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http://dx.doi.org/10.1016/j.jtcvs.2019.05.042 | DOI Listing |
Multimed Man Cardiothorac Surg
September 2025
Kawasaki Aortic Center, Kawasaki Saiwai Hospital, Kawasaki, Japan.
Kommerell's diverticulum (KD) combined with a right-sided aortic arch (RAA) and an aberrant left subclavian artery (ALSA) is a rare congenital vascular anomaly causing significant compressive dysphagia. Treatment options, including open surgery, thoracic endovascular aortic repair and hybrid approaches, are debated due to anatomical complexities. We report a 48-year-old female with dysphagia from symptomatic KD, RAA and ALSA, clearly delineated by preoperative computed tomography angiography.
View Article and Find Full Text PDFEur J Vasc Endovasc Surg
September 2025
Vascular Surgery, Aortic Center, Hôpital Marie Lannelongue, Groupe Hospitalier Paris Saint Joseph, INSERM UMR_S 999, Université Paris Saclay, Paris, France. Electronic address:
Objective: The aim of this study was to evaluate the association between operative time (OT) and post-operative outcomes in complex endovascular aortic repair and to explore contributing factors to OT.
Methods: This retrospective, observational cohort study analysing data from a single centre included patients undergoing fenestrated endovascular aortic repair (FEVAR), branched endovascular aortic repair (BEVAR), or arch branched endovascular aortic repair (aBEVAR) from February 2018 to December 2024. OT was defined as the interval from first arterial access to closure.
Expert Rev Med Devices
September 2025
Neurovascular Research Laboratory, Faculty of Life Sciences and Education, University of South Wales, Pontypridd, UK.
Introduction: Acute type A aortic dissection (ATAAD) and aortic arch aneurysms are life-threatening conditions requiring complex surgical intervention, often involving circulatory arrest. Cerebral ischemia and neurological complications remain significant challenges in aortic arch surgery. This narrative review focuses on retrograde cerebral perfusion (RCP) techniques used to mitigate these risks.
View Article and Find Full Text PDFPLoS One
September 2025
Department of Surgery, Roi Et Hospital, Roi Et, Thailand.
Objectives: To systematically review propensity score-matched studies comparing hybrid arch repair (HAR) with total arch replacement (TAR) for aortic arch pathologies, summarizing early outcomes and intermediate-term results.
Methods: We searched PubMed, Embase, the Cochrane Library, and Google Scholar to April 2024. The primary outcome was in-hospital mortality, evaluated by a random-effects model to calculate the odds ratio (OR).
Eur Arch Otorhinolaryngol
September 2025
Otorhinolaryngology and Skull Base Center, AP-HP, Hospital Lariboisière, Paris, 75010, France.
Purpose: Cocaine-induced midline destructive lesions (CIMDL) represent a rare but severe consequence of intranasal cocaine abuse, occasionally progressing to skull base involvement with life-threatening complications. The aim of this manuscript is to describe an exceptional case of CIMDL with clival destruction and brainstem exposure, and to review current management strategies based on a systematic literature review.
Methods: We report a unique case of a 39-year-old woman with CIMDL extending to the clivus, resulting in encephalocele with basilar artery and brainstem exposure.