• This is called coarctation of the aorta. (medlineplus.gov)
  • The exact cause of coarctation of the aorta is unknown. (medlineplus.gov)
  • The pediatric heart team at Children's Health are highly experienced in the latest surgical and minimally invasive techniques to repair coarctation of the aorta. (childrens.com)
  • Coarctation of the aorta , or aortic coarctation, is a congenital heart disease , which means babies are born with the condition. (childrens.com)
  • Coarctation of the aorta is narrowing in the aorta, the body's largest artery. (childrens.com)
  • [ 2 ] He was also attempting to treat coarctation of the aorta by turning the subclavian artery down and anastomosing it to the aorta below the area of the coarctation. (medscape.com)
  • Coarctation of the aorta is a localized narrowing of the aortic lumen that results in upper-extremity hypertension, left ventricular hypertrophy, and, if severe, malperfusion of the abdominal organs and lower extremities. (msdmanuals.com)
  • Coarctation of the aorta accounts for 6 to 8% of congenital heart anomalies. (msdmanuals.com)
  • Coarctation of the aorta usually occurs at the proximal thoracic aorta just beyond the left subclavian artery and just across from the opening of the ductus arteriosus. (msdmanuals.com)
  • A 44 year old man who presented with a history of chest pain and dyspnoea was found to have an aneurysm of the aortic root, aortic valve insufficiency, and coarctation of the aorta. (biomedcentral.com)
  • If a large part of the aorta is removed, a graft or one of the patient's own arteries may be used to fill the gap. (medlineplus.gov)
  • After discussing with the patient the risks and the benefits of the surgical procedure, the patient was submitted to pancreatoduodenectomy en bloc with portal vein resection while the continuity of the portal vein was reestablished by using a cadaveric graft originating from the abdominal aorta. (spandidos-publications.com)
  • Some devices require a dangerous manipulation of the vein graft and/or impose a 90 degree angulation between vein graft and aorta so that the graft cannot be placed in the desired direction. (biomedcentral.com)
  • The median force to dislodge the graft from the conventional anastomosis was 89.16 N (71.24-105.23). (amsterdamumc.org)
  • The present disclosure relates to a surgical instrument and method for performing anastomosis of tubular body structures, and more particularly to an instrument for joining vascular tissues, for example, during coronary artery bypass graft procedures. (justia.com)
  • We then beveled our proximal graft and constructed an end graft-to-side artery anastomosis using 3-0 Prolene in a running fashion. (mtsamples.com)
  • Upon completion of our anastomosis, we flushed our graft and noted there was no evidence of a leak from the newly constructed anastomosis. (mtsamples.com)
  • We then footed the graft down onto the common femoral artery to the level of the SFA and constructed our anastomosis using 6-0 Prolene in a running fashion. (mtsamples.com)
  • We constructed a footed end graft-to-side artery anastomosis using 6-0 Prolene in a running fashion. (mtsamples.com)
  • We checked our proximal graft to aortic anastomosis, which was noted to be in good condition. (mtsamples.com)
  • The modified technique which we describe herein, requires the use of a prosthetic graft between the transected end of MPA and the ascending aorta which will lengthen the MPA and prevent stretching on the anastomosis. (pediatrikkalpcerrahisi.com)
  • In this method, more constant blood flow may be achieved due to the stiff nature of the prosthetic graft at the both ends of anastomosis and a relatively larger site of MPA may be used due to the adequate amount of tube length between aorta and the pulmonary bifurcation. (pediatrikkalpcerrahisi.com)
  • Completed anastomosis using PTFE graft. (pediatrikkalpcerrahisi.com)
  • A small polytetrafluoroethylene (PTFE) graft in 3,5 mm diameter was used to extend the transected end of MPA which will be anastomosed to the ascending aorta. (pediatrikkalpcerrahisi.com)
  • Meanwhile, end-to-end anastomosis between MPA and the PTFE graft assisted to achieve wide blood flow through a well-shaped and unsqueezed patent tunnel through the ascending aorta to the pulmonary bed. (pediatrikkalpcerrahisi.com)
  • The reasons for early graft occlusions were: stenosis of distal anastomosis in 3 patients and pure run off in 3 subjects. (qxmd.com)
  • Next, the thoracic intercostal arteries were reimplanted using the island technique followed by proximal anastomosis of the main graft at the aortic isthmus. (authorea.com)
  • 25 Injuries at the origin of the great vessels are often best approached by side clamping at the origin, division of the vessel, mattress closure of the aortic wall, and then ascending aortic end-to-end graft to the distal vessel. (westerntrauma.org)
