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ThoracicDistalAnastomosis was performedArterialDorsalPulmonary arteryCoarctationRight subclaDilatationAneurysmCross-clampedInvolving the aorticBrachiocephalicEndovascularCoronaryAbdominal aortasVentricularSide bitinAortic valveClampArteriesMesentericSutureGraftsArchVasosBalloonLeftSegmentDissectionProbeSubclavianDiseaseBloodFrequentlyPatientsHeartTimeLevelGroupsControl
Thoracic15
  • Carpenter, AJ 2022, ' Commentary: The proximal descending aorta is a "cruel mistress" and should not be ignored ', Journal of Thoracic and Cardiovascular Surgery , vol. 163, no. 5, pp. 1762-1763. (uthscsa.edu)
  • The procedure involves excision of the ascending aorta and underside of the aortic arch, and placement of a thoracic aortic stent graft into the descending aorta at the time of arch repair. (emoryhealthcare.org)
  • Morphometric measurements, including measurements of segmental length and tortuosity, were performed on three-dimensional models of the thoracic aorta. (bmj.com)
  • Results The length of the thoracic aorta was significantly related to age (r=0.54) and increased by 59 mm (males) or 66 mm (females) between the ages of 20 and 80 years. (bmj.com)
  • The lengthening of the thoracic aorta was accompanied by a marked change of its geometry: whereas the aortic apex was located between the branch vessels in younger patients, it shifted to a more distalward position in the elderly. (bmj.com)
  • Several studies noted an association between coronary calcification and thoracic aorta calcification by several imaging techniques, but this association has not yet been examined in stable angina pectoris patients with the use of spiral computed tomography. (ima.org.il)
  • To examine by spiral CT the association between the presence and severity of CC [2] and thoracic aorta calcification in patients with stable angina pectoris. (ima.org.il)
  • Our study demonstrates a strong association between the presence and severity of CC and the presence and severity of calcification of thoracic aorta in patients with stable angina pectoris as detected by spiral CT. (ima.org.il)
  • In the thoracic and upper lumbar regions the dorsal aorta is a large, single vessel. (ehd.org)
  • A review of autopsy studies shows a correlation between atherosclerotic plaque burden in the thoracic aorta and coronary arteries. (hcplive.com)
  • The authors found that thoracic and abdominal aortas responded differently to atherosclerotic progression and regression. (hcplive.com)
  • Arterial specimens from the Pathobiological Deter­min­ants of Atherosclerosis in Youth (PDAY) study showed fatty streaks and raised lesions localized to the dorsal region of the infrarenal abdominal aorta, which preceded atheromatous in­volvement of the thoracic aorta. (hcplive.com)
  • Pressure and diameter were measured in seven arterial segments (carotid, brachiocephalic trunk, ascending aorta, proximal, middle and distal descending thoracic aorta, and femoral artery) from six sheep. (revespcardiol.org)
  • Giant Cell Arteritis Giant cell arteritis involves predominantly the thoracic aorta, large arteries emerging from the aorta in the neck, and extracranial branches of the carotid arteries. (merckmanuals.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)
Distal9
  • The seventh segmental arterial branches of the dorsal aorta form the left subclavian artery and the distal right subclavian artery. (medscape.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)
  • Proximal and distal control of the vessels could not be achieved during the procedure because of local adhesions and inflammation and it was necessary to cross clamp the supraceliac aorta to control bleeding. (jvascbras.org)
  • Durante o procedimento, não foi possível alcançar controle proximal e distal dos vasos devido a aderências locais e inflamação, sendo necessário o clampeamento da aorta supracelíaca para controle do sangramento. (jvascbras.org)
  • Pulmonary artery anastomoses between the distal PA and proximal PA that was reconstructed with the autopericardium was done again with the beating heart and sinus rhythm was restored. (ctsnet.org)
  • The elastic and viscous modulus increased from proximal to distal segments. (revespcardiol.org)
  • Background:The purpose of this article is to describe our experience on distal arch and proximal descending aortic aneurysm repair, and to evaluate retrospectively the determinants of mortality and morbidity.Material/Methods: Between 1994 and 2002, 30 patients (mean age 53.4 years) underwent repair of distal arch or proximal descending aortic aneurysm approached through left thoracotomy with deep hypothermic circulatory arrest. (medscimonit.com)
