Among the causes of respiratory distress in infants and children must be included the interesting developmental anomalies of large arteries in the superior mediastinum. The tracheal compression which may result can cause respiratory disturbances such as dyspnoea, tachypnoea, and inspiratory retraction of the chest wall, as well as " wheeziness" or stridor. These disturbances are likely to be in...

Complex congenital heart defects (CHD) are associated with a variety of single gene abnormalities and chromosomal rearrangements. Of the various forms of CHD, aortic arch interruption, a conotruncal heart defect, is relatively uncommon. Here we report a male neonate with aortic arch interruption type B, secundum atrial septal defect, perimembranous ventricular septal defect, patent ductus arter...

Refer to the page 215-221 In this issue, Park et al. 1) present their experience with the use of a novel, fenestrated aortic arch stent graft (FASG) with a preloaded catheter for supra-aortic vessels. The authors have done an outstanding job highlighting a subject of increasing importance in acute clinical care, namely, performing thoracic endovascular aortic repair (TEVAR) in a short landing z...

indicates the descending aorta; asterisk, superior aortic arch; LSA, left subclavian artery; RSA, right subclavian artery; RCCA, right common carotid artery; LCCA, left common carotid artery. Panel H. Posterior views of 3D VR imaging demonstrating that the branches of the aorta arch originate from the superior aortic arch. Ao indicates the descending aorta; asterisk, superior aortic arch; LSA, ...

We report a case of a young girl with Turner syndrome presenting with a pulsatile left-sided supraclavicular swelling since birth, which proved to be the rare anomaly of a cervical aortic arch. Though elongation of the transverse aortic arch is well known in Turner syndrome, to the best of our knowledge, a cervical aortic arch has not been described in the literature.

Right-sided aortic arch is a rare anomaly, and aortic dissection involving a right-sided aortic arch is extremely rare. We report the case of a 65-year-old man with a right-sided aortic arch and a right descending aortic dissection and a stent-graft was accurately deployed without perioperative complications. There were no any complaints and complications after 18 months follow-up. The CTA demo...

The surgical treatment of an aortic coarctation requires a resection of the stenotic area and direct suture of the aorta. An extended mobilization allows an enlargement of a hypoplastic distal aortic arch. In ductal dependent circulation, the distal aortic arch can be enlarged with a patch before tackling the coarctation itself. Postsurgical aortic arch stenoses often require a surgical interve...

THORACIC ARTERIALI ANOMALIES were formerly regarded as having little significance except when they produced tracheal or esophageal obstruction. As thoracic surgical procedures become more prevalent in the smaller or community hospitals, the case concentration will become less, and many of these anomalies may go unrecognized. Recognition of the many types of vascular disarrangement thus assumes ...

OBJECTIVES Hybrid endovascular procedures are rapidly evolving and have recently been adopted for high-risk patients deemed unsuitable for conventional aortic arch surgery. We describe here our initial experience with this technique, including the management of 2 patients who developed a retrograde type A aortic dissection post-de-branching. METHODS Between May 2010 and October 2012, 109 pati...

Timing and type of aortic wall abnormalities (AWC) repair are still being debated. Automatically patient-specific 3D aortic arch geometrical model estimation from MRI images can provide a better knowledge of the geometry of the aortic arch anomaly and can be useful to evaluate preoperatively the best treatment. Therefore, we have developed a software to automatically compute a patient-specific ...