Methods A 22 years old Asian woman with a history of cooling, swelling and pain of upper part of body during exercise, and cyanosis of left arm and both legs. At physical examination, she presented diminished pulses of the left arm and inferior limbs, and high blood pressure in the right arm. A Doppler showed switched flow in the left vertebral artery, and occlusion of left subclavian artery wi...

The vast database of the Yale Center for Thoracic Aortic Disease--which includes information on 3000 patients with thoracic aortic aneurysm or dissection, with 9000 catalogued images and 9000 patient-years of follow-up--has, over the last decade, permitted multiple glimpses into the "playbook" of this virulent disease. Understanding the precise behavioral features of thoracic aortic aneurysm an...

In order to find the ideal distal circulatory support during cross-clamping of the descending thoracic aorta, the author compared the effects of simple shunting (SS) and centrifugal pump (CP) on hemodynamics and metabolisms in mongrel dogs. In group I (control), the aorta was cross-clamped for two hours without SS or CP; in group II (SS), a temporary shunt was placed between the left common car...

A 77-year-old woman who had undergone graft replacement of the descending aorta 18 years prior presented to our hospital complaining a cough with bloody sputum. She was diagnosed aortobronchial fistula by computed tomography. Thoracic endovascular aortic repair performed, and patient discharged from without any major complications. Postoperatively, sputum disappeared, tomography examination at ...

BACKGROUND Adverse aortic remodeling, such as dilation, is associated with multiple cardiovascular disease (CVD) risk factors. We sought to determine whether measures of enlarged aortic diameters improve prediction of incident adverse CVD events above standard CVD risk factors in a community-dwelling cohort. METHODS AND RESULTS Participants from the Framingham Offspring and Third Generation C...

A 41-year-old man with acute type A aortic dissection was referred. Computed tomography (CT) revealed dissection with patent false lumen from the ascending to abdominal aorta and the narrowed true lumen of the abdominal aorta. Although emergency partial aortic arch replacement was performed, no entry tear was found. Postoperative CT revealed the residual entry tear in the descending aorta and t...

Simultaneous resection of the pulmonary lobe and descending thoracic aorta aneurysm is a rarely performed surgical procedure. As such, it is associated with increased risk of death and perioperative complications. In this study, the patient was subjected to excision of the left lower lobe and suturing of a dacron patch into the descending aorta without the use of cardiopulmonary bypass. The per...

Multidetector computed tomography has been shown to be accurate in noninvasive assessment of chest vascular disease. The motion artifacts of the thoracic aorta and the supra-aortic vessels were significantly reduced in the electrocardiogram (ECG)-gated data acquisition. This positive effect of ECG synchronization is more pronounced in the region of the ascending aorta, aortic arch, and proximal...

Blunt trauma to the thoracic aorta occurs typically in a highvelocity or high-impact motor vehicle accident when there is a combination of sudden deceleration and shearing at the relatively immobile aortic isthmus; the area distal to the left subclavian artery and proximal to the third inter-costal artery, representing the junction between the relatively mobile aortic arch and the fixed descend...