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Bidirectional Circumferential Intimo-Intimal Intussusception in Acute Aortic Dissection.
Ann Thorac Surg Short Rep
September 2023
Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic Foundation, Cleveland, Ohio.
Complete circumferential aortic dissection with bidirectional intimo-intimal intussusception is a rare occurrence in Stanford type A dissections. The antegrade dissection flap can obstruct the left ventricular outflow tract and coronary sinuses, whereas the retrograde flap can obstruct the aortic arch and branch vessels. Sequelae include aortic regurgitation, myocardial ischemia, and neurologic complications.
View Article and Find Full Text PDFClosing of a Patent Tear Above the Aortic Hiatus and Type A Aortic Dissection Outcomes.
Ann Thorac Surg Short Rep
September 2023
Department of Cardiovascular Surgery, Iwate Prefectural Central Hospital, Morioka, Iwate, Japan.
Background: A strategy combining tear-oriented initial surgical procedure and subsequent thoracic endovascular aortic repair (TEVAR) can be adopted for acute type A aortic dissection (ATAAD). This study investigated this strategy's outcomes and the role of the aortic hiatus (AH).
Methods: Overall, 192 consecutive patients with ATAAD who underwent initial surgery between 2012 and 2021 were assessed in this observational retrospective study.
Stent Graft Migration Causing Two Aortic Wall Injuries 10 Years After Type II Hybrid Arch Repair.
Ann Thorac Surg Short Rep
September 2023
Section of Cardiac Surgery, Department of Cardiac Sciences, Libin Cardiovascular Institute, University of Calgary, Calgary, Alberta, Canada.
Hybrid arch repair (HAR) combines surgical reconstruction of the ascending aorta and arch debranching with stent graft deployment into the descending thoracic aorta in an effort to reduce the morbidity associated with conventional open total arch replacement. We describe a case of delayed presentation for 2 thoracic aortic wall injuries caused by stent graft migration after type II HAR. This report highlights an important late complication of HAR and the need for careful device selection.
View Article and Find Full Text PDFOptimal Timing of Thoracic Endovascular Aortic Repair for Late Remodeling in Acute Type B Dissection.
Ann Thorac Surg Short Rep
December 2023
Department of Cardiovascular Surgery, Akita University Graduate School of Medicine, Akita, Japan.
Background: To determine the optimal timing of thoracic endovascular aortic repair (TEVAR) for acute type B aortic dissection (TBAD), we investigated the relationship between the timing of TEVAR after onset and late aortic remodeling.
Methods: Between March 2015 and August 2020, 48 patients with TBAD (39 men [81.2%]; aged 61.
Rapidly Enlarging Abdominal Aortic Aneurysm Requiring Endovascular Repair After LVAD Placement.
Ann Thorac Surg Short Rep
December 2023
Center for Advanced Cardiac Care, Columbia University Irving Medical Center, New York, New York.
A 67-year-old man with medical history of ischemic cardiomyopathy with stage D heart failure and infrarenal abdominal aortic aneurysm underwent implantation of a left ventricular assist device (LVAD). Three months after the procedure, he presented with unrelenting back pain and a rapidly increased in size aneurysm. The patient underwent urgent endovascular aneurysm repair with uncomplicated recovery.
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