Embolisation of ceramic-coated PDA devices into the descending thoracic aorta: probable mechanisms and retrieval strategies

2019 ◽  
Vol 29 (06) ◽  
pp. 842-844 ◽  
Author(s):  
Supratim Sen ◽  
Sneha Jain ◽  
Bharat Dalvi
Keyword(s):  
Pulmonary Hypertension ◽  
Thoracic Aorta ◽  
Alternative Methods ◽  
Descending Thoracic Aorta ◽  
Descending Aorta ◽  
Optimum Placement ◽  
Limited Experience ◽  
Retrieval Strategies ◽  
Successful Retrieval ◽  
Patent Arterial Duct

AbstractWe describe two cases of spontaneous embolisation and successful retrieval of ceramic-coated patent arterial duct devices. In both, the device embolised to the descending aorta in the absence of pulmonary hypertension and despite optimum placement. We have discussed possible mechanisms for embolisation in these patients and suggested alternative methods for device retrieval. Based on this limited experience, we conclude that for tubular ducts, ceramic-coated devices should be oversized to form a tighter waist or alternate devices may be considered.

Penetrating atherosclerotic ulcer aneurysm of the innominate artery

VASA ◽  
2009 ◽  
Vol 38 (3) ◽  
pp. 263-266 ◽  
Author(s):  
Yuan ◽  
Tager
Keyword(s):  
Conservative Treatment ◽  
Thoracic Aorta ◽  
Open Surgery ◽  
Innominate Artery ◽  
Ruptured Aneurysm ◽  
Descending Thoracic Aorta ◽  
Penetrating Atherosclerotic Ulcer ◽  
Descending Aorta

Penetrating atherosclerotic ulcer of the aorta is uncommon, and usually develops in the descending thoracic aorta. Rarely this condition involves the branch vessels of the aorta. We report a case of ruptured aneurysm of the innominate artery resulting from penetrating atherosclerotic ulcer. Open surgery was the treatment of choice for the ruptured aneurysm, while conservative treatment was recommended for the associated penetrating atherosclerotic ulcers of the descending aorta.

scholarly journals Successful Retrieval of Embolized Amplatzer Septal Occluder from Descending Thoracic Aorta: A Surgical Emergency.

2019 ◽  
Vol 15 (1) ◽  
pp. 37-39
Author(s):  
CM Mosabber Rahman ◽  
Md Alauddin ◽  
Satish Vaidya ◽  
Debasish Das ◽  
Arif Ulla Bhuiyan ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Thoracic Aorta ◽  
Emergency Surgery ◽  
Amplatzer Septal Occluder ◽  
Descending Thoracic Aorta ◽  
Septal Defects ◽  
Cardiac Centre ◽  
Device Embolization ◽  
Successful Retrieval ◽  
Medical University

Amplatzer septal occluder is widely used by the cardiac interventionists as an effective alternative to traditional surgery for atrial septal defects. However, although rare, device may embolize during or after procedure due to several reasons. We report a case of device embolization into the descending thoracic aorta during percutaneous closure of ASD in a 14-year-old girl which was successfully retrieved by emergency surgery at Department of Cardiac Surgery, University Cardiac Centre, Bangabandhu Sheikh Mujib Medical University, Bangladesh. University Heart Journal Vol. 15, No. 1, Jan 2019; 37-39

A congenital fistula between the descending aorta and the right pulmonary vein in a neonate presenting with heart failure

2007 ◽  
Vol 17 (5) ◽  
pp. 563-564 ◽  
Author(s):  
Suhair O. Shebani ◽  
Mohammad D. Khan ◽  
Magdi A. Tofeig
Keyword(s):  
Heart Failure ◽  
Pulmonary Vein ◽  
Thoracic Aorta ◽  
Cardiac Failure ◽  
Cardiac Catheterisation ◽  
Newborn Baby ◽  
Descending Thoracic Aorta ◽  
Descending Aorta ◽  
The Right ◽  
Congenital Fistula

AbstractWe report a large congenital fistula connecting the descending thoracic aorta to the right upper pulmonary vein in a newborn baby presenting on the seventh day of life with cardiac failure and a continuous murmur heard posteriorly. The fistula was detected echocardiographically, and shown at cardiac catheterisation not to be suitable for percutaneous occlusion. The anatomy of the fistula was confirmed at surgery, when it was ligated successfully.