  • Age >70 years, bypass time >140 min, distal ischemia time >55 min, and excessive blood or plasma transfusions were determinants of postoperative complications.Conclusions: Deep hypothermic circulatory arrest with left thoracotomy is a valid procedure with acceptable mortality rates in the management of aneurysms of distal arch and proximal descending aorta. (medscimonit.com)
Anastomosis was performed2
  • The aorta was unclamped, and proximal anastomosis was performed with the side-biting clamp. (ctsnet.org)
  • A left coronary artery to aorta anastomosis was performed and the rest of aortotomy was closed. (ctsnet.org)
Arterial1
  • Endovascular embolisation of Giant Ruptured Proximal Splenic Arterial Pseudoaneurysm Using Microcoils & Glue: Case Report. (jvascbras.org)
Dorsal6
  • The dorsal aorta between the third and fourth arches involutes. (medscape.com)
  • Four pairs of aortic arches become apparent and connect the aortic sac with the paired dorsal aortas above the primitive pharynx. (ehd.org)
  • The first pair loses its connection with the dorsal aorta and begins to disappear in the mandibular process of the first branchial arch. (ehd.org)
  • The internal carotid artery is the rostral continuation of the dorsal aorta and lies in the roof of the primitive pharynx on each side of the hypophyseal pouch. (ehd.org)
  • The large, paired dorsal aortas course caudally on either side of the midline between the notochord and the primitive gut. (ehd.org)
  • This case report describes resuscitative endovascular balloon occlusion (REBOA) of the aorta in a patient with life-threatening iatrogenic bleeding of the right common iliac artery during elective dorsal lumbar spine surgery. (frontiersin.org)
Pulmonary artery3
  • The ventral sixth arch develops into the proximal right pulmonary artery. (medscape.com)
  • Fig. 1 Computed tomographic angiography images ( A - C ) in a patient with truncus arteriosus showing subtruncal ventricular septal defect (#) and discontinuous pulmonary arteries with right pulmonary artery (RPA) arising from the proximal ascending aorta (AA). (thieme-connect.com)
  • Endocardial cushions also form in the outflow tract, and these are the precursors of the aorticopulmonary septum, which divides the outflow tract into the aorta and pulmonary artery. (medscape.com)
Coarctation3
  • 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 rarely involves the abdominal aorta. (msdmanuals.com)
Right subcla2
Dilatation2
Aneurysm2
  • Eight patients were reoperated, including three repeated procedures due to a false aneurysm of the proximal anastomosis. (medscitechnol.com)
  • This procedure is indicated for patients who are diagnosed with aneurysm or dissection of the ascending aorta and have an abnormally functioning aortic valve. (emoryhealthcare.org)
Cross-clamped2
  • Next, an aortic clamp was put through the second ICS, and the aorta was cross-clamped under direct vision. (ctsnet.org)
  • The aorta was cross-clamped for 159 min. (ctsnet.org)
Involving the aortic1
  • This procedure is indicated for patients who are diagnosed with aneurysmal disease involving the aortic root and ascending aorta with abnormal aortic valve leaflets. (emoryhealthcare.org)
Brachiocephalic1
Endovascular4
  • Resuscitative endovascular balloon occlusion of the aorta is an emergency procedure to control life-threatening hemorrhage. (frontiersin.org)
  • Resuscitative endovascular balloon occlusion of the aorta (REBOA) is an emergency procedure for temporary intra-aortic balloon occlusion being increasingly reported and published since its inauguration by Hughes ( 1 ). (frontiersin.org)
  • 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)
  • 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)
Coronary3
  • Side clamping to perform saphenous vein-to-aorta proximal anastomosis is a well known cause of cerebral embolization during coronary bypass surgery. (biomedcentral.com)
  • 10 dogs were chronically instrumented with catheters in the left atrium and aorta and with a balloon occluder and electromagnetic flow probe on the proximal left circumflex coronary artery. (jci.org)
  • The ascending aorta was then opened anteriorly to the left coronary sinus. (ctsnet.org)
Abdominal aortas1
  • Isogenic Y-tubes were created using abdominal aortas. (uni-koeln.de)
Ventricular3
  • After placing the donor heart in a sterile Petri dish immediately following the cardiectomy, in an ice-cold, cold storage buffer, use the forceps and Vannas Spring Scissors to dissect the heart until only the aortic root remains with a one millimeter ventricular cuff proximal to the aortic valve. (jove.com)
  • The aortic valve is located between the left ventricular outflow tract and the ascending aorta. (medscape.com)
  • The aortic valve functions to prevent the regurgitation of blood from the aorta into the left ventricle during ventricular diastole and to allow the appropriate flow of blood-the cardiac output -from the left ventricle into the aorta during ventricular systole. (medscape.com)
