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[Branched and fenestrated endovascular aortic repair in complex aortic diseases: innovative progress and clinical application].
Zhonghua Wai Ke Za Zhi
January 2025
Department of Vascular and Endovascular Surgery, the First Medical Center, Chinese Chinese People's Liberation Army General Hospital, Beijing 100853, China.
Recently, significant progress has been made in the field of endovascular repair of complex aortic disease involving the major branches (aortic arch disease and complex abdominal aortic aneurysms). Open surgery was considered the "gold standard" for the treatment of these complicated aortic diseases, but was challenged by the huge surgical trauma and high risk of post-operative complications. However, the rapid development of branched and fenestrated endografts has provided an alternative safe and effective minimally invasive treatment for patients who cannot tolerate open surgery.
View Article and Find Full Text PDFWhat Is the Efficacy of Bilateral Antegrade Cerebral Perfusion in Cerebral Protection?
J Clin Med
December 2024
Department of Cardiovascular Surgery, Ataturk Training and Research Hospital, Izmir Katip Celebi University, Karabaglar, Izmir 35360, Türkiye.
Acute type A aortic dissection is among the many types of catastrophic cardiovascular emergencies. The development of serious morbidity, especially neurological complications after the operation, remains a huge threat. We aimed to present comparatively the results of using unilateral or bilateral antegrade cerebral perfusion to minimize these threats and to demonstrate the postoperative effects of antegrade cerebral perfusion choices.
View Article and Find Full Text PDFAssessing the Performance of ChatGPT in Answering Patients' Questions Regarding Congenital Bicuspid Aortic Valve.
Cureus
October 2024
Internal Medicine, School of Public Health and Health Professions, University at Buffalo, Buffalo, USA.
Aim: Artificial intelligence (AI) models, such as ChatGPT, are widely being used in academia as well as by the common public. In the field of medicine, the information obtained by the professionals as well as by the patients from the AI tools has significant advantages while at the same time posing valid concerns regarding the validity and adequacy of information regarding healthcare delivery and utilization. Therefore, it is important to vet these AI tools through the prism of practicing physicians.
View Article and Find Full Text PDFExtrinsic compression of the right coronary artery by a huge aortic wall aneurysm of an aortico-left ventricular tunnel: A case report.
Heliyon
October 2024
Department of Cardiology, Changde Hospital, Xiangya School of Medicine, Central South University, 818 Renmin Avenue, Changde City, 415003, China.
Article Synopsis
- A case is reported of a 57-year-old woman experiencing unstable angina due to compression of the right coronary artery by a large aneurysmal ALVT, which was not detected by preoperative imaging.
- This case emphasizes the need for careful evaluation of unusual anatomical features in ALVT, requiring a combination of imaging and surgical exploration for diagnosis and effective treatment, leading to resolution of the patient's symptoms after surgery.
A case of a huge aortic pseudo-aneurysm following aortic bioprosthetic endocarditis: the key role of 3D echocardiography.
Monaldi Arch Chest Dis
September 2024
Department of Cardiology, AORN Ospedali dei Colli-Cotugno, Naples.
Infective endocarditis (IE) is a life-threatening condition with high morbidity and mortality rates, making early diagnosis and intervention crucial. This report details the case of a 47-year-old male with a history of mechanical prosthetic aortic valve replacement, presenting with pyrexia and diagnosed with aortic bioprosthetic endocarditis leading to a massive aortic pseudoaneurysm. This shows that 3D transesophageal echocardiography is much more useful than regular 2D imaging for finding problems with IE, which makes surgical planning and intervention more precise.
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