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Condition: Aortic Aneurysm
Procedure: Gastroschisis Repair

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Total 264 results found since Jan 2013.

Transapical Endovascular Aortic Aneurysm Repair in a Patient with Shaggy Aorta Syndrome
We report a case of a 68-year-old man with a large saccular aneurysm (70 mm) of the aortic arch. Although abundant atherosclerotic plaques or mural thrombi are generally considered to be a contraindication for endovascular repair, the patient’s multiple comorbidities and anatomical limitations with a patent internal thoracic artery graft adjacent to the aneurysm made him unfit for open repair. Transapical deployment of the endograft through the less diseased ascending aorta, with a concomitant chimney graft and carotid-carotid bypass, was performed, without evident stroke or embolism.
Source: Annals of Vascular Surgery - February 11, 2015 Category: Surgery Authors: Takashi Murakami, Yohei Kawatani, Yoshitsugu Nakamura, Takaki Hori Source Type: research

Current and future perspectives in the repair of aneurysms involving the aortic arch.
Abstract The repair of aneurysms involving the aortic arch is technically and physiologically demanding. Historically, these aneurysms have been treated using open surgical techniques that require cardiopulmonary bypass and deep hypothermic circulatory arrest. Many patients have been deemed "untreatable" and among those selected for surgery there are reported risks of death of 2 to 16.5% and stroke rates ranging from 2% to 18%. "Hybrid arch repair" combines one of a number of open surgical procedures (to secure a proximal landing zone for an endograft) with subsequent or immediate placement of an endograft in the ...
Source: The Journal of Cardiovascular Surgery - February 3, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Maurel B, Sobocinski J, Spear R, Azzaoui R, Koussa M, Prat A, Tyrrell MR, Hertault A, Haulon S Tags: J Cardiovasc Surg (Torino) Source Type: research

Endovascular Repair with Chimney Technique for Juxtarenal Aortic Aneurysm: A Single Center Experience.
CONCLUSION: Ch-EVAR can be used to treat JRAAs with suitable anatomical conditions. However, complications of type I endoleak were not uncommon, and, therefore, further studies are required to prove its efficiency for JRAAs. PMID: 25631457 [PubMed - as supplied by publisher]
Source: PubMed: Eur J Vasc Endovasc ... - January 24, 2015 Category: Surgery Authors: XiaoHui M, Wei G, ZhongZhou H, XiaoPing L, Jiang X, Xin J Tags: Eur J Vasc Endovasc 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

Mid-term results of endovascular treatment with the Gore TAG device for degenerative descending thoracic aortic aneurysms
Conclusions Elective TEVAR using the Gore TAG for degenerative descending thoracic aortic aneurysms without LSA coverage is effective and provides satisfactory early and mid-term outcomes. However, since the bird-beak configurations progressed, a conformable and flexible device for the next generation of procedures will be needed.
Source: General Thoracic and Cardiovascular Surgery - January 1, 2015 Category: Cardiovascular & Thoracic Surgery Source Type: research

Thoracoabdominal aortic aneurysm repair after frozen elephant trunk procedure AORTIC SURGERY
CONCLUSION Second-stage TA aortic repair after previous frozen elephant implantation is a feasible and effective treatment modality for patients with various pathologies of downstream aortic segments. This approach adds additional value to the conventional elephant trunk technique by providing an excellent landing zone not only for additional stent graft procedures but also for subsequent open TA repair.
Source: European Journal of Cardio-Thoracic Surgery - December 11, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Folkmann, S., Weiss, G., Pisarik, H., Czerny, M., Grabenwoger, M. Tags: Great vessels AORTIC SURGERY Source Type: research

Medical management of abdominal aortic aneurysms.
Abstract Abdominal aortic aneurysms (AAA) are the most common arterial aneurysms. Endovascular or open surgical aneurysm repair is indicated in patients with large AAA ≥ 5.5 cm in diameter as this prevents aneurysm rupture. The presence even of small AAAs not in need of immediate repair is associated with a very high cardiovascular risk including myocardial infarction, stroke or cardiovascular death. This risk by far exceeds the risk of aneurysm rupture. These patients therefore should be considered as high-risk patients and receive optimal medical treatment and life-style modificiation of their cardiovascular r...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - October 27, 2014 Category: Surgery Authors: Weiss N, Rodionov RN, Mahlmann A Tags: Vasa Source Type: research

