Kenton J. Zehr, MD, Alok Mathur, MD, Thomas A. Orszulak, MD, Charles J

Slides:

Advertisements

Similar presentations

Successful Treatment of Infected Ascending Aortic Prosthesis by Omental Wrapping Without Graft Removal Gordan Samoukovic, MD, Pierre-Luc Bernier, MD,

Advertisements

Long-Term Outcome and Valve Surgery for Infective Endocarditis in the Systematic Analysis of a Community Study Lauriane Pericart, MD, Laurent Fauchier,

Ourania Preventza, MD, James J. Livesay, MD, Denton A

Tetralogy of Fallot: surgical management individualized to the patient

Surgical Treatment of Cardiac Papillary Fibroelastoma: A Single Center Experience With Eighty-Eight Patients Dumbor L. Ngaage, MB, BS, Charles J. Mullany,

Risk of Spinal Cord Injury After Operations of Recurrent Aneurysms of the Descending Aorta Jorge Flores, MD, Norihiko Shiiya, MD, PhD, Takashi Kunihara,

Extent of Aortic Coverage and Incidence of Spinal Cord Ischemia After Thoracic Endovascular Aneurysm Repair Robert J. Feezor, MD, Tomas D. Martin, MD,

Leon M. Ptaszek, MD, PhD, Kibeom Kim, BA, Amy E. Spooner, MD, Thomas E

Management of Type A Aortic Dissection and a Large Pheochromocytoma: A Surgical Dilemma Frank W. Bowen, MD, Jessie Civan, BS, Anton Orlin, BS, Thomas.

Surgical Removal and Replacement of Chronically Implanted Transcatheter Aortic Prostheses: How I Teach It Abeel A. Mangi, MD, Mahesh Ramchandani, MD,

Ascending aortic aneurysm associated with aortic insufficiency due to Takayasu’s arteritis Afksendiyos Kalangos, MD, PhD, Ary Baldovinos, MD, Maurice.

Suresh Keshavamurthy, MD, Stephanie L

H. Volkan Kara, MD, MS, Jeffrey Javidfar, MD, Thomas A. D’Amico, MD

Thoracoabdominal Aortic Aneurysm Repair in a Patient With a Left Ventricular Assist Device Kazuma Date, MD, Tatsuo Kaneko, MD, PhD, Masahiko Edure, MD,

Mitral Valve Repair Is Durable in Patients With Rheumatoid Arthritis

Long-Term Follow-Up After Thoracoabdominal Aortic Aneurysm Repair

Antineutrophil Cytoplasmic Antibody—Associated Multiple Giant Saccular Aortic Aneurysms Ryoji Kinoshita, MD, Tomohiro Mizuno, MD, PhD, Tsuyoshi Hachimaru,

Gender Differences in Long-Term Survival of Medicare Beneficiaries Undergoing Mitral Valve Operations Christina M. Vassileva, MD, Christian McNeely,

Sergey Leontyev, MD, Thomas Walther, MD, PhD, Michael A

Surgical Resection of a Giant Coronary Aneurysm

Symptoms Plus Family History Trump Size in Thoracic Aortic Aneurysm

Surgical Repair of a Chronic Traumatic Sternal Fracture

G. Chad Hughes, MD, Madhav Swaminathan, MD, Walter G. Wolfe, MD

Axillary Cannulation Significantly Improves Survival and Neurologic Outcome After Atherosclerotic Aneurysm Repair of the Aortic Root and Ascending Aorta

Successful Surgical Treatment of Takayasu’s Arteritis Associated With Pyoderma Gangrenosum Shinji Kanemitsu, MD, PhD, Takatsugu Shimono, MD, PhD, Hitoshi.

Asad A. Shah, MD, Mathias Worni, MD, MHS, Christopher R

Yong Wang, MD, Xiaomei Zheng, MD, Kexiang Liu, PhD

Replacement of the Ascending Aorta, Aortic Root, and Valve with a Novel Stentless Valved Conduit Kelvin K.W. Lau, MRCS, DPhil, Krystyna Bochenek-Klimczyk,

Use of Amiodarone After Major Lung Resection

Surgical Dilemmas: Diagnosis and Treatment of Atrial Plasmacytoma

Resection and Patch Repair of a Large Saccular Coronary Artery Aneurysm at the Left Main Bifurcation Tommi Pätilä, MD, Juha Virolainen, MD, PhD, Jorma.