  • Others prefer to start with an ascending aortic end-to-side graft to the affected vessel and then to ligate the origin at the injury site, but we have seen issues with late embolism from the arterial stump. (westerntrauma.org)
  • Certain transformation process was dominant characterised by proendothelial monolayer development from the site of anastomoses covering mostly the entire inner surface of the graft. (vin.com)
  • Scholars@Duke publication: Long-term outcomes of the symmetry vein graft anastomosis device: a matched case-control analysis. (duke.edu)
  • Although the vascular tropism of Mucorales is well resection-anastomosis and omentoplasty to cover described, few cases of cardiovascular infections have the graft. (cdc.gov)
  • 531 The abdominal aorta and its branches. (theodora.com)
  • The abdominal aorta (Fig. 531) begins at the aortic hiatus of the diaphragm, in front of the lower border of the body of the last thoracic vertebra, and, descending in front of the vertebral column, ends on the body of the fourth lumbar vertebra, commonly a little to the left of the middle line, (* 103 by dividing into the two common iliac arteries. (theodora.com)
  • The branches of the abdominal aorta may be divided into three sets: visceral, parietal, and terminal. (theodora.com)
  • Coarctation rarely involves the abdominal aorta. (msdmanuals.com)
  • Isogenic Y-tubes were created using abdominal aortas. (uni-koeln.de)
  • Transperitoneal approach to abdominal aorta and standard inguinal approach to femoral arteries, were used. (qxmd.com)
  • it then descends within the thorax on the left side of the vertebral column, passes into the abdominal cavity through the aortic hiatus in the diaphragm, and ends opposite the lower border of the fourth lumbar vertebra by dividing into the right and left common iliac arteries. (medscape.com)
  • The abdominal aorta begins at the aortic hiatus of the diaphragm, in front of the lower border of the body of the last thoracic vertebra. (medscape.com)
  • Side clamping to perform saphenous vein-to-aorta proximal anastomosis is a well known cause of cerebral embolization during coronary bypass surgery. (biomedcentral.com)
  • A CABG procedure consists of direct anastomosis of a vessel segment to one or more of the coronary arteries. (justia.com)
  • For example, a reversed segment of the saphenous vein may be grafted at one end to the ascending aorta as an arterial blood source and at the other end to a coronary artery at a point beyond the arterial occlusion. (justia.com)
  • BACKGROUND: The Symmetry Bypass Connector (St. Jude Medical) was developed to rapidly anastomose saphenous vein grafts to the aorta during coronary bypass surgery (CABG) without cross-clamping. (duke.edu)
  • Next, vascular clamps were applied to the iliac vessels as well as to the proximal aorta just below the renal vessels. (mtsamples.com)
  • Thus, if it was considered to achieve an anastomosis between MPA and ascending aorta without CPB, patent ductus arteriosus (PDA) must be patent throughout the procedure to maintain sufficient oxygenation. (pediatrikkalpcerrahisi.com)
  • An improvement in the hand-sewing technique was the single cross clamping for both distal and proximal anastomoses [ 8 ], but it cannot be used in the off-pump technique. (biomedcentral.com)
  • A combination of increasing age, pathological aorta and evolution of the off-pump technique stimulated the development of various distal and proximal anastomotic devices and now many of these have been introduced by manufacturers. (biomedcentral.com)
  • The surgical instrument includes a housing having distal and proximal ends and a handle and a disposable loading unit removably mounted to the distal end of the housing. (justia.com)
  • Methods: Ten human cadaveric aortas were obtained at autopsy and transected 20 mm below the renal arteries to mimic an infrarenal aneurysm neck. (amsterdamumc.org)
  • For orthotopic model, left renal vein and renal aorta was divided in both donor and recipient. (atcmeetingabstracts.com)
  • The donor renal vein and recipient renal aorta was placed through the anastomotic cuff and then everted over the body of cuff and circumferential fixed the vessel to cuff by 8-0 nylon respectively. (atcmeetingabstracts.com)
  • The vessel-covered cuff was then inserted into donor renal aorta and recipient renal vein and secured with another 8-0 nylon tie separately. (atcmeetingabstracts.com)
  • Small branches were ligated, and end-to-side sutures were made by 11-0 nylon to make anastomosis of renal aorta and renal vein to femoral artery and femoral vein. (atcmeetingabstracts.com)
