Although a right-sided aortic arch is not a rare anomaly, an aortic dissection involving an isolated right-sided aortic arch is extremely rare and remains a complicated entity for surgical therapy because of its anatomical characteristics. Previous reports that we have identified in English literature include only six surgical cases of aortic dissection involving a right-sided aortic arch. We r...

Between December 1985 and April 1990, 50 infants with a sanely of congenital cardiac lesions other than the 'sooplastic left heart syndrome underwent surgical relief of aortic outflow obstruction by creation of a pulmonary artery to aorta anastomasis . The patients were grouped anatomically by eentriculnarterial align . ment. Nineteen had normally aligned great arteries (group II ; 25 had trans...

Management of extensive, chronic, dissecting aortic aneurysms after prior repair of the ascending aorta presents a technical challenge for surgeons. A symptomatic 64-year-old patient was admitted for elective surgical repair of an aortic annular dilatation, causing severe aortic regurgitation, and a Crawford type II extended thoracoabdominal aneurysm, 4 years after he underwent primary repair o...

OBJECTIVE During extracorporeal circulation design and orientation of aortic cannulae tips mainly determine flow pattern in the aortic arch and arch vessels which is the objective of this in vitro study, comparing single versus multiple stream cannulae. METHODS In an aortic arch glass model, jet streams of 21-24 French aortic cannulae which were inserted in the ascending aorta were directed a...

Cervical aortic arch is a very rare anomaly presented as a pulsatile mass on the neck and usually with symptoms of dysphagia, cough and hoarseness. Rarer than the cervical aortic arch, is the aneurysm formation and, despite the equal sex distribution of cervical aortic arch, aneurysm formation always occurs in young females with only nine cases reported. We report herein a 24-year-old woman, di...

Right aortic arch is a rare congenital vascular anomaly, thus, the surgical resection of esophageal cancer in a patient with this anomaly is extremely uncommon. The surgical treatment of esophageal cancer was performed in a 73-year-old man with right aortic arch. An upper GI series and endoscopy revealed Type 2 esophageal cancer in the lower thoracic esophagus. Chest computed tomography reveale...

Today, open surgery is considered the gold standard in treating the ascending aorta and the aortic arch. However, conventional surgical techniques for managing the aortic arch are invasive and frequently associated with a significant systemic inflammatory response syndrome and related complications. Therefore, patients with multiple comorbidities are often classified as high risk and are denied...

To investigate the contribution of cranial neural crest cells to the developing cardiovascular system in the chick embryo, cauterization of various regions of cranial neural crest was performed. Five regions may be distinguished, each of which contributes mesenchyme to pharyngeal (branchial) arches 1 through 4 and 6. Ablation of arch 3, 4, and 6 regions resulted in a high incidence of persisten...