scholarly journals Giant Pseudoaneurysm in Distal Anastomosis of Prosthetic Aorto-Femoral Bypass

Cor et Vasa ◽  
2021 ◽  
Vol 63 (3) ◽  
pp. 378-381
Author(s):  
Róbert Novotný ◽  
Tomáš Marada ◽  
Michal Kudla ◽  
Květoslav Lipár ◽  
Jakub Křístek ◽  
...  
Keyword(s):  
Distal Anastomosis ◽  
Giant Pseudoaneurysm

Midterm angiographic evaluation of coronary bypass graft distal anastomosis by use of a magnetic coupler

2006 ◽  
Vol 54 (S 1) ◽  
Author(s):  
S Eifert ◽  
M Oberhoffer ◽  
P Boekstegers ◽  
F Christ ◽  
B Reichart ◽  
...  
Keyword(s):  
Bypass Graft ◽  
Coronary Bypass ◽  
Distal Anastomosis ◽  
Coronary Bypass Graft

Open Distal Anastomosis Technique for Ascending Aortic Aneurysm Repair without Cerebral Perfusion

2015 ◽  
Vol 18 (4) ◽  
pp. 124
Author(s):  
Mehmet Kaplan ◽  
Bahar Temur ◽  
Tolga Can ◽  
Gunseli Abay ◽  
Adlan Olsun ◽  
...  
Keyword(s):  
Aortic Aneurysm ◽  
Cerebral Perfusion ◽  
Circulatory Arrest ◽  
Deep Hypothermic Circulatory Arrest ◽  
Hypothermic Circulatory Arrest ◽  
Distal Anastomosis ◽  
Ascending Aortic Aneurysm ◽  
Aortic Aneurysm Surgery ◽  
Aneurysm Repair ◽  
Aortic Aneurysm Repair

<p><strong>Background</strong><strong>: </strong>This study aimed to report the outcomes of patients who underwent proximal thoracic aortic aneurysm surgery with open distal anastomosis technique but without cerebral perfusion, instead under deep hypothermic circulatory arrest.</p><p><strong>Methods: </strong>Thirty patients (21 male, 9 female) who underwent ascending aortic aneurysm repair with open distal anastomosis technique were included. The average age was 60.2±11.7 years. Operations were performed under deep hypothermic circulatory arrest and the cannulation for cardiopulmonary bypass was first done over the aneurysmatic segment and then moved over the graft. Intraoperative and early postoperative mortality and morbidity outcomes were reported.</p><p><strong>Results</strong><strong>: </strong>Average duration of cardiopulmonary bypass and cross-clamps were 210.8±43 and 154.9±35.4 minutes, respectively. Average duration of total circulatory arrest was 25.2±2.4 minutes. There was one hospital death (3.3%) due to chronic obstructive pulmonary disease at postoperative day 22. No neurological dysfunction was observed during the postoperative period.<strong></strong></p><p><strong>Conclusion: </strong>These results demonstrate that open distal anastomosis under less than 30 minutes of deep hypothermic circulatory arrest without antegrade or retrograde cerebral perfusion and cannulation of the aneurysmatic segment is a safe and reliable procedure in patients undergoing proximal thoracic aortic aneurysm surgery.</p><p> </p>

An Unusual Case of a Giant Pseudoaneurysm Formation after Myocardial Infarction

2010 ◽  
Vol 27 (8) ◽  
pp. E83-E86 ◽  
Author(s):  
Necla Ozer ◽  
Hakan Aksoy ◽  
Tuncay Hazırolan ◽  
Erol Tulumen ◽  
Onur Sinan Deveci ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Unusual Case ◽  
Pseudoaneurysm Formation ◽  
Giant Pseudoaneurysm

The zone 2 concept and distal stent graft positioning in TH 2–3 are associated with high rates of secondary aortic interventions in frozen elephant trunk surgery

2021 ◽  
Author(s):  
Markus Liebrich ◽  
Efstratios I Charitos ◽  
Sebastian Schlereth ◽  
Helfried Meißner ◽  
Tobias Trabold ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Stent Graft ◽  
Type A ◽  
Distal Anastomosis ◽  
Frozen Elephant Trunk ◽  
Elephant Trunk ◽  
Hybrid Prosthesis ◽  
Elephant Trunk Procedure ◽  
Graft Length ◽  
Aortic Dissection Type A

Abstract OBJECTIVES The goal of this study was to investigate the association between the localization of the distal anastomosis (zone 2/3), the stent graft length (100–160 mm), the position of the distal end of the hybrid prosthesis and the need for secondary aortic intervention (SAI) in acute and chronic thoracic aortic disease after the frozen elephant trunk procedure. METHODS From 2009 through 2020, a total of 232 patients (137 men; mean age, 61.7 ± 13.8 years) were treated with the frozen elephant trunk procedure. The main indications were acute aortic dissection type A (n = 106, 46%), chronic aortic dissection type A (n = 52, 22%) and degenerative thoracic aortic aneurysm (n = 74, 32%). RESULTS The rate of SAI was significantly higher when we performed a distal anastomosis in zone 2 rather than in zone 3, whereas the rate of SAI was less frequent if the distal positioning of the hybrid prosthesis was below TH 4–5. Combining the zone 2 concept and the short stent graft length (100 mm) was associated with a significantly higher rate of SAIs. Patients with a distal anastomosis in zone 2 were significantly less likely to have a recurrent laryngeal nerve injury (P &lt; 0.001). However, no association between a specific arch zone of a distal anastomosis and the occurrence of spinal cord injury was observed. CONCLUSIONS Rates of SAIs are highest in patients who were treated with a distal anastomosis in zone 2 and a short stent graft (100 mm) with the distal end of the hybrid prosthesis at vertebral level TH 2–3.

scholarly journals Chronic rupture of the left ventricular wall with a giant pseudoaneurysm

2018 ◽  
Vol 20 (2) ◽  
pp. 242-242
Author(s):  
Martin Riesenhuber ◽  
Matthias Schneider ◽  
Andrea Maier ◽  
Miklos Rohla ◽  
Mariann Gyöngyösi
Keyword(s):  
Left Ventricular ◽  
Left Ventricular Wall ◽  
Ventricular Wall ◽  
Chronic Rupture ◽  
Giant Pseudoaneurysm
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