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Condition: Aortic Aneurysm
Procedure: Perfusion

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Total 27 results found since Jan 2013.

A Serious Diagnosis Lacking Common Symptoms
​BY JENNIFER TUONG; IVAN KHARCHENKO; JEAN LUC AGARD; & AHMED RAZIUDDIN, MDA 65-year-old man who had HIV well-controlled with highly active antiretroviral therapy, hypertension, sciatica, and restless leg syndrome presented to the emergency department with left leg pain. He also had had chemotherapy and radiation for anal cancer. The patient said the pain had started 45 minutes earlier when he was sitting on the toilet.He described the pain as sore in quality and 10/10 on the pain scale. He reported that it had started in his lower back and radiated to his left leg. He said he had had no trauma or weakness to the regi...
Source: The Case Files - May 28, 2019 Category: Emergency Medicine Tags: Blog Posts Source Type: research

Serum Neuron-Specific Enolase Level as Predictor of Neurologic Outcome after Aortic Surgery
Conclusion Serum NSE level is a significant predictor of adverse neurologic outcomes and extent of stroke after thoracic aortic surgery. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text
Source: The Thoracic and Cardiovascular Surgeon - January 22, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Kimura, Fumiaki Kadohama, Takayuki Kitahara, Hiroto Ise, Hayato Nakanishi, Sentaro Akasaka, Nobuyuki Kamiya, Hiroyuki Tags: Original Cardiovascular Source Type: research

Serum Neuron-Specific Enolase Level as Predictor of Neurologic Outcome after Aortic Surgery.
CONCLUSION:  Serum NSE level is a significant predictor of adverse neurologic outcomes and extent of stroke after thoracic aortic surgery. PMID: 30669174 [PubMed - as supplied by publisher]
Source: The Thoracic and Cardiovascular Surgeon - January 22, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Kimura F, Kadohama T, Kitahara H, Ise H, Nakanishi S, Akasaka N, Kamiya H Tags: Thorac Cardiovasc Surg Source Type: research

Patients with Acute Thoracic Aortic Dissection: A One-Year Case Series of Patients Presenting to an ED
Thoracic dissection is an often fatal disease. Although physicians must have a high level of suspicion for this disorder, up to 38% of patients with dissection do not have it suspected on evaluation, and up to 28% are found on autopsy not to have been correctly diagnosed. Although rare, thoracic aortic dissection is the most common lethal disease affecting the aorta and more common than abdominal aortic aneurysm (AAA) rupture. Mortality can be as high as 1–2% per hour, making quick and accurate diagnosis important. This is made more complex by the various presentations of thoracic dissection, based on area of dissection,...
Source: The Journal of Emergency Medicine - January 23, 2014 Category: Emergency Medicine Authors: D. Salo, F. Fiesseler, K. Baldino, H. Patel Source Type: research

One-stage repair of extensive aortic aneurysms: mid-term results with total or subtotal aortic replacement
CONCLUSIONS One-stage repair of extensive aortic aneurysms with total or subtotal aortic replacement is safe and effective. It is feasible with acceptable surgical risks and satisfactory results. It can eliminate the risk of remnant aortic aneurysm rupture in staged total aortic replacement and has satisfactory mid-term results.
Source: Interactive CardioVascular and Thoracic Surgery - February 15, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Sun, X.-g., Zhang, L., Yu, C.-t., Qian, X.-y., Chang, Q. Tags: Adult Cardiac Source Type: research

Thoracic aortic aneurysms in octogenarians: the results of open surgical repair using hypothermic circulatory arrest with antegrade selective cerebral perfusion.
Conclusion: The early and late outcomes after thoracic aortic surgery at our hospital using HCA with ASCP in octogenarians are acceptable. The operations are performed with an acceptable operative risk, even under emergency situations, including acute aortic dissection. PMID: 24614390 [PubMed - in process]
Source: Journal of Nippon Medical School - March 15, 2014 Category: Universities & Medical Training Authors: Bessho R, Ishii Y, Nishina D, Kawase Y Tags: J Nippon Med Sch Source Type: research

Long-Term Results of Open Stent-Grafting Using a Matsui-Kitamura Stent to Treat Thoracic Aortic Aneurysm.
Conclusion: Our OSG method provided durable results in patients treated for thoracic aortic aneurysm, with few adverse events. PMID: 24899135 [PubMed - as supplied by publisher]
Source: Annals of Thoracic and Cardiovascular Surgery - June 3, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Midorikawa H, Kanno M, Takano T, Watanabe K, Ueno K, Ono T, Satou K Tags: Ann Thorac Cardiovasc Surg Source Type: research

Outcomes of Open Repair for Chronic Descending Thoracic Aortic Dissection
Conclusions Open repairs of chronic descending thoracic aortic aneurysm dissections can be performed with respectable morbidity and mortality. Neurologic deficit remains low with the use of adjuncts, and early deaths are directly related to preoperative renal status. Reintervention on the involved aortic segment is low. These results allow comparisons with endovascular repair for chronic aortic dissection.
Source: The Annals of Thoracic Surgery - January 23, 2015 Category: Cardiovascular & Thoracic Surgery Source Type: research