Side bitin2
  • 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)
  • Example of side biting clamp for proximal anastomosis. (biomedcentral.com)
Aortic valve2
Clamp1
  • 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)
Arteries1
  • The umbilical arteries initially fuse in the proximal part of the cord but later separate completely. (ehd.org)
Mesenteric1
  • The inferior mesenteric vessels are identified at their takeoff from the aorta. (medscape.com)
Suture2
  • 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)
Grafts2
  • Vein grafts need a proximal anastomosis which is usually performed on the ascending aorta. (biomedcentral.com)
  • The ascending aorta and underside of the aortic arch are replaced with a separate Dacron graft, and the two grafts are connected together to complete the proximal aortic reconstruction. (emoryhealthcare.org)
Arch5
  • Aortic sac is the embryological precursor of proximal portion of the aortic arch. (wikipedia.org)
  • The ascending aorta begins above the aortic root and extends towards the neck until it begins to turn and give rise to the aortic arch. (emoryhealthcare.org)
  • The procedure involves excision of the ascending aorta and aortic arch. (emoryhealthcare.org)
  • The ascending aorta and arch are replaced with a customized, Dacron, multi-branched arch graft, and the great vessels are individually re-attached to the branches of the arch graft. (emoryhealthcare.org)
  • However, TEE does not allow full visualization of the upper part of the ascending aorta and proximal aortic arch. (ima.org.il)
Vasos1
  • Por ejemplo, la aorta descendente es un vaso largo y recto cerca de la columna vertebral en las llanuras sagitales, la aorta ascendente y las arterias pulmonares principales se pueden identificar como vasos que salen de los ventrículos izquierdo y derecho, respectivamente. (jove.com)
Balloon1
  • However, it is advised to further investigate positioning accuracy for more complex geometry, since outcome depends highly on balloon conformation in the proximal neck. (utwente.nl)
Left4
  • The fourth right and left arches persist and join the left-sided descending aorta, forming a complete ring. (medscape.com)
  • Left horn forms proximal ascending portion of aorta. (wikipedia.org)
  • The proximal part next to the primitive left ventricle is large with trabeculated walls and forms the primitive right ventricle. (ehd.org)
  • Then the aorta was unclamped and deaeration of the left chambers was performed. (ctsnet.org)
Segment1
  • 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)
Dissection2
  • This procedure is indicated for patients who are diagnosed with an aortic dissection involving the ascending aorta. (emoryhealthcare.org)
  • The ascending aorta is the area most frequently involved in dissection or rupture. (msdmanuals.com)
Probe1
  • The action of the spring means that holding the probe towards the proximal end provides maximal rotational motion. (deltexmedical.com)
Subclavian1
  • It occasionally arises from the aorta, the right common carotid, the subclavian or the internal mammary. (wikipedia.org)
Disease1
  • 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)
Blood2
  • Tape was put around the ascending aorta, which helped expose the aorta when doing proximal anastomosis and as well as putting the cannula for blood cardioplegia. (ctsnet.org)
  • It is imperative to divide the mesocolon as close to its origin as possible, leaving extensive collateral blood supply to the proximal colon that will be anastomosed. (medscape.com)
Frequently1
  • The ascending aorta is more frequently affected by aneurysms and dissections and requires open heart surgery to be repaired. (emoryhealthcare.org)
Patients1
  • En­rolling these patients may have blunted the effects observed on plaque burden and morphology. (hcplive.com)
Heart2
  • Migration of Nkx2-5 -en + cells from outside the cardiac crescent towards the heart tube. (elifesciences.org)
  • Then remove the heart on block with the ascending aorta till the level of the innominate artery. (jove.com)
Time1
  • A-H ) Time lapse analysis of a live chick embryo expressing GFP under the control of Nkx2-5- en analyzed at different time points. (elifesciences.org)
Level1
  • For proximal tumors, the cranial level of the CTV will not extend above the cricoid cartilage. (cancercentrum.se)
Groups1
  • These objects could be divided into two groups: automatic proximal anastomotic devices and manual proximal anastomotic devices (Table 1 ). (biomedcentral.com)
Control1
  • F-J ) Cross sections through different stages of embryonic development corresponding to the embryos shown in A-D. The mouse Isl1- en (green, GFP) and control pCAAG-RFP (red). (elifesciences.org)