  • Microvascular anastomosis techniques are important for revascularization surgeries on brachiocephalic and carotid arteries and complex cerebral aneurysms and even during resection of brain tumors that obstruct major cerebral arteries. (hindawi.com)
  • and possibly by the anastomoses of the lumbar arteries with the branches of the hypogastric. (theodora.com)
  • Upon completion of our anastomosis, we flushed the common femoral, SFA, and profunda femoris arteries. (mtsamples.com)
  • dorsal root converges towards and meets its fellow of the opposite side about the level of the tenth mesodermal somite, where the two fuse together to form the single dorsal aorta, which becomes the descending aorta of the adult, and which extends caudalwards to the level of the twenty-third somite, where it gives off the umbilical arteries and becomes the middle sacral artery. (co.ma)
  • The distribution of the systemic arteries is like a ramified tree, the common trunk of which, formed by the aorta, commences at the left ventricle, while the smallest ramifications extend to the peripheral parts of the body and the contained organs (see the image below). (medscape.com)
  • The arteries, in their distribution, communicate with one another (forming what are called anastomoses) and end in minute vessels, called arterioles, which in their turn open into a close-meshed network of microscopic vessels, termed capillaries, the true deliverers of oxygen and nutrients to the cells. (medscape.com)
  • The brachiocephalic trunk is the largest branch of the arch of the aorta and divides into the right common carotid and right subclavian arteries. (medscape.com)
  • Usually, 9 pairs of posterior intercostal arteries arise from the aorta. (medscape.com)
  • It descends in front of the vertebral column and ends on the body of the fourth lumbar vertebra, commonly a little to the left of the midline, by dividing into the 2 common iliac arteries. (medscape.com)
  • Anastomoses are especially common in veins, where they help maintain blood flow even when one vessel is blocked or narrowed, although there are some important ones in the arteries supplying the brain. (cuny.edu)
  • 32 autologous vascular grafts were developed from internal rectus sheath and were anastomosed with both sided cut ends of external iliac arteries. (vin.com)
  • Newborns who have extensive narrowing in the aorta usually need surgery soon after birth. (childrens.com)
  • Automatic and manual devices have been introduced to avoid aortic clamping and facilitate proximal anastomosis but the manual ones only allow the traditional hand-sewing running suture. (biomedcentral.com)
  • The main advantage of the device is that while manipulation of the aorta is avoided no foreign bodies are incorporated in the suture and - most importantly - the aortic intima is not touched at all. (biomedcentral.com)
  • Hand-sewing running suture is the most effective way to perform the anastomosis. (biomedcentral.com)
  • We have recently shown that repair by hypoglossal-facial or facial-facial nerve surgical end-to-end anastomosis and suture [hypoglossal-facial anastomosis (HFA) or facial-facial anastomosis (FFA)] results in collateral axonal branching, polyinnervation of neuromuscular junctions (NMJs) and poor function. (uni-koeln.de)
  • In this research, we introduced a novel, reliable, suture-free orthotopic anastomosis method and a heterotopic rat kidney transplantation model in groin. (atcmeetingabstracts.com)
  • Vein grafts need a proximal anastomosis which is usually performed on the ascending aorta. (biomedcentral.com)
  • There was no technical difficulty during either the development or the anastomosis between the grafts. (vin.com)
  • 3. Bilfinger, T.V. et al: Parallel growth of rectus sheath grafts and recipient aorta. (vin.com)
  • it gives branches to both surfaces of the stomach and anastomoses with the right gastric artery. (theodora.com)
  • Sometimes, doctors will try to stretch open the narrowed part of the aorta by using a balloon that is widened inside the blood vessel. (medlineplus.gov)
  • Repair procedures open the narrowed aorta to prevent heart failure and send enough blood to the body. (childrens.com)
  • Due to the presence of a good general status and due to the absence of other signs of unresectability, the patient was submitted to per primam resection, a pancreatoduodenectomy en bloc with portal vein resection being performed. (spandidos-publications.com)
  • In the case of ascending aortic disease and saphenous vein grafting, the Slit Device avoids aortic clamping thereby preventing atheroembolism and also avoiding the need for hypothermic circulatory arrest in patients with unclampable aorta. (biomedcentral.com)
  • In cases of vein-to-aorta proximal anastomosis it is obtained by a partial occluding, side-biting clamp on the aortic wall (Figure 1 ). (biomedcentral.com)