Late manifestation of a pseudoaneurysm in the descending thoracic aorta

VASA ◽  
2006 ◽  
Vol 35 (2) ◽  
pp. 112-114 ◽  
Author(s):  
Gurkan ◽  
Sunar ◽  
Canbaz ◽  
Duran
Keyword(s):  
Surgical Treatment ◽  
Thoracic Aorta ◽  
Aortic Rupture ◽  
Descending Thoracic Aorta ◽  
Catastrophic Event ◽  
Descending Aorta ◽  
Car Accident ◽  
Injured Patients ◽  
Deceleration Trauma ◽  
Late Manifestation

Rupture of the descending aorta following deceleration trauma is a catastrophic event because it has a high mortality. Prompt surgical treatment is generally considered to be mandatory. However, a few injured patients may leave the hospital with an undiagnosed aortic rupture which may give rise to a chronic pseudoaneurysm. In this report, a 28-year-old man is presented in whom a pseudoaneurysm of the descending thoracic aortic was diagnosed six months after a car accident.

Acute traumatic injury of the descending thoracic aorta: a limited experience

2011 ◽  
Vol 27 (1) ◽  
pp. 20-23
Author(s):  
Mohamed Abdel Hamied Regal ◽  
Yasser Ahmed El Ghoneimy ◽  
Samia El-Azab
Keyword(s):  
Thoracic Aorta ◽  
Traumatic Injury ◽  
Descending Thoracic Aorta ◽  
Limited Experience

scholarly journals Descending Aortic Translocation and Right Pulmonary Artery Reimplantation for Midline Descending Aorta and Crossed Pulmonary Arteries in an Infant

2019 ◽  
Vol 10 (1) ◽  
pp. 111-115 ◽  
Author(s):  
Michael C. Mongé ◽  
Amanda L. Hauck ◽  
Andrada R. Popescu ◽  
Joseph M. Forbess ◽  
Carl L. Backer
Keyword(s):  
Pulmonary Hypertension ◽  
Pulmonary Artery ◽  
Thoracic Aorta ◽  
Pulmonary Arteries ◽  
Pulmonary Artery Stenosis ◽  
Descending Thoracic Aorta ◽  
Left Mainstem ◽  
Right Pulmonary Artery ◽  
Rare Anatomic Variant ◽  
Bronchial Compression

Left mainstem bronchial compression by a midline descending thoracic aorta is a rare anatomic variant. Translocation of the descending thoracic aorta to the ascending aorta has recently been described to treat this condition. We performed an aortic translocation and right pulmonary artery reimplantation in a 4-month-old infant with severe pulmonary hypertension secondary to right pulmonary artery stenosis and left bronchial compression by a midline descending thoracic aorta. The procedure was successful in ameliorating the patient’s left mainstem bronchial compression and pulmonary hypertension. Descending aortic translocation should be considered when the left bronchus is compressed causing respiratory symptoms.

Case 16.12

2014 ◽  
pp. 781-782
Author(s):  
Christine U. Lee ◽  
James F. Glockner
Keyword(s):  
Blood Flow ◽  
Thoracic Aorta ◽  
Subclavian Artery ◽  
Left Subclavian Artery ◽  
Collateral Blood Flow ◽  
Descending Thoracic Aorta ◽  
Descending Aorta ◽  
Partial Volume ◽  
Internal Mammary ◽  
History Of

31-year-old man with a history of hypertension that was diagnosed at age 10 Sagittal oblique VR images (Figure 16.12.1) and a partial volume MIP image (Figure 16.12.2) from 3D CE MRA reveal severe focal narrowing of the proximal descending thoracic aorta just distal to the origin of the left subclavian artery. Note also enlarged internal mammary and intercostal arteries representing sources of collateral blood flow to the descending aorta....

scholarly journals Blood flow in the rabbit aortic arch and descending thoracic aorta

2011 ◽  
Vol 8 (65) ◽  
pp. 1708-1719 ◽  
Author(s):  
P. E. Vincent ◽  
A. M. Plata ◽  
A. A. E. Hunt ◽  
P. D. Weinberg ◽  
S. J. Sherwin
Keyword(s):  
Blood Flow ◽  
Aortic Arch ◽  
Thoracic Aorta ◽  
Ductus Arteriosus ◽  
Local Variation ◽  
Descending Thoracic Aorta ◽  
Local Flow ◽  
Descending Aorta ◽  
Flow Features ◽  
Realistic Representation

