1.Progress of research on the biomechanics of aorta and stent graft.
Yong-sheng LI ; Zhi-hui DONG ; Hua-gang ZHU ; Wei-guo FU ; Yu-qi WANG
Chinese Medical Journal 2013;126(20):3982-3984
2.Anastomotic pseudoaneurysm at 30 years after thoracic aorta surgery.
Chang-Wei REN ; Lian-Jun HUANG ; Yong-Qiang LAI ; Li-Zhong SUN ; Shang-Dong XU
Chinese Medical Journal 2015;128(5):704-705
Aorta
;
surgery
;
Aorta, Thoracic
;
surgery
;
Aortic Aneurysm, Thoracic
;
diagnosis
;
Humans
;
Male
;
Middle Aged
3.Emergent management of penetrating trauma of aortic arch in a countryside hospital.
Dong-Mei DI ; Xiao-Ying ZHANG ; Huo-Jun JING
Chinese Journal of Traumatology 2011;14(2):114-116
According to the literature, only a small proportion of occurrences regarding penetrating trauma of the thoracic aorta can be treated successfully. Herein we reported our experience of a recent rescue of such a patient in a countryside hospital lacking advanced instruments for cardiopulmonary bypass operations. A 20-year-old male was admitted for a penetrating injury with disrupted innominate vein and right common carotid artery together with a 1.5-cm laceration on the aortic arch between the innominate artery and the left common carotid artery. The patient was successfully saved without the implementation of cardiopulmonary bypass. Presentation and management in this case were discussed.
Adult
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Aorta, Thoracic
;
injuries
;
surgery
;
Humans
;
Male
;
Wounds, Penetrating
;
surgery
4.Newly Developed Aortic Dissection After Aorta Cannulation During Mitral Valve Surgery in a Patient With Marfan Syndrome.
Jeonggeun MOON ; Mi Seung SHIN ; Hun Jin LEE ; Wook Jin CHUNG ; Chul Hyun PARK ; Kook Yang PARK
Korean Circulation Journal 2012;42(6):437-440
We report a case of newly developed aortic dissection after aorta cannulation during mitral valve surgery in a patient with Marfan syndrome. An unexpected fatal complication of cardiac surgery detected on postoperative imaging survey in Marfan syndrome patient and its surgical finding are described.
Aorta
;
Catheterization
;
Echocardiography
;
Humans
;
Marfan Syndrome
;
Mitral Valve
;
Thoracic Surgery
5.Isolated type C interrupted aortic arch in adult: extra-anatomic repair using circulatory arrest.
Xing-rong LIU ; Qi MIAO ; Guo-tao MA ; Chao-ji ZHANG ; Li-hua CAO
Chinese Medical Sciences Journal 2013;28(4):239-241
Adult
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Aorta, Thoracic
;
abnormalities
;
surgery
;
Heart Arrest, Induced
;
Humans
;
Male
7.An elephant trunk stent graft strayed into the false lumen leading to a death during the Sun's operation: A case report.
Fushuo ZHOU ; Hong CHAI ; Ruisheng LIU ; Bing SONG
Journal of Central South University(Medical Sciences) 2021;46(2):217-220
Type A aortic dissection (AD) is a critical and severe disease with high mortality. The Sun's operation is a standard surgical method for this kind of disease at present. For the procedure, an elephant trunk stent is inserted into the true lumen of the descending aorta and the aortic arch is replaced. A patient was admitted to the First Hospital of Lanzhou University due to sudden chest and back pain for 6 days. Computed tomography angiography (CTA) showed type A AD. Ascending aorta replacement, Sun's operation, and ascending aorta to right femoral artery bypass grafting were performed. After surgery, the patient's condition was worsened. The digital subtraction angiography (DSA) showed the elephant trunk stent was inserted into the false lumen of AD, leading to the occlusion of the large blood vessel at the distal part of the abdominal aorta and below. Although we performed intima puncture and endovascular aortic repair, the patient was still dead.
Aneurysm, Dissecting/surgery*
;
Aorta, Abdominal
;
Aorta, Thoracic/surgery*
;
Blood Vessel Prosthesis Implantation/adverse effects*
;
Humans
;
Stents/adverse effects*
;
Treatment Outcome
8.Fatal hemorrhea due to ascending aorta pseudoaneurysm rupture after Bentall procedure in a patient with Behcet's disease.
Zhen ZHANG ; Zhenkang WANG ; Wujun WANG
Chinese Medical Journal 2014;127(2):398-398
Aneurysm, False
;
surgery
;
Aorta
;
surgery
;
Behcet Syndrome
;
surgery
;
Fatal Outcome
;
Humans
;
Male
;
Young Adult
10.Effect of native aortic valve sparing aortic root reconstruction surgery on short- and long-term prognosis in Marfan syndrome patients:a meta-analysis.
Rui HU ; Zhiwei WANG ; Xiaoping HU ; Hongbing WU ; Zhen ZHOU
Chinese Journal of Cardiology 2014;42(5):433-438
OBJECTIVEThis meta-analysis was performed to analyze the effect of preserving the native aortic valve on short- and long-term prognosis post aortic root reconstruction surgery for patients with Marfan syndrome.
METHODSDatabase including Pubmed,Embase, Cochrane library, CNKI, Wanfang,VIP and CBM were searched to collect studies comparing clinical results of valve sparing surgery with composite valve graft surgery for patients with Marfan syndrome. Study quality was assessed by Newcastle-Ottawa Scale and publication bias was assessed by visual inspection of the funnel plot together with Egger test. Clinical outcomes data was extracted from the manuscripts and analyzed with Revman 5.0 supplied by Cochrane collaboration.
RESULTSSeven clinical trials with 690 patients were included. Meta- analysis demonstrated that valve sparing surgery was associated with a lower incidence of re-exploration (RR = 0.51, 95%CI:0.29- 0.90, P < 0.05), thromboembolism (RR = 0.17, 95%CI:0.05-0.57, P < 0.01), endocarditis (RR = 0.31, 95%CI:0.11-0.94, P < 0.05) and significantly lower long-term death rate (RR = 0.37, 95%CI:0.18-0.74, P < 0.01). Reoperation rate was similar between the two groups (RR = 1.07, 95%CI:0.35-3.27, P > 0.05).
CONCLUSIONValve sparing aortic root reconstruction surgery is a superior procedure to composite valve graft surgery in term of improving the short- and long-term prognosis for patients with Marfan syndrome.
Aorta ; surgery ; Aortic Valve ; surgery ; Humans ; Marfan Syndrome ; surgery ; Organ Sparing Treatments ; methods ; Prognosis ; Treatment Outcome