Assessment of the re-entry tear index as a prognostic indicator for renal perfusion improvement after thoracic endovascular aortic repair in patients with acute and subacute Stanford type b aortic dissection with renal artery involvement.

Background: Aortic dissection is the most common acute aortic syndrome, and renal artery is the most common involved artery. The size and location of the re-entry tear directly affect the blood flow enhancement of the false lumen branch artery after surgery. In this study, the morphology and hemodynamics of the re-entry tear were comprehensively analyzed, and the location and size of the re-entry tear were quantitatively evaluated to calculate the re-entry tear index (RTI).

Graft Fungal Infection After Ascending Aorta Replacement.

Aortic graft infection is an uncommon but highly fatal complication. Correct diagnosis and timely treatment are somewhat challenging. This study presents a case report of successful recognition and treatment of this complication.

Machine Learning Prediction Model for Acute Renal Failure After Acute Aortic Syndrome Surgery.

Background: Acute renal failure (ARF) is the most common major complication following cardiac surgery for acute aortic syndrome (AAS) and worsens the postoperative prognosis. Our aim was to establish a machine learning prediction model for ARF occurrence in AAS patients.

Methods: We included AAS patient data from nine medical centers ( = 1,637) and analyzed the incidence of ARF and the risk factors for postoperative ARF.

Renal Artery Partial Occlusion After Aortic Dissection Is Associated With Impaired Renal Function in the Affected Kidney.

Background: The renal artery is often involved in aortic dissection, leading to kidney ischaemia and renal dysfunction. However, some patients with aortic dissection with combined renal artery involvement do not show clinical renal dysfunction. This study aimed to analyse the relationship between renal artery involvement and renal function.

Effect of operative trauma and multiple propofol anesthesia on neurodevelopment and cognitive function in developmental rats.

To investigate the effect of multiple propofol anesthesia and operative trauma on neuroinflammation and cognitive function in development rats and its mechanism. A total of 104 13-day-old neonatal Sprague-Dawley rats were randomly divided into 4 groups with 26 rats in each group: control group was treated with saline q.d for propofol group was treated with propofol q.

Intraoperative Vitamin C Reduces the Dosage of Propofol in Patients Undergoing Total Knee Replacement.

Purpose: Propofol is commonly used as an intravenous anesthetic in surgical patients. However, its usage is associated with adverse effects. Auxiliary medication can reduce the dose of intravenous anesthetics.

Case report: a novel approach for the emergency repair of acute aortic rupture associated with congenital aortic Coarctation.

Background: Congenital aortic coarctation (CoA) associated with aortic rupture is a rare but extremely lethal condition. In pregnant patients, the condition becomes very risky.

Case Presentation: We presented a case of a pregnant (20 weeks gestation) patient with CoA associated with ruptured aortic pseudoaneurysm who was successfully rescued using a novel hybrid strategy.

Trans-catheter closure of aortic anastomosis leak after aortic replacement: classifications and techniques.

Background: Aortic anastomotic leak (AAL) is knotty complication after aortic replacement. We aimed to evaluate the feasibility and efficacy of the techniques of trans-catheter AAL closure as well as to evaluate the impact of the new classification on the interventional closure.

Methods: From October 2015 to November 2017, 20 consecutive high surgical risk patients (mean age 47±12 years, 13 males) were referred to our center for trans-catheter closure AALs.

Acute type A aortic intramural hematoma and type A aortic dissection: correlation between the intimal tear features and pathogenesis.

Background: To determine the prevalence, clinical and imaging features of intimal tear detected by ECG-gated multidetector computed tomography (MDCT) and confirmed by surgery in patients with acute type A intramural hematoma (ATAIMH) and acute type A aortic dissection (AAAD).

Methods: This retrospective study involved analysis of the intimal tear characteristics in 72 consecutive patients with ATAIMH and 209 with AAAD who were diagnosed by MDCT. The size and location of the intimal tear were measured and compared between these two groups of patients.

Identification of Serum Biomarker in Acute Aortic Dissection by Global and Targeted Metabolomics.

Background: Acute aortic dissection (AAD) is the most devastating aortic pathology, and the incidence is increasing worldwide. However, the occurrence and development of AAD are unpredictable. A thorough understanding of the serum metabolic landscape through metabolomic analysis may help identify new biomarkers for AAD and offers new insights into its prevention and evaluation.

Emergency percutaneous thoracic endovascular aortic repair for patients with traumatic thoracic aortic blunt injury: A single center experience.

Purpose: To analyze the efficacy and outcome of percutaneous thoracic endovascular aortic repair (TEVAR) in patients with traumatic blunt aortic injury in our single-center.

Methods: From January 2014 to December 2018, a total of 89 patients with traumatic blunt aortic injuries were treated with emergency TEVAR in our center. Their clinical data such as demographics, operative details and postprocedure outcomes were analyzed retrospectively in this study using SPSS 20 software.

Smoking history increases the risk of long-term mortality after thoracic endovascular aortic repair in patients with an uncomplicated type B dissection.

Background: The preferred treatment for uncomplicated type B dissection (thoracic endovascular aortic repair [TEVAR] or medical) is still under debate. Since 2001, our center has performed TEVAR for uncomplicated type B dissection. Based on our data, 5- and 10-year survival rates among patients with uncomplicated type B dissection after TEVAR were 96.

Analysis of perioperative outcome and long-term survival rate of thoracic endovascular aortic repair in uncomplicated type B dissection: single-centre experience with 751 patients.