  • Also train any vascular surgical skill, such as end-to-end or end-to-side anastomosis with a saphenous vein, femoral endarterectomy, carotid endarterectomy and repair, as well as femoral cannulation while using the pump to check for the quality of the repair. (3-dmed.com)
  • The new channel extends from the semilunar ganglion of the trigeminal nerve to the upper end of the extra-cranial part of the anterior cardinal vein, that is, to the upper end of the internal jugular vein. (co.ma)
  • This condition persists until the embryo attains a length of about 18 mm. when an anastomosis forms, above the otic vesicle, between the stems from the middle and posterior plexuses (Fig. 835), and at the same time that part of the primary head vein which lay lateral to the otic vesicle and the 7th, 8th, 9th, 10th, and 11th cerebral nerves disappears. (co.ma)
  • In the groups with 50-69% and 70-99% stenosis, differences between the number of asymptomatic and symptomatic patients at the beginning and end of the follow-up period were significant ( p =0.000). (angiol.ru)
  • or stenosis at proximal anastomosis (I.2. (vin.com)
  • Resection with anastomosis. (childrens.com)
  • If repair results in significant narrowing or there is extensive loss of vesselwall, resection and end-toend anastomosis can be performed if there is no tension. (westerntrauma.org)
  • Cardiovascular Mucormycosis and performed resection-anastomosis. (cdc.gov)
  • At this time the blood from the anterior and middle plexuses reaches the supra-otic anastomosis through the upper or dorsal part of the middle stem tributary (Fig. 835). (co.ma)
  • The aortic arches are the vessels which connect the ventral portions of the primitive ventral aorta with the primitive dorsal aorta. (co.ma)
  • They spring from the cephalic end of the heart, dorsal to the ventral roots of the first arches, and pass through the hyoid or second pair of branchial arches to the dorsal aorta. (co.ma)
  • The aorta is a larger artery that carries blood from the heart to the vessels that supply the rest of the body with blood. (medlineplus.gov)
  • People who have this problem with their aorta may also have a weak area in the wall of blood vessels in their brain. (medlineplus.gov)
  • A surgical instrument for anastomosis of first and second blood vessels is provided. (justia.com)
  • The inferior mesenteric vessels are identified at their takeoff from the aorta. (medscape.com)
  • In contrast, some vessels closer to the midline of the body, such as the aorta, are unique. (cuny.edu)
  • You will also find examples of anastomoses where two blood vessels that previously branched reconnect. (cuny.edu)
  • In patients with a short MPA, an anteriorly tilted or a stretched anastomosis usually results in decreased blood flow through the anastomosis. (pediatrikkalpcerrahisi.com)
  • In the course of 13 procedures performed in false aneurysms, five times replaced, single sutures were applied to the entire circumference of the anastomosis in four cases, including one case where an oblong patch was also used, in three cases an extra segment was sutured between the aorta and the previously implanted prosthesis, and the aneurysmal sac was filled with wire in one patient. (medscitechnol.com)
  • A patent, suturable mimetic-tissue aorta segment for cannulation and proximal anastomosis skills practice (traditional and anastomotic devices). (thecgroup.com)
  • By unadjusted Kaplan-Meier analysis for the composite end point of death, nonfatal myocardial infarction, repeat cardiac catheterization, or repeat CABG, there was a trend towards increased events in the Symmetry device group (P=0.053). (duke.edu)
  • It occurs at the isthmus of the aorta (distal aortic arch between the left subclavian and the site of the ligamentum arteriosus) where there is a discrete narrowing [ 1 ]. (biomedcentral.com)
  • Following the administration of 200 IU/Kg heparin, the perfusion catheter was put in to the aorta. (gasyblog.com)
  • Body organ Procurement and Preservation A full-length midline NSC 23925 laparotomy was performed and stomach aorta and second-rate vena cava (IVC) had been dissected at the amount of iliac bifurcation. (gasyblog.com)
  • However, this inferior clamping usually results in an insufficient MPA length for a tension-free anastomosis and requires lifting the clamp up towards the bifurcation. (pediatrikkalpcerrahisi.com)
  • Heart surgeons perform cardiothoracic surgery to remove the narrowed section and reconnect the two ends of the aorta. (childrens.com)
  • the inferior vena cava is in contact with the aorta below. (theodora.com)
  • A porcine study of ultrasound-guided versus fluoroscopy-guided placement of endovascular balloons in the inferior vena cava (REBOVC) and the aorta (REBOA). (oru.se)
