A 14-year-old girl involved in a motor vehicle accident sustained an acute traumatic aortic transection at the site of a congenital ductal diverticular aneurysm. Aortic transection is a lethal injury that is uncommon in children. A ductal diverticular aneurysm is a rare congenital lesion, formed when the ductus arteriosus fails to close with aneurysmal formation at the aortic isthmus. Diagnosis, management, and pathophysiology of both lesions are discussed.
Download full-text PDF |
Source |
---|---|
http://dx.doi.org/10.1016/0022-3468(95)90503-0 | DOI Listing |
Ann Vasc Surg
January 2025
Division of Vascular Surgery, University of Maryland, Baltimore, Maryland.
Background: Thoracic Endovascular Aortic Repair (TEVAR) reduced mortality for blunt aortic injury (BAI) from 30-50% to < 10%; however, penetrating traumatic aortic injury (PAI) remains highly lethal (>40% mortality). This study's goal is to determine outcomes of TEVAR for PAI.
Methods: Patients undergoing TEVAR for traumatic aortic injuries were identified from the Vascular Quality Initiative database from 2011-2022.
Gen Thorac Cardiovasc Surg Cases
January 2025
Osaka Metropolitan University Graduate School of Medicine, 1-4-3, Asahimachi, Abeno-Ku, Osaka, 545-8585, Japan.
Background: Repair of the regurgitant bicuspid aortic valve is an attractive alternative to valve replacement. Although good long-term outcomes have been reported, postoperative aortic stenosis remains a major late cause of repair failure in bicuspid aortic valves. Sinus plication is effective for creating a more symmetrical commissural angle, leading to a decrease in the mean transvalvular pressure gradient.
View Article and Find Full Text PDFInterdiscip Cardiovasc Thorac Surg
December 2024
Faculty of Medicine, University of Iceland, Reykjavik, Iceland.
Angiomatoid fibrous histiocytoma (AFH) is a rare soft tissue tumour that rarely behaves malignant. We report a radical resection of a mediastinal angiomatoid fibrous histiocytoma, which grew invasively into the pulmonary artery wall, was adherent to the posterior aorta and close to the main stem of the left coronary artery. A transection of the aorta was performed using cardiopulmonary bypass and cardioplegic arrest for a safe and radical removal that resulted in symptom relief.
View Article and Find Full Text PDFKyobu Geka
October 2024
Department of Thoracic and Cardiovascular Surgery, Saga University, Saga, Japan.
We report an extremely rare case of thoracoabdominal replacement after left axillo-bifemoral artery bypass surgery. The patient was a 33-year-old man who had undergone left axillo-bifemoral artery bypass surgery after total arch replacement due to lower extremity ischemia by stenosis of the elephant trunk graft 10 years previously. He was admitted to the emergency department with back pain.
View Article and Find Full Text PDFJBJS Essent Surg Tech
December 2024
Department of Orthopedics, OhioHealth Health System, Columbus, Ohio.
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!