The Experts below are selected from a list of 267 Experts worldwide ranked by ideXlab platform
Yoshimasa Moizumi - One of the best experts on this subject based on the ideXlab platform.
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Spontaneous rupture of the Thoracic Aorta.
The Annals of thoracic surgery, 2000Co-Authors: Hitoshi Yokoyama, Mikio Ohmi, Mitsuaki Sadahiro, Yoshimi Shoji, Koichi Tabayashi, Yoshimasa MoizumiAbstract:Abstract Background . Spontaneous rupture of the Thoracic Aorta without trauma, aneurysm, or dissection is an extremely rare but catastrophic disorder. Two cases of spontaneous aortic rupture are presented, both treated surgically with satisfactory results. Methods . A review of the English literature found 16 patients with the diagnosis of spontaneous rupture of the Thoracic Aorta from 1961 through 1998. Eighteen reported cases, including the 2 cases presented herein, are reviewed. Results . The representative clinical picture is one of a middle-aged hypertensive patient with acute chest pain and collapse, with imaging modalities demonstrating hemopericardium, hemomediastinum, or hemothorax. According to the reported experiences, aortography was accurate for identifying the rupture site although the findings were sometimes subtle. Misdiagnosis or nonsurgical management resulted in the patient's death. All 8 patients who did not undergo aortic repair died within 3 weeks after the onset, whereas 9 of 10 patients who underwent surgical aortic repair survived. Conclusions . For patients with a definitive or possible diagnosis of spontaneous rupture of the Thoracic Aorta, prompt operation is imperative through an optimal surgical approach to identify and repair the rupture site with appropriate circulatory support.
I. Raposo - One of the best experts on this subject based on the ideXlab platform.
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Magnetic resonance imaging of congenital abnormalities of the Thoracic Aorta
European radiology, 1998Co-Authors: Rafaela Soler, Esther Rodríguez, I. Requejo, R. Fernández, I. RaposoAbstract:This article outlines the ability of MR imaging in the detection and presurgical evaluation of congenital abnormalities of the Thoracic Aorta (CATA). Congenital abnormalities of the Thoracic Aorta may be found incidentally on chest radiographs in patients without symptoms, or it can be associated with clinical findings which are very variable depending on the association with congenital cardiac malformations or vascular ring. When CATA is suspected as the cause of anomalies in the mediastinum in asymptomatic patients, confirmation of the abnormality should be by MR imaging allowing precise evaluation of the Thoracic Aorta and origin of the principal arteries. When CATA is considered because clinical findings indicate coarctation of the Aorta, vascular ring or associated cardiac disorder, evaluation with ultrasound can be complemented by MR, which in most cases will replace the diagnostic catheterization.
Marco Di Eusanio - One of the best experts on this subject based on the ideXlab platform.
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Reoperative surgery on the Thoracic Aorta
The Journal of Thoracic and Cardiovascular Surgery, 2013Co-Authors: Roberto Di Bartolomeo, Paolo Berretta, Francesco Dimitri Petridis, Gianluca Folesani, Mariano Cefarelli, Luca Di Marco, Marco Di EusanioAbstract:Objective The objective of our study was to report our hospital and long-term results after reinterventions on the Thoracic Aorta. Methods Between 1986 and 2011, 224 reoperations on the proximal Thoracic Aorta after previous aortic surgery were performed in our institution. The number of reinterventions quadrupled during the course of the study period. Mean patient age was 58.1 years, and 174 patients (77.7%) were male. An urgent/emergency operation was performed in 39 patients (17.4%). Indications for surgery included degenerative and chronic postdissection aneurysm (n = 166), false aneurysm (n = 31), active prosthetic infection (n = 16), acute dissection (n = 10), and other (n = 1). Surgical procedures involved the aortic root in 40.6% of patients, the ascending Aorta in 9.4%, the aortic arch in 24.6%, and the entire proximal Thoracic Aorta in 25.4%. Results Hospital mortality was 12.1%. On multivariate analysis, cardiopulmonary bypass time (odds ratio, 1.1023/minute; P P Conclusions Reoperative aortic surgery was associated with satisfactory short- and long-term results, especially if carried out on an elective basis. The extent of the aortic replacement did not impact survival and was associated with a reduced need for reintervention. The progressive nature of aortic disease and the favorable results of elective primary aortic interventions suggest favoring aggressive aortic resections at initial surgery.
Julian Fraile - One of the best experts on this subject based on the ideXlab platform.
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Successful stent-grafting for perforation of the Thoracic Aorta by an intraaortic balloon pump.
The Annals of thoracic surgery, 2002Co-Authors: Victor Bautista-hernandez, Javier Moya, Jorge Martinell, Maria Luz Polo, Julian FraileAbstract:Vascular complications associated with intraaortic balloon pump placement are quite common and predominantly related to femoral or iliac damage. Iatrogenic injury of the Thoracic Aorta is less usual and often fatal. Surgery for the lesions of the descending Thoracic Aorta still has a relatively high morbidity and mortality. Endovascular covered stent-graft prostheses have become a less invasive therapeutic approach to lesions of the Thoracic Aorta, especially in patients with high surgical risk. We describe a case of perforation of the Thoracic Aorta caused by an intraaortic balloon pump. The injury was confirmed by aortography and successfully repaired by implantation of an endovascular stent-graft via the left common iliac artery.
Anna-maria Belli - One of the best experts on this subject based on the ideXlab platform.
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Endovascular repair of contained rupture of the Thoracic Aorta.
Cardiovascular and interventional radiology, 2002Co-Authors: Robert Morgan, Tom Loosemore, Anna-maria BelliAbstract:Purpose: To assess the efficacy of stent-grafts for the treatment of acute rupture of the Thoracic Aorta. Methods: Four patients with acute contained ruptures of the Thoracic Aorta were treated by insertion of stent-grafts. The underlying aortic lesions were aneurysm, acute aortic ulcer, acute type B dissection and giant cell aortitis. The procedures were performed under general anesthesia in three patients and local anesthesia in one patient. Results: All stent-grafts were successfully deployed. All patients survived the procedure and are now alive and well at follow-up (mean 6.3 months, range 44 days–16 months). One patient underwent a second stent procedure 10 days after the first procedure because of a proximal endoleak. All hemothoraces have resolved. There were no complications. Conclusion: Treatment of acute contained ruptures of the Thoracic Aorta by the insertion of stent-grafts is feasible. The technical success rates, complication rates and patient survival compare favorably with emergency surgery.
