Narrowing of the dark valve: aortic stenosis in alkaptonuria.

The commonest cardiac pathology in patients with alkaptonuria is aortic stenosis. Patients with alkaptonuria and aortic stenosis may remain asymptomatic until the 6th decade. Surgeons may have to deal with per-operative difficulties as alkaptonuria is a systemic disease.

Frozen elephant trunk in acute type A aortic dissection: surgical techniques and the extracorporeal circuit management.

Acute type A aortic dissection (ATAAD) is a challenging clinical condition with immediate and late complications. Frozen elephant trunk (FET) has been offered as a solution for it promises to address the late complications-false lumen thrombosis and aortic remodelling. Here, we describe the implantation of the FET in ATAAD with the surgical technique and extracorporeal circuit management.

Prosthetic valve sparing aortic root replacement-A persuasive option in well-functioning aortic valve prosthesis.

Objectives: Only limited data is available on prosthetic valve sparing aortic root replacement after aortic valve replacement. The aim of the present study was to assess the short- and midterm outcomes of the patients who underwent such procedures.

Methods: From June 2004 to March 2018, 21 patients underwent this procedure.

Hybrid aortic arch repair: 10-year experience from India.

Purpose: Hybrid aortic arch replacement (HAAR) is emerging as a safe treatment alternative for aortic arch pathologies. HAAR is divided into three groups. We have assessed our outcome for all three types of HAAR.

An aorto--oesophageal fistula following endograft: sealing of fistulae with omentum and replacement of the aorta.

Aorto-oesophageal fistulae represent <10% of all aortoenteric fistulae and occur in 1.9% of patients who undergo thoracic endovascular aortic repair for treatment of thoracic aortic aneurysms. Untreated patients have a mortality close to 100%.

Repair of left subclavian artery and aberrant right subclavian artery aneurysms.

Left subclavian artery aneurysm with an aneurysm of the aberrant right subclavian artery is a rare condition with a reported incidence of 0.13% to 1%. We report the successful surgical correction of both conditions in a 34-year-old man.

Aortic root replacement in a patient with previous multiple surgeries for coarctation of aorta.

Coarctation of the aorta is commonly associated with congenital and acquired cardiac pathology that may require surgical intervention. Adult patients with recurrent coarctation of the aorta, with or without associated intracardiac disease pose a surgical challenge. We report a 32-year-old man who presented with ascending aortic aneurysm with severe aortic regurgitation who underwent three previous surgeries for recurrent coarctation.