1/791. rupture of aortic aneurysm with right-sided haemothorax.A 62-yr-old male with a history of high blood pressure was admitted for persistent dyspnoea and a right-sided pleural effusion, complicated by a recent episode of shock. There was no history of trauma and the patient denied any thoracic pain. A chest tube was inserted which released nonclotting bloody fluid. A thoracic computed tomographic scan of the chest revealed an aneurysm of the inferior third of the descending thoracic aorta. The patient underwent a successful prosthetic graft replacement. We emphasize that rupture of aortic aneurysms should be considered in the evaluation of spontaneous haemothorax even if it is right-sided and not associated with pain.- - - - - - - - - - ranking = 1keywords = aneurysm (Clic here for more details about this article) |
2/791. Endovascular repair of a descending thoracic aortic aneurysm: a tip for systemic pressure reduction.A proposed technique for systemic pressure reduction during deployment of a stent graft was studied. A 67-year-old man, who had a descending thoracic aneurysm, was successfully treated with an endovascular procedure. An occluding balloon was introduced into the inferior vena cava (IVC) through the femoral vein. The balloon volume was manipulated with carbon dioxide gas to reduce the venous return, resulting in a transient and well-controlled hypotension. This IVC-occluding technique for systemic pressure reduction may be safe and convenient to minimize distal migration of stent grafts.- - - - - - - - - - ranking = 0.83333333333333keywords = aneurysm (Clic here for more details about this article) |
3/791. Endovascular stent graft repair of aortopulmonary fistula.Two patients who had aortopulmonary fistula of postoperative origin with hemoptysis underwent successful repair by means of an endovascular stent graft procedure. One patient had undergone repeated thoracotomies two times, and the other one time to repair anastomotic aneurysms of the descending aorta after surgery for Takayasu's arteritis. A self-expanding stainless steel stent covered with a Dacron graft was inserted into the lesion through the external iliac or femoral artery. The patients recovered well, with no signs of infection or recurrent hemoptysis 8 months after the procedure. Endovascular stent grafting may be a therapeutic option for treating patients with aortopulmonary fistula.- - - - - - - - - - ranking = 0.16667403587956keywords = aneurysm, artery (Clic here for more details about this article) |
4/791. Ruptured distal aortic arch aneurysm associated with arteriosclerosis obliterans.A 73-year-old man with a ruptured distal aortic arch aneurysm into the pericardial space, mediastinum and right pleural space is described. The patient underwent a successful total aortic arch replacement using deep hypothermia, systemic circulatory arrest and selective cerebral perfusion. extracorporeal circulation was established with right axillar arterial perfusion due to arteriosclerosis obliterans (ASO). Presentation and management are discussed.- - - - - - - - - - ranking = 0.83333523492917keywords = aneurysm, cerebral (Clic here for more details about this article) |
5/791. Single-stage surgery for distal aortic arch aneurysm and infrarenal abdominal aortic aneurysm through anterolateral approach.A 58-year-old man with a distal aortic arch aneurysm (DAA) associated with an infrarenal abdominal aortic aneurysm (AAA) successfully underwent a single-stage replacement of the aneurysms. A left anterolateral thoracotomy was used for replacement of the DAA, which was performed using profound hypothermic circulatory arrest and continuous retrograde cerebral perfusion. An extraperitoneal approach in conjunction with a lateral abdominal incision was employed for replacement of the AAA. The combination of an anterolateral thoracotomy and a lateral abdominal incision is useful in combined surgery for DAA and AAA.- - - - - - - - - - ranking = 1.8333352349292keywords = aneurysm, cerebral (Clic here for more details about this article) |
6/791. Post-traumatic thoracic pseudoaneurysm repair with an endoluminal expandable stent.Recent technological improvement has allowed endoluminal correction of thoracic and abdominal aortic aneurysm through percutaneous insertion of expandable stents. A woman who presented with chronic pseudoaneurysm of the thoracic aorta 10 years after being in a car accident is presented. A Talent stent was introduced through the femoral artery and successfully deployed under fluoroscopic guidance across the aneurysmal defect. Recovery was uneventful, and 12 months later the patient remained asymptomatic.- - - - - - - - - - ranking = 1.1666740358796keywords = aneurysm, artery (Clic here for more details about this article) |
7/791. One-stage repair of a massive aortic arch aneurysm.A 61-year-old woman with a massive aortic aneurysm extending from the aortic root to the proximal descending thoracic aorta required urgent surgical intervention. She underwent successful replacement of her ascending aorta, transverse arch and descending aorta in a single operation.- - - - - - - - - - ranking = 0.83333333333333keywords = aneurysm (Clic here for more details about this article) |
8/791. Asymptomatic dissection of the ascending aorta: diagnosis by transesophageal echocardiography.A young man with marfanoid habitus underwent transesophageal echocardiography to evaluate an aortic root abnormality visualized on transthoracic echocardiography. Transesophageal echo demonstrated a type A aortic dissection traversing across the right sinus of valsalva but not involving the aortic valve, right coronary artery, or pericardial sac. The aorta was not dilated. This is apparently the first reported case of an asymptomatic and uncomplicated aortic dissection localized to the sinus of valsalva.- - - - - - - - - - ranking = 7.3692128889085E-6keywords = artery (Clic here for more details about this article) |
9/791. Antegrade filling of an occluded right coronary artery via collaterals from a separate conus artery, a previously undescribed collateral pathway.The conus artery is known to be a frequent supplier of collaterals to the LAD and distal marginal branches of the RCA. In this report we describe a patient with an ostial RCA occlusion who was found to have, during selective conus artery injection, excellent collaterals directly to the proximal RCA. This anatomy was initially mistaken for diffuse disease of the ostium and proximal portion of the RCA.- - - - - - - - - - ranking = 7.3692128889085E-5keywords = artery (Clic here for more details about this article) |
10/791. Aorto--bronchial fistula resulting from an accidental fall one year earlier.A 75-year-old woman presented with massive haemoptysis 12 months after tripping over her shopping trolley. CT scanning and transoesophageal echocardiography demonstrated a traumatic false aneurysm which was confirmed at surgery to be partially ruptured. Aortobronchial fistula is an unusual cause of massive haemoptysis. It should be considered particularly in patients known to have abnormalities of the thoracic aorta.- - - - - - - - - - ranking = 0.16666666666667keywords = aneurysm (Clic here for more details about this article) |
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