Abstract An eleven-month-old infant presented to our casualty with stridor that had been noticed by the parents a few weeks earlier and became increasingly evident lately. They did not recall specific event when “chocked”, but they denied any recent history of respiratory tract infection. The no relevant medical or surgical history, he was born full term normal vaginal delivery. Examination sho...

OBJECTIVE To find how closely pressure gradients across the aortic arch derived from Doppler echocardiography reflect gradients measured by catheter after surgical repair of coarctation of the aorta. DESIGN Pressure drop across the aortic arch was measured simultaneously by continuous wave Doppler and double lumen catheter in 20 patients with repaired coarctation of the aorta. RESULTS The p...

We report a case of a 32-week-gestation male who presented initially with symptoms suggestive of an interrupted aortic arch. The absence of a VSD prompted further investigations, including a CT angiogram, which revealed that he had an extensive thrombus in his aorta. He underwent a successful aortic thrombectomy with arch repair on cardiopulmonary bypass support. In view of the extensive thromb...

BACKGROUND Atherosclerotic aortic arch plaques (AAP) have been linked to an increased risk of thrombo-embolic events as a cause of acute ischemic stroke of undetermined etiology. OBJECTIVES To find out the presence of atherosclerotic plaques in aortic arch and their potential role as a source of embolism in cerebral infarction of undetermined etiology. METHODS We performed trans-esophageal ...

Anomalies of the aortic arch system may assume many different anatomic patterns. Some are only of academic interest; others are of extreme clinical importance and may at times constitute an emergency requiring prompt surgical intervention to save life. The anomalies of the aortic arch system which produce symptoms and which require surgical treatment are of three types. First, there are the “va...

Tbx1 haploinsufficiency causes aortic arch abnormalities in mice because of early growth and remodeling defects of the fourth pharyngeal arch arteries. The function of Tbx1 in the development of these arteries is probably cell non-autonomous, as the gene is not expressed in structural components of the artery but in the surrounding pharyngeal endoderm. We hypothesized that Tbx1 may trigger sign...

To cite: Ricciuti B, Rebonato A, Capodicasa E. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/ bcr-2015-213270 DESCRIPTION An 82-year-old woman presented with fever, severe dyspnoea and pneumonia, which required noninvasive ventilation and intravenous antibiotics. She had a history of recurrent airway infections with inspiratory stridor and dysphagia. During the pneu...

PURPOSE Conventional surgical therapy of aortic arch aneurysms consists of aortic arch replacement requiring cardiopulmonary bypass and deep hypothermic circulatory arrest. This method is associated with significant morbidity and mortality, mainly due to neurologic complications and the sequelae of deep hypothermic circulatory arrest. Thus, it makes sense to work on developing less invasive sur...