emergency, typically occurring in older patients and requiring immediate surgical repair. The aim of this study was to evaluate early outcome and short- and long-term survival of patients under and above 65 years of age. Methods: Two hundred and forty patients with Stanford A AAD underwent aortic surgical repair from January 2006 to April 2015 in our center. After statistical analysis and logistic regression analysis, Kaplan-Meier survival estimation was performed, with up to 9-year follow-up, comprising patients under and above 65 years of age. Results: The proportion of patients above 65 years of age suffering from Stanford A AAD was 50% (n=120). The group of patients above 65 years of age compared to the group under 65 years of age showed statistically significant differences in terms of higher odds ratios (OR) for hypertension (p=0.012), peripheral vascular disease (p=0.026) and tachyarrhythmia absoluta (p=0.004). Patients over 65 years of age also showed significantly poorer short- and long-term survival. Our subgroup analysis revealed that male patients (Breslow p=0.001, Log-Rank p=0.001) and patients suffering with hypertension (Breslow p=0.003, Log-Rank p=0.001) were reasonable for these results whereas younger and older female patients showed similar short- and long-term outcome (Breslow p=0.926, Log-Rank p=0.724). After stratifying all patients into 4 age groups (<45; 55-65; 65-75; >75years), short-term survival of the patients appeared to be significantly poorer with increasing age (Breslow p=0.026, Log-Rank p=0.008) whereas long-term survival of patients free from cerebrovascular events (Breslow p=0.0494, Log-Rank p=0.489) remained similar. Conclusions: All patients referred to our hospital for repair of Stanford A AAD with higher age had poorer short- and long-term survival, caused by male patients and patients suffering from hypertension, whereas survival of women and survival free from cerebrovascular events of the entire patient cohort was similar, irrespective of age.

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Long-Term Outcome of Single Institutional Experience with Conservative and Surgical Management for Renal Artery Aneurysm

Transplantation Proceedings ◽

10.1016/j.transproceed.2012.05.037 ◽

2012 ◽

Vol 44 (6) ◽

pp. 1795-1799 ◽

Cited By ~ 12

Author(s):

K. Morita ◽

T. Seki ◽

D. Iwami ◽

H. Sasaki ◽

N. Fukuzawa ◽

...

Keyword(s):

Renal Artery ◽

Surgical Management ◽

Artery Aneurysm ◽

Renal Artery Aneurysm ◽

Term Outcome ◽

Long Term Outcome ◽

Institutional Experience

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Long-Term Outcome of Endovascular Popliteal Artery Aneurysm Repair

Annals of Vascular Surgery ◽

10.1016/j.avsg.2010.05.010 ◽

2010 ◽

Vol 24 (7) ◽

pp. 871-875 ◽

Cited By ~ 25

Author(s):

Enjae Jung ◽

Jeffrey Jim ◽

Brian G. Rubin ◽

Luis A. Sanchez ◽

Eric T. Choi ◽

...

Keyword(s):

Popliteal Artery ◽

Artery Aneurysm ◽

Term Outcome ◽

Long Term Outcome ◽

Popliteal Artery Aneurysm ◽

Aneurysm Repair

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Multisystem Inflammatory Syndrome in Children and Adolescents Associated with COVID-19: Review

Journal of Advanced Research in Medical Science & Technology ◽

10.24321/2394.6539.202017 ◽

2020 ◽

Vol 07 (04) ◽

pp. 13-15 ◽

Cited By ~ 3

Author(s):

BS Mahapatra ◽

Keyword(s):

Early Recognition ◽

Artery Aneurysm ◽

Multidisciplinary Care ◽

Term Outcome ◽

Long Term Outcome ◽

Immune Mediated ◽

Life Threatening ◽

Adolescent And Young Adults ◽

Inflammatory Syndrome

Multisystem Inflammatory Syndrome in Children (MIS-C) is a newly recognized multiorgan disease seen in children, adolescent and young adults presumed to be a delayed immune mediated complication of Corona virus 2 (SARS-CoV-2) infection leading to severe acute respiratory syndrome. MIS-C can be associated with life threatening organ dysfunction requiring complex multidisciplinary care. Early recognition is important in order to prevent complication and serious sequalae. Because it is a post infective complication, in most of the cases RT-PCR comes negative though antibodies to COVID-19 are positive. Although SARS-CoV-2 in children are generally mild and nonfatal, there is increasing evidence of MIS-C. Clinical and laboratory features of MIS-C are similar to those of Kawasaki disease like syndrome and Toxic Shock Syndrome. Pathophysiology of MIS-C is still unclear and mainly due to formation of autoantibody and immune complex which activates inflammation. Most of the MIS-C associated with COVID-19, need treatment with ionotropic agents and anticoagulants. The long-term outcome of MIS-C like coronary artery aneurysm formation remain unknown and needs close follow up.

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