Procedure to fix radio DJ’s aorta posed high risk to his voice, but UCLA docs came through
Just a few months ago, Sandy “The Sandman” Fagin, a disc jockey with Laguna Beach’s KX-93.5 FM and a voiceover actor, was living with a ticking time bomb — a tennis ball–sized aneurysm near his heart that was threatening to burst. Because of the aneurysm’s location, a rare two-part surgery was recommended at UCLA. But the first procedure carried a surprising risk: It could damage his voice, as it involved rerouting the blood flow from his neck’s carotid arteries, which are in close proximity to the delicate vocal cord nerves. The 40-year radio veteran developed the aneurysm as a consequence of a condition kno...
Source: UCLA Newsroom: Health Sciences - October 8, 2014 Category: Universities & Medical Training Source Type: news

Early and late mortality and morbidity of elective infrarenal aortic aneurysm repair.
CONCLUSION: The early and late mortality was similar after open and endovascular AAA repair. Postoperative complications did not show significant difference between the two groups. We found significant difference in the use of blood products, the prevalence of incisional hernias and the number of reinterventions. According to our results, stent graft implantation is mainly recommended in high risk patients and open aortic repair still has a role in the low-moderate operative risk group. PMID: 25327404 [PubMed - in process]
Source: Magyar Sebeszet - October 1, 2014 Category: Surgery Authors: Kovács H, Fehérvári M, Forgó B, Gősi G, Oláh Z, Csobay-Novák C, Entz L, Szeberin Z Tags: Magy Seb Source Type: research

Embolic complications after endovascular repair of abdominal aortic aneurysms
Conclusions The presence of a shaggy aorta and a history of smoking are independent predictors of embolic complications associated with EVAR.
Source: Surgery Today - September 25, 2014 Category: Surgery Source Type: research

210 * contemporary approach of thoraco-abdominal aortic repair using moderate to deep hypothermia combined with target reconstruction of the adamkiewicz artery
Conclusion: Moderate to deep hypothermia combined with target reconstruction of the Adamkiewicz artery brings satisfactory outcomes in thoraco-abdominal aortic repair, especially for spinal cord protection.
Source: Interactive CardioVascular and Thoracic Surgery - September 23, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Tanaka, H., Minatoya, K., Sasaki, H., Oda, T., Itonaga, T., Kobayashi, J. Tags: Thoraco-abdominal aortic repair reloaded Source Type: research

Open versus endovascular repair of abdominal aortic aneurysm: Incidence of cardiovascular events in 632 patients in a department of defense cohort over 6-year follow-up.
CONCLUSION: EVAR was associated with lower 30-day mortality rates; however, this benefit was not sustained in longer-term follow-up. There is no difference in the rates of stroke, myocardial infarction, or cardiac arrhythmia at 30 days or in long-term follow-up. PMID: 25134851 [PubMed - as supplied by publisher]
Source: Vascular - August 18, 2014 Category: Surgery Authors: Thomas D, Anderson D, Hulten E, McRae F, Ellis S, Malik JA, Villines TC, Slim AM Tags: Vascular Source Type: research

Upper extremity access for fenestrated endovascular aortic aneurysm repair is not associated with increased morbidity
Fenestrated endovascular aortic aneurysm repair (FEVAR) is an alternative to open repair in patients with complex abdominal aortic aneurysms who are neither fit nor suitable for standard open or endovascular repair. Chimney and snorkel grafts are other endovascular alternatives but frequently require bilateral upper extremity access that has been associated with a 3% to 10% risk of stroke. However, upper extremity access is also frequently required for FEVAR because of the caudal orientation of the visceral vessels.
Source: Journal of Vascular Surgery - August 2, 2014 Category: Surgery Authors: Martyn Knowles, David A. Nation, David E. Timaran, Luis F. Gomez, M. Shadman Baig, R. James Valentine, Carlos H. Timaran Tags: Clinical Paper Source Type: research