The distribution of atherosclerotic lesions within the rabbit vasculature, particularly within the descending thoracic aorta, has been mapped in numerous studies. The patchy nature of such lesions has been attributed to local variation in the pattern of blood flow. However, there have been few attempts to model and characterize the flow. In this study, a high-order continuous Galerkin finite-element method was used to simulate blood flow within a realistic representation of the rabbit aortic arch and descending thoracic aorta. The geometry, which was obtained from computed tomography of a resin corrosion cast, included all vessels originating from the aortic arch (followed to at least their second generation) and five pairs of intercostal arteries originating from the proximal descending thoracic aorta. The simulations showed that small geometrical undulations associated with the ductus arteriosus scar cause significant deviations in wall shear stress (WSS). This finding highlights the importance of geometrical accuracy when analysing WSS or related metrics. It was also observed that two Dean-type vortices form in the aortic arch and propagate down the descending thoracic aorta (along with an associated skewed axial velocity profile). This leads to the occurrence of axial streaks in WSS, similar in nature to the axial streaks of lipid deposition found in the descending aorta of cholesterol-fed rabbits. Finally, it was observed that WSS patterns within the vicinity of intercostal branch ostia depend not only on local flow features caused by the branches themselves, but also on larger-scale flow features within the descending aorta, which vary between branches at different locations. This result implies that disease and WSS patterns in the vicinity of intercostal ostia are best compared on a branch-by-branch basis.

scholarly journals Aneurysmectomy for Crawford’s Type-I Thoracoabdominal Aortic Aneurysm using Gelatin Impregnated Woven Vascular Prosthesis under Mild Hypothermic Extracorporeal Circulation: A Video Presentation

2020 ◽  
Vol 4 (02) ◽  
pp. 136-139
Author(s):  
Ujjwal K. Chowdhury ◽  
Sukhjeet Singh ◽  
Niwin George ◽  
Poonam Malhotra Kapoor ◽  
Srikant Sharma ◽  
...  
Keyword(s):  
Aortic Aneurysm ◽  
Thoracic Aorta ◽  
Abdominal Aorta ◽  
Thoracoabdominal Aortic Aneurysm ◽  
Renal Arteries ◽  
Aortic Aneurysms ◽  
Type I ◽  
Descending Thoracic Aorta ◽  
Descending Aorta ◽  
Type Iv

AbstractBased on the risk of ischemic injury to the spinal cord and the risk of renal failure and mortality, Crawford and colleagues classified thoracoabdominal aortic aneurysms into four extents. Type I thoracoabdominal aortic aneurysms involved the descending thoracic aorta proximal to the level of 6th rib to above the renal arteries; type II extends from the proximal descending thoracic aorta above the level of T6 to below the renal arteries; type III extends from below the level of T6 in the descending aorta and a variable extent in the abdominal aorta; type IV thoracoabdominal aortic aneurysm involved the abdominal aorta without involvement of the descending aorta.

scholarly journals Thoracic Endovascular Aortic Repair With a Right Thoracotomy Approach: a Case Report

2021 ◽  
Author(s):  
Hideki Tanioka ◽  
Takanori Shibukawa ◽  
Keiji Iwata
Keyword(s):  
Aortic Aneurysm ◽  
Thoracic Aorta ◽  
Femoral Artery ◽  
Common Femoral Artery ◽  
Access Route ◽  
Descending Thoracic Aorta ◽  
Descending Aorta ◽  
Right Thoracotomy ◽  
Abdominal Aortic ◽  
The Common

Abstract Background: The common femoral artery is usually the preferred access route for thoracic endovascular aortic repair (TEVAR). However, if access from the common femoral artery is challenging, other routes must be considered. We report a case of TEVAR performed by approaching the descending thoracic aorta with a right thoracotomy and using the descending thoracic aorta as an access route. Case presentation: A 70-year-old female was diagnosed with a descending thoracic aortic aneurysm (65 mm in diameter), a thoracoabdominal aneurysm (54 mm in diameter), and an abdominal aortic aneurysm (49 mm in diameter). Since the patient had severe chronic obstructive pulmonary disease, one-stage replacement of the thoracoabdominal aortic aneurysm was contraindicated and TEVAR on the descending aorta was selected. A strong tortuous section of the aorta—from the descending aorta to the abdominal aorta—hampered endovascular access to the site from the common femoral artery. A TEVAR approach from the abdominal aorta was also considered; however, an abdominal aortic aneurysm and a transverse colon loop stoma from an earlier surgery presented challenges to this technique. We chose to access the descending thoracic aorta with a thoracotomy from the right 6th intercostal space for TEVAR, because the access route that is not affected by the meandering of the aorta is considered to be the descending aorta with a right thoracotomy. The patient’s postoperative course was uneventful after the stent graft was placed. No complications were detected with postoperative contrast-enhanced computed tomography (CT). Conclusions: Our findings suggest that TEVAR can be performed by approaching the descending aorta from a right thoracotomy, if variations of vascular anatomy interfere with the more commonly used femoral artery approach.

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