  • Subsequently supratruncal aorta was prepared beneath the diaphragm simply. (gasyblog.com)
  • The celiac trunk is a short thick trunk that arises from the front of the aorta, just below the aortic hiatus of the diaphragm. (medscape.com)
  • Serum bloodstream urea nitrogen and creatinine peaked on postoperative day time 1 in every groups and returned towards the preoperative amounts towards the end of the analysis on postoperative day time 5. (gasyblog.com)
  • Using a hydraulic material testing machine, longitudinal load was applied to the distal end of each endograft until migration occurred, thus defining the displacement force (DF). (amsterdamumc.org)
  • Alan B. Lumsden, MD, presents a case of upper gastrointestinal bleeding after esophagectomy and esophoago-gastric anastomosis, from evaluation through embolization. (houstonmethodist.org)
  • The first aortic arch, on each side, is part of the primitive aorta, and is formed as the head fold is developed and the fore-gut is enclosed. (co.ma)
  • At the union of the ascending aorta with the aortic arch, the caliber of the vessel is increased. (medscape.com)
  • We developed a simple object that helps to perform a manual proximal anastomosis without the need to clamp the side of the aorta. (biomedcentral.com)
  • Example of side biting clamp for proximal anastomosis. (biomedcentral.com)
  • Subsequently, a hand-sewn infrarenal anastomosis was tested in a similar manner. (amsterdamumc.org)
  • Treatment involves procedures to widen the aorta so it can provide enough blood and oxygen to the body. (childrens.com)
  • and recessus membranfe tympani anterior portion of duo- v. And the lack of pregnancy, the lateral fornix end as 65. (goldenowlhunt.com)
  • Due to a false aneurysms of the aortic-prosthetic anastomosis ten patients aged 42-74 years underwent surgery. (medscitechnol.com)
  • In six patients end-to-end anastomoses were performed, and in four - end-to-side. (medscitechnol.com)
  • In six patients the anastomoses were totally separated. (medscitechnol.com)
  • Eight patients were reoperated, including three repeated procedures due to a false aneurysm of the proximal anastomosis. (medscitechnol.com)
  • In 154 (54.4%) patients proximal anastomosis had an end to side (TL), while in 129 (45.6%) end to end (TT) form. (qxmd.com)
  • Alloub, A. 2011-12-01 00:00:00 Introduction: Liver transplantation (LT) is considered the treatment of choice for the patients with end-stage liver diseases, acute liver failure, metabolic diseases and liver cancer. (deepdyve.com)
  • In 121 patients, at least one proximal anastomosis used a Symmetry device. (duke.edu)
  • Such training should include anastomosis practice in the depth of operative wound in conditions of limited vascular mobility and limited time periods. (hindawi.com)
  • on the left side, with the left celiac ganglion and the cardiac end of the stomach. (theodora.com)
  • A randomized porcine study of hemorrhagic shock comparing end-tidal carbon dioxide targeted and proximal systolic blood pressure targeted partial resuscitative endovascular balloon occlusion of the aorta in the mitigation of metabolic injury. (oru.se)
  • This is done by inflating a special type of balloon to enlarge the narrowing and then placing a metallic support (stent) to hold the aorta at the larger size. (childrens.com)
  • A balloon pump inserted into the aorta, along with battery generator device, that can help the heart to provide blood flow to the body. (physio-pedia.com)
  • Massive transfusion, resuscitative endovascular balloon occlusion of the aorta, and pre-peritoneal pelvic packing were performed simultaneously. (jtraumainj.org)
  • abstract = "Purpose: To investigate proximal fixation characteristics of different aortic endograft designs: a suprarenally placed fenestrated endograft, a modular branched endograft, an infrarenal endograft with suprarenal bare stent fixation, and the gold standard, a conventional hand-sewn anastomosis. (amsterdamumc.org)
  • When performing operative repair, the ascending aorta, innominate, left common carotid, and origin of the left subclavian can be approached by sternotomy or dedicated clamshell. (westerntrauma.org)
  • Injuries to the descending aorta are best approached via left thoracotomy, the level of incision being determined by the site of injury. (westerntrauma.org)
  • The aorta commences at the upper part of the left ventricle. (medscape.com)
  • they arise near the commencement of the aorta immediately above the attached margins of the semilunar valves. (medscape.com)
  • Median sternotomy was performed to access the mediastinum and expose the heart and aorta. (biomedcentral.com)
  • and by the first, second, third, and fourth arches it is connected with a ventral vessel which springs from the cephalic end of the heart. (co.ma)