Background Abnormal aortic arch geometry, in particular the ‘gothic arch’, has been associated with reduced exercise performance in patients with repaired aortic coarctation. Following the arterial switch operation (ASO) for transposition of the great arteries (TGA), the morphology of the aorta is also known to be abnormal, presenting with dilated aortic root and ‘gothic’ deformity of the aorti...

Since 1991 ten patients, 9 male and 1 female, with aortic arch aneurysm underwent surgical therapy with trapdoor thoracotomy. The mean age was 67.4 +/- 9.1 (standard deviation) years at operation. In addition to the aortic arch repair, we also performed seven descending aortic replacements. We performed one partial arch replacement, one total arch replacement, and one aneurysmorrhaphy and wrapp...

Total aortic arch replacement remains a complex surgical procedure, best practiced in high-volume aortic centers. The following report details the surgical procedure for total arch replacement with selective antegrade cerebral perfusion (SACP) for distal arch aneurysm. Following moderate hypothermic circulatory arrest and SACP, the distal arch, and then the proximal arch, is reconstructed, foll...

OBJECTIVES Cardiovascular diseases, such as atherosclerosis and aneurysm, are closely associated with haemodynamic factors that are governed by luminal geometry. The present work aimed to study the effect of geometrical variation of aging aortas on haemodynamics. METHODS Six aged subjects with intricate geometrical features, such as bulging or twisted supra-aortic arteries, sharply curved arc...

A 50-year-old man was operated on for acute type I (DeBakey classification) aortic dissection. The supracoronary ascending aorta was replaced with an interposition graft. Postoperative computed tomography and angiography clearly revealed a double-barrelled aortic arch, left common carotid artery and descending thoracoabdominal aorta with contrast filling of both true and false lumen starting fr...

We report a case of simultaneous repair of an extensive thoracic aortic aneurysm from the aortic root to the distal aortic arch. A 54-year-old male had annuloaortic ectasia and a transverse aortic and distal arch aneurysm. Aneurysms of the descending aorta and the abdominal aorta were also demonstrated. The patient underwent aortic valve-sparing root reconstruction, replacement of the aortic ar...

Post-aortic left innominate vein (PALIV) is a rare abnormality passing over the aortic arch. A 70-year-old male was diagnosed with PALIV and distal aortic arch aneurysm (Fig. 1). Total arch replacement was successfully performed using antegrade selective cerebral perfusion of 20 8C. PALIV was preserved by complete exposure and retraction (Fig. 2). Fig. 2. Intraoperative surgeon's view: (A) post...

BACKGROUND Many cardiovascular diseases, such as aortic dissection, frequently occur on the aortic arch and fluid-structure interactions play an important role in the cardiovascular system. Mechanical stress is crucial in the functioning of the cardiovascular system; therefore, stress analysis is a useful tool for understanding vascular pathophysiology. The present study is concerned with the s...

BACKGROUND We analyzed the long-term results of ascending aortic replacement and arch aortic replacement in acute DeBakey type I aortic dissections to measure the differences in the distal aortic changes with extension of the aortic replacement. METHODS We reviewed 142 cases of acute DeBakey type I aortic dissections (1996-2015). Seventy percent of the cases were ascending aortic replacements...