Outcomes of Open Repair for Chronic Descending Thoracic Aortic Dissection.
CONCLUSIONS: Open repairs of chronic descending thoracic aortic aneurysm dissections can be performed with respectable morbidity and mortality. Neurologic deficit remains low with the use of adjuncts, and early deaths are directly related to preoperative renal status. Reintervention on the involved aortic segment is low. These results allow comparisons with endovascular repair for chronic aortic dissection. PMID: 25617229 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - January 21, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Estrera AL, Jan A, Sandhu H, Shalhub S, Medina-Castro M, Nguyen TC, Azizzadeh A, Charlton-Ouw K, Miller CC, Safi HJ Tags: Ann Thorac Surg Source Type: research

Moderate Versus Deep Hypothermic Circulatory Arrest for Elective Aortic Transverse Hemiarch Reconstruction
Conclusions MHCA with antegrade cerebral perfusion yields excellent and equivalent outcomes to DHCA for elective aortic hemiarch reconstruction. MHCA significantly improves intraoperative times and, importantly, reduces transfusion requirements compared with DHCA with a retrograde cerebral perfusion strategy.
Source: The Annals of Thoracic Surgery - March 30, 2015 Category: Cardiovascular & Thoracic Surgery Source Type: research

Moderate Versus Deep Hypothermic Circulatory Arrest for Elective Aortic Transverse Hemiarch Reconstruction.
CONCLUSIONS: MHCA with antegrade cerebral perfusion yields excellent and equivalent outcomes to DHCA for elective aortic hemiarch reconstruction. MHCA significantly improves intraoperative times and, importantly, reduces transfusion requirements compared with DHCA with a retrograde cerebral perfusion strategy. PMID: 25825200 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - March 27, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Vallabhajosyula P, Jassar AS, Menon RS, Komlo C, Gutsche J, Desai ND, Hargrove WC, Bavaria JE, Szeto WY Tags: Ann Thorac Surg Source Type: research

A Quarter Century of Organ Protection in Open Thoracoabdominal Repair
Introduction: Thoracoabdominal aortic aneurysm (TAAA) remains a challenging problem. We sought to examine our experience with thoracic and thoracoabdominal aortic repairs over a 24-year period. Methods: Patient information was collected in a prospective database and analyzed retrospectively. Univariate and multivariable analysis was performed. Results: Between January 1991 and December 2014, we repaired 1896 descending thoracic (DTAA) or TAAA in 1795 patients. Mean age was 64.2 ± 13.8, and 702 (37%) were women. Of 1896 operations, 646 (34.1%) were DTAA, 316 (16.7%) TAAA extent I, 310 (16.4%) TAAA extent II, 187 (9.9%)...
Source: Annals of Surgery - September 19, 2015 Category: Surgery Tags: ASA Papers Source Type: research

Right Axillary Artery Cannulation in Aortic Valve Replacement.
CONCLUSIONS: Axillary artery cannulation via a side graft is a useful and safe option for cardiopulmonary bypass in patients with atherosclerotic disease of the ascending aorta undergoing aortic valve replacement. PMID: 26780952 [PubMed - as supplied by publisher]
Source: Annals of Thoracic and Cardiovascular Surgery - January 15, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Hosono M, Shibata T, Murakami T, Sakaguchi M, Suehiro Y, Suehiro S Tags: Ann Thorac Cardiovasc Surg Source Type: research

To intervene or not? A man with multidrug-resistant hypertension, endovascular abdominal aneurysm repair, bilateral renal artery stenosis and end-stage renal disease salvaged with renal artery stenting.
We report the case of a 69-year-old man with uncontrolled multidrug-resistant secondary hypertension following a 10 year history of endovascular abdominal aortic aneurysm repair, with suprarenal fixation and concurrent angioplasty with stenting of the left renal artery for atherosclerotic renal disease, and progressive chronic kidney disease. Renal scintigraphy revealed complete loss of the right kidney's and severe reduction of the left kidney's perfusion and function. Following recent evidence and consultation with vascular surgeons regarding the technical difficulties of any procedure, escalation of antihypertensive tre...
Source: Blood Pressure - February 14, 2016 Category: Hematology Tags: Blood Press Source Type: research

Branched Endovascular Therapy of the Distal Aortic Arch: Preliminary Results of the Feasibility Multicenter Trial of the Gore Thoracic Branch Endoprosthesis
Conclusions Total endovascular repair of distal zone 2 arch aortic aneurysms can be achieved with a novel branched arch endograft. Future studies will evaluate the feasibility of this approach for aneurysms encompassing the brachiocephalic trunk and left carotid artery.
Source: The Annals of Thoracic Surgery - June 2, 2016 Category: Cardiovascular & Thoracic Surgery Source Type: research