Objectives: To study the perioperative outcomes and long-term survival rates in patients undergoing thoracic endovascular aortic repair (TEVAR) for uncomplicated type B dissection.

Methods: A total of 751 patients with uncomplicated type B dissection who underwent TEVAR at our centre between May 2001 and December 2013 were retrospectively reviewed. The mean age of all patients (619 males and 132 females) was 52.

Usefulness of ultrasound in the management of aortic dissection.

Aortic dissection is an acute large vessel disease characterized by sudden onset, rapid disease progression and high mortality. Color doppler ultrasound analyzed the morphological and hemodynamic status of aortic branches before and after aortic dissection surgery, including carotid, subclavian, renal, celiac, superior mesenteric and iliac arteries. Transthoracic echocardiography, vascular ultrasound, transesophageal echocardiography, intravascular ultrasound and contrast-enhanced ultrasonography are complementary to aortic multi-slice spiral computed tomography angiography for diagnosis, treatment and prognostic evaluation.

A Study on the Pressure-Lowering Effect of the Multilayer Stent.

Background: The objective of the study was to investigate the hemodynamic changes of the blood flow in the aneurysm model after the multilayer stent placement using the fluid dynamic method, to analyze the effectiveness and properties of the multilayer stent in the treatment of aortic aneurysms.

Methods: A water tank was filled with 5 L of experimental liquid after the circular flow pressure test platform with a glass aneurysm model, and a multilayer stent was built. Pressure at the middle part and the distal aneurysm neck part of the model was then measured.

[Sequential method for determining the maximum dose of mivacurium continuously infused for intraoperative neuromonitoring in thyroid surgery].

Objective: To determine the maximum dose of continuously infused mivacurium for intraoperative neuromonitoring and observe its adverse effects in thyroid surgery.

Methods: Twenty-eight patients undergoing thyroid surgery with intraoperative neuromonitoring received continuous infusion of mivacurium at the initial rate of 5.43 μg?kg?min, and the infusion rate for the next patient was adjusted based on the response of the previous patient according to the results of neurological monitoring.

Distal Stent Graft-Induced New Entry After TEVAR of Type B Aortic Dissection: Experience in 15 Years.

Background: Experience is limited with distal stent graft-induced new entry (SINE) after thoracic endovascular aortic repair (TEVAR) of type B dissection (TBAD). We report the management strategy and outcomes in such patients.

Methods: Clinical data were analyzed for 95 patients (age, 53.

[Effect of propofol and operative trauma on neurodevelopment and cognitive function of developing brain in rats].

Objective: To investigate the effect of propofol and operative trauma on the neurodevelopment and cognitive function of the developing brain and its mechanism.

Methods: A total of 104 postnatal day 13 Sprague-Dawley rats were randomly divided into 4 groups: control group (treated by 7.5 mL/kg saline and sham surgery), propofol group (treated by 75 mg/kg propofol), surgery group (with abdominal surgery under local anesthesia) and propofol+surgery group (with abdominal surgery under local anesthesia plus 75 mg/kg propofol anesthesia).

Magnitude of Soluble ST2 as a Novel Biomarker for Acute Aortic Dissection.

Background: Misdiagnosis of acute aortic dissection (AAD) can lead to significant morbidity and death. Soluble ST2 (sST2) is a cardiovascular injury-related biomarker. The extent to which sST2 is elevated in AAD and whether sST2 can discriminate AAD from other causes of sudden-onset severe chest pain are unknown.

Clinical and radiological features of pulmonary artery sarcoma: A report of nine cases.

Objective: To improve our understanding and facilitate early diagnosis of pulmonary artery sarcoma (PAS).

Patients And Methods: The clinical and radiological features of 9 histopathologically confirmed patients with PAS were retrospectively analyzed.

Results: Our PAS cohort consisted of 5 males and 4 females, with insidious presentation, the main symptoms were dyspnea (88.

Endovascular repair of residual intimal tear or distal new entry after frozen elephant trunk for type A aortic dissection.

Background: In patients with type A dissection, residual dissection and new distal entry tears following the frozen elephant trunk (FET) procedure adversely affect long-term prognosis. Management include open and endovascular repair, while clinical experience is limited. We evaluate the efficacy of thoracic endovascular aortic repair (TEVAR) in management of residual intimal tear or distal new entry tear following FET in patients with type A aortic dissection (TAAD).

Transcatheter Closure of Anastomotic Leakage After Aortic Surgery for Type A Dissection with the Amplatzer Duct Occluder II.

Aortic anastomotic leakage is an inevitable but intractable complication of surgery for type A dissection. The treatment has been mostly surgical with a high rate of morbidity and mortality. We describe a 54-year-old patient with anastomotic leakage after his secondary surgery for type A dissection.

Single-center experience with simultaneous thoracic endovascular aortic repair and abdominal endovascular aneurysm repair.

Objective To evaluate the efficacy and outcomes of simultaneous thoracic endovascular aortic repair (TEVAR) and abdominal endovascular aneurysm repair (EVAR). Methods A total of 21 patients (20 men; mean 65 ± 7 years, range 54-77) underwent simultaneous TEVAR and EVAR between September 2010 and June 2015 at a single center were retrospectively reviewed. All patients had concomitant thoracic pathologies (aneurysm, penetrating aortic ulcer, intramural hematoma, or dissection) and abdominal aortic aneurysm.