Hybrid Procedure with Debranching from the Descending Aorta for Aortic Arch Aneurysm after Previous Open Repair

2017 ◽  
Vol 38 ◽  
pp. 319.e7-319.e10 ◽  
Author(s):  
Juergen Zanow ◽  
Martin Breuer ◽  
Eric Lopatta ◽  
Christoph Schelenz ◽  
Utz Settmacher
2015 ◽  
Vol 49 (1) ◽  
pp. 134-140 ◽  
Author(s):  
Alexandre Cazavet ◽  
Xavier Alacoque ◽  
Bertrand Marcheix ◽  
Xavier Chaufour ◽  
Herve Rousseau ◽  
...  

2015 ◽  
Vol 30 (10) ◽  
pp. 761-763
Author(s):  
Teresa Hernández Carbonell ◽  
Stephan Haulon ◽  
Alain Prat ◽  
Teresa Martin-Gonzalez ◽  
Mark R. Tyrrell ◽  
...  

2017 ◽  
Vol 25 (2) ◽  
pp. 246-253 ◽  
Author(s):  
Masahide Kawatou ◽  
Kenji Minakata ◽  
Kazuhisa Sakamoto ◽  
Taro Nakatsu ◽  
Junichi Tazaki ◽  
...  

Aorta ◽  
2021 ◽  
Author(s):  
Alexander Moiroux-Sahraoui ◽  
Pascal Leprince ◽  
Pierre Demondion

AbstractThe anatomical situation of posterior aortic arch aneurysms is a surgical challenge. The surgical approach should not only guarantee a safe dissection of the supra-aortic trunks and the descending aorta but also allow the cannulation for extracorporeal circulation. Indeed, protecting the cerebral flow is essential. Another challenge is to preserve both the phrenic and recurrent nerves while sparing chest wall muscles. A hemiclamshell approach for posterior aortic arch aneurysm seems to be a good compromise regarding these requirements.


2011 ◽  
Vol 41 (8) ◽  
pp. 469 ◽  
Author(s):  
Bo Kyung Choi ◽  
Han Cheol Lee ◽  
Hye-Won Lee ◽  
Jin-Sup Park ◽  
Junhyok Oh ◽  
...  

2016 ◽  
Vol 101 (1) ◽  
pp. 80-86 ◽  
Author(s):  
Tatsuya Oda ◽  
Kenji Minatoya ◽  
Hiroaki Sasaki ◽  
Hiroshi Tanaka ◽  
Yoshimasa Seike ◽  
...  

2021 ◽  
Vol 77 (18) ◽  
pp. 2515
Author(s):  
Nicole Girlyn T. Pang ◽  
Gwen R. Marcellana ◽  
Maria Janelle M. Fajardo ◽  
Terence M. Cuezon ◽  
Ferdinand V. Alzate ◽  
...  

2020 ◽  
Vol 22 (Supplement_N) ◽  
pp. N142-N145
Author(s):  
Alice Benedetti ◽  
Alvise Del Monte ◽  
Maurizio Rubino ◽  
Daniela Mancuso

Abstract A 36-year-old woman at 31 weeks’ gestation presented with exertional dyspnoea and palpitations. She had a history of bicuspid aortic valve treated with surgical aortic valvotomy for severe stenosis, followed by ascending aorta replacement for type A acute aortic dissection and Bentall operation with a mechanical valve for severe aortic regurgitation. Eight years after the last surgery, magnetic resonance angiography showed aortic arch aneurysm (49 mm) with a small intimal flap. Thereafter, the patient was lost to follow-up until the current admission. She was hemodynamically stable on presentation and physical examination was unremarkable apart from a mechanical second heart sound. The electrocardiogram showed sinus rhythm with left bundle branch block (Panel A). Transthoracic echocardiography revealed severe left ventricular dilation (EDV 90 ml/m2) with mild dysfunction (EF 50%), normal prosthetic aortic valve function, and aortic arch dilation (50 mm) (Panel B and C). After a multidisciplinary evaluation, elective cesarean section was performed at 34 weeks’ gestation. A post-delivery aortic computed tomography angiography revealed aortic arch aneurysm (52 mm) with intimal flap and two pseudoaneurysms of the anterior aortic wall causing sternal erosion (Panel D, E, F and G). Subsequently, the patient underwent ascending aorta and aortic arch replacement by Frozen Elephant Trunk technique with a 24 x130 mm prosthesis between the aortic root and the descending aorta. The postoperative course was uneventful, and the patient was discharged to a cardiac rehabilitation centre.


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