Single-center Study Comparing Short and Mid-Term Results of EVAR in Old and Young Populations.

Objective: The purpose of this study was to compare the operative mortality rate and outcomes of endovascular aneurysm repair (EVAR) between young and geriatric people in a single center.

Methods: Eighty-five patients with abdominal aortic aneurysms who underwent EVAR between January 2012 and September 2016 were included. Outcomes were compared between two groups: the young (aged < 65 years) and the geriatric (aged ≥ 65 years).

The APACHE II Score as a Predictor of Mortality After Open Heart Surgery.

Objective: The Acute Physiology and Chronic Health Evaluation (APACHE) severity of disease classification system, which is one of the most widely used scoring systems to predict mortality, is used for intensive care units (ICU) patients. This study aimed to evaluate the predictive ability of APACHE II for mortality in patients after undergoing cardiac surgery. We studied if APACHE II could successfully predict the outcome in post-cardiac surgery patients.

Surgical Treatment of Right Ventricular Rupture Caused by Total Occlusion of the Right Coronary Artery.

The rupture of the right ventricular anterior wall after myocardial infarction is a rare and life-threatening complication associated with high mortality. Early diagnosis by echocardiographic examination and successful treatment is discussed in this case report.

Postpartum aortic dissection in a patient without Marfan's syndrome.

Aortic dissection can occur in pregnancy or during the postpartum period without pre-existing disease and it is a rare but potentially life-threatening event. Herein, we present a young woman without Marfan's syndrome who developed a postpartum ascending aortic dissection 5 days after cesarean section.

An Important but Forgotten Technique: Aortic Fenestration.

Aortic fenestration is a technique that treats organ ischemia in descending aortic dissection. Open surgical aortic fenestration is an effective yet uncommonly used and widely forgotten procedure. Here, we describe 2 patients suffering from chronic thoracoabdominal aortic dissection, and we aimed to identify under what circumstances surgical aortic fenestration should be applied, to assess its safety and efficacy.

An unusual complication: aortic graft perforation by a fractured rib after type B aortic dissection.

Aortic injury caused by the penetration of a fractured rib is rare, but aortic graft penetration is even less common. This is a case report describing perforation of a Dacron aortic graft by the sharp margin of a displaced rib, which occurred after a thoracotomy. This case illustrates the importance of fixing fractured ribs.

Should patients undergo ascending aortic replacement with concomitant cardiac surgery?

Aim: To determine whether concomitant surgery is a predictor of mortality in patients undergoing surgery for ascending aortic aneursym.

Methods: Ninety-nine patients who underwent ascending aortic aneursym surgery between January 2010 and January 2015 were included in this study. Nineteen patients underwent ascending aortic replacement (RAA) only, 36 underwent aortic valve replacement (AVR) and RAA, 25 underwent coronary artery bypass grafting (CABG) and RAA, 11 underwent the Bentall procedure, and eight underwent AVR, CABG and RAA.

Extended durability of a cloth-covered star-edwards caged ball prosthesis in aortic position.

The Starr-Edwards caged ball valve is one of the oldest cardiac valve prosthesis and was widely used all around the world in the past decades. Despite the long-term results that have been reported there are only a few cases reported that exceed 30 years of durability. Here in, we report a 53-year-old patient with a well-functioning 35-year-old aortic Starr-Edwards caged ball prosthesis.

Coronary arteriovenous fistulas in the adults: natural history and management strategies.

Objective: To describe aspects of the natural history and pathophysiology of coronary arteriovenous fistula and to propose potential treatment strategies.

Methods: Eleven adult patients were treated surgically for coronary arteriovenous fistulas (8 male, 3 female) during the last three years. Mean age was 48,7 +/- 9,5 years (range 32-65 years).