Case Report A 60-year-old man was admitted to hospital with a myocardial infarction and was incidentally found to have a right posterior thoracic mass on chest-radiograph. Computed tomography (CT) confirmed a large posterior thoracic mass with pleural thickening. No mediastinal lymphadenopathy or pulmonary metastasis was seen. He had a coronary artery bypass grafting and returned 2 months later...

A 56 year old Caucasian man presented with sudden loss of consciousness while driving and was found to have an 11 cm Haughton D type left cervical aortic arch aneurysm with normal brachiocephalic branching and normal descending thoracic laterality but with considerable tortuosity and redundancy of aortic arch. The aneurysm arose between the left common carotid artery and the left subclavian art...

A CT-scan of a 75-year-old patient showed an aneurysm of the descending aorta with a maximum diameter of 4.8 cm involving the left subclavian artery. Due to the fact that the patient had several comorbidities including a severe chronic obstructive pulmonary disease he was treated only conservatively. However, there were several interesting findings on the CT-scan: the branching pattern of the a...

Absolute contraindications to percutaneous tracheostomy due to anomaly of aortic arch branches origin and running A 77-year-old patient required percutaneous tracheost-omy. A first clinical evaluation showed a pulsating mass in the suprasternal region. Computed tomography (CT) revealed the presence of anomaly of the aortic arch branches (Fig. 1). We did not perform any type of tracheostomy due ...

OBJECTIVES To compare stenting of aortic arch vessel obstruction with surgical therapy and to establish recommendations for treatment. BACKGROUND Though surgery has been considered to be the procedure of choice for subclavian and brachiocephalic obstruction, little work has been done to compare it with stenting. METHODS Eighteen patients with symptomatic aortic arch vessel stenosis or occlu...

The brachiocephalic arteries of fat-fed apolipoprotein E knockout mice develop plaques that frequently rupture and form luminal thromboses. The morphological characteristics of plaques without evidence of instability or with healed previous ruptures (intact) and vessels with acutely ruptured plaques (ruptured) have now been defined, to understand the process of plaque destabilization in more de...

• Many surgical procedures designed to increase the total blood flow to the heart or to distribute the existing flow more equitably have been proposed. 1 " 3 The assessment of these operations has been hampered in the past by: (1) difficulty in obtaining objective data from clinical patients, (2) lack of a method to measure capillary (tissue) blood flow to specific areas of myocardium, and (3) ...

Nineteen-year-old girl operated for ostium secundum ASD sustained injury to the left innominate vein during sternotomy, and was repaired immediately. Pulse Doppler (Fig. 1) revealed continuous flow across the fistula and DSA (Fig. 2) showed flow to the left innominate vein into the superior vena cava. Fistula successfully repaired on 10th postoperative day. European Journal of Cardio-thoracic S...