Results 221 to 230 of about 945,421 (255)

Aortic arch replacement for recurrent cerebral embolization

The Annals of Thoracic Surgery, 2002
Replacement of the aortic arch for atheroma with cerebral embolization is in its infancy. The appropriateness of such intervention is controversial. Over a 10-month period, a 58-year-old woman suffered multiple debilitating cerebral vascular accidents manifested by motor, sensory, and memory deficits and documented by computed tomographic scanning and ...
Gilead, Lancaster, Constantinos J, Lovoulos, Michael, Moussouttas, Andrew H, Goldstein, Dana, Leifer, Pierre B, Fayad, Drew, Olsen, John A, Elefteriades   +7 more
openaire   +2 more sources

Technical advances in total aortic arch replacement

The Annals of Thoracic Surgery, 2004
We compared the effects of using hypothermic circulatory arrest (HCA) alone, HCA combined with selective cerebral perfusion (SCP), and use of SCP with a trifurcated graft (T) on outcome after aortic arch repair.One hundred fifty patients, median age 66 years (range, 27 to 85), underwent total arch replacement between 1988 and 2002; 75 were female.
Justus T, Strauch, David, Spielvogel, Alexander, Lauten, Jan D, Galla, Steven L, Lansman, Kirk, McMurtry, Randall B, Griepp   +6 more
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Hybrid debranching technique for aortic arch replacement

Multimedia Manual of Cardio-Thoracic Surgery, 2011
We present the case of a 64-year-old female with a multisegmental thoracic aortic aneurysm extending from the sinu-tubular junction to the mid-descending aorta. The patient was treated by a combined vascular and endovascular approach containing an ascending aortic replacement, rerouting of the supraaortic branches by autologous double transposition ...
Czerny M, Pfannmüller B, Borger MA, Schmidt A, Mohr FW, Grabenwöger M   +5 more
openaire   +3 more sources

Sutureless aortic valve replacement with concomitant aortic arch reconstruction

Journal of Artificial Organs, 2020
Sutureless aortic valve replacement (AVR) offers an alternative approach to the standard AVR in aortic valve disease. We herein report a case of an 82-year-old woman with severe aortic insufficiency and a persistent type 1 endoleak following a thoracic endovascular aortic repair, who underwent successful combined aortic arch reconstruction and ...
Ayaka Satoh, Masaaki Ryomoto, Naosumi Sekiya, Hiroe Tanaka, Mitsuhiro Yamamura, Keigo Yamashita, Hisashi Uemura, Daisuke Ueda, Taichi Sakaguchi   +8 more
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Partial brachiocephalic perfusion in aortic arch replacement

Surgery Today, 1993
Eleven patients who underwent replacement of the aortic arch or adjacent areas for aneurysmal disease between 1989 and 1991, using hypothermic cardiopulmonary bypass at 20 degrees to 23 degrees C with partial brachiocephalic perfusion, were studied. Selective perfusion of the innominate artery was performed in all 11 patients through the right axillary
S, Aoyagi, H, Akashi, Y, Kubota, M, Momosaki, S, Suzuki, A, Oryoji, K, Kosuga, K, Oishi   +7 more
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[Total aortic arch replacement for distal aortic arch aneurysms].

Kyobu geka. The Japanese journal of thoracic surgery, 1998
Between January 1991 to April 1997, 13 consecutive patients underwent the total aortic arch replacement for distal aortic arch aneurysms. The operation was performed through the median sternotomy and the cardiopulmonary bypass was instituted with the cannulation of ascending aorta for arterial perfusion and of right atrium for venous return.
Y, Kikuchi, T, Sakurada, S, Nakajima, R, Koushima, K, Kusajima   +4 more
openaire   +1 more source

Aortic Arch Pathology: Surgical Options for the Aortic Arch Replacement.

Cardiology clinics, 2017
Aortic arch surgery remains one of the most technically challenging procedures in cardiac surgery. It demands consideration of myocardial, brain, spinal cord, and lower body protection and rigorous surgical technique. Novel surgical approaches and refinements in brain and end organ protection strategies, liberal use of antegrade cerebral perfusion and ...
Giorgio, Zanotti, Thomas Brett, Reece, Muhammad, Aftab   +2 more
openaire   +1 more source

Contemporary Results of Total Aortic Arch Replacement

Journal of Cardiac Surgery, 2004
Aneurysmal dilatation of the aortic arch is uncommon, and the complex anatomy involved imposes unique technical challenges. The results of surgical intervention reported from large centers are improving; however, the degree to which these results are reproducible by other surgeons is less clear.
Thoralf M, Sundt, Marc R, Moon, Nilto, DeOliviera, Jerome, McDonald, Cynthia J, Camillo, Michael K, Pasque   +5 more
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Aortic arch replacement using a trifurcated graft

Multimedia Manual of Cardio-Thoracic Surgery, 2012
A critical consideration in the operative strategy for aortic arch replacement, how best to protect the brain while providing surgical access to the cerebral vessels, involves two key aspects: minimizing cerebral ischaemia and preventing cerebral embolization of air and atheromatous debris.
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Non-circulatory arrest aortic arch replacement

Multimedia Manual of Cardio-Thoracic Surgery
The definitive management of combined aortic arch and descending aortic pathologies such as aneurysms and dissections is either a single or staged operation associated with high morbidity and mortality. Stroke, kidney dysfunction, coagulopathy and high blood transfusion requirements are all affiliated with hypothermic circulatory arrest and prolonged ...
Stephen M, Spindel, Manuel, Giraldo-Grueso   +1 more
openaire   +2 more sources