Impact of Blood Product Transfusion on Short and Long-Term Survival After Cardiac Surgery: More Evidence Balu Bhaskar, MD, FCICM, Joel Dulhunty, PhD,

Nihan Kayalar, MD, Hartzell V. Schaff, MD, Richard C

Abdelsalam M. Elhenawy, MD, PhD, Christopher M

Splenic Rupture Caused by Giant Paraesophageal Hernia

Hybrid Management of a Giant Left Main Coronary Artery Aneurysm

Gerald G.R. Sng, Cameron D. Wright, MD The Annals of Thoracic Surgery

Leonid Sternik, MD, Kenton J Zehr, MD, Hartzell V Schaff, MD

Redo Aortic Valve Replacement in Children

Aortic Root Aneurysms: Remodeling or Composite Replacement?

Aortic Root Replacement for Children With Loeys-Dietz Syndrome

Mustafa Houmsse, Asia McDavid, MS, Ahmet Kilic, MD

Juan G. Penaranda, MD, Kevin L. Greason, MD, Sorin V

Surgical Treatment of Aortic Prosthetic Valve Endocarditis: A 20-Year Single-Center Experience Sossio Perrotta, MD, Anders Jeppsson, MD, PhD, Victoria.

Indexed Left Ventricular Dimensions Best Predict Survival After Aortic Valve Replacement in Patients With Aortic Valve Regurgitation Morgan L. Brown,

Surgical Treatment in a Case of Cogan's Syndrome Complicated With Proximal Aortic Vasculitis Mehmet Kaya, MD, Korhan Erkanlı, MD, Furkan Kılınç, MD,

Management of Empyema Cavity With the Vacuum-Assisted Closure Device

David J. Kaczorowski, MD, Y. Joseph Woo, MD

Survival Advantage and Improved Durability of Mitral Repair for Leaflet Prolapse Subsets in the Current Era Rakesh M. Suri, MD, DPhil, Hartzell V. Schaff,

Joseph Galea, MD, FRCS, Alexander Manché, MPhil, FRCS

Fulminant Infectious Aortitis With Ascending Aortic Rupture

Paul Urbanski, MD, PhD The Annals of Thoracic Surgery

Qing-yu Wu, MD The Annals of Thoracic Surgery

Composite Valve Graft Replacement of the Aortic Root: Twenty-Seven Years of Experience at One Japanese Center Tomohiro Tsunekawa, MD, Hitoshi Ogino,

The Florida Sleeve: A New Technique for Aortic Root Remodeling With Preservation of the Aortic Valve and Sinuses Philip J. Hess, MD, Charles T. Klodell,

Late Outcomes for Surgical Repair of Supravalvar Aortic Stenosis

Early Prognosis of Reduction Ascending Aortoplasty in Patients With Aortic Valve Disease: A Single Center’s Experience Shen Liu, MD, Yi Shi, MD, Ruofan.

Management of Traumatic Aortic and Splenic Rupture in a Patient With Ascending Aortic Aneurysm Ahmet Can Topcu, MD, Ufuk Ciloglu, MD, Ahmet Bolukcu,

Michael J. Ewing, MS, Philip D. Houck, MD, Glen B. Drake, MD, Kenton J

Yangfeng Tang, MD, Zilin Liao, MD, Lin Han, MD, Zhiyun Xu, MD

Experience With Bovine Pericardium for the Reconstruction of the Aortic Arch in Patients Undergoing a Norwood Procedure Victor O. Morell, MD, Peter A.

Dumbor L. Ngaage, MD, FRCS (C-Th), Michael E. Cowen, FRCS

Kathryn L. O'Keefe, MD, Stephen D. Cohle, MD, Jeremiah E

Michael H. Hines, MD, Neal D. Kon, MD The Annals of Thoracic Surgery

The Annals of Thoracic Surgery

John M. Stulak, MD, Harold M. Burkhart, MD, Joseph A

Bicuspid Aortic Valves and Dilatation of the Ascending Aorta: Reply

The Impact of New Technology on Cardiothoracic Surgical Practice

Aortic Valve Sparing Root Replacement With Unroofing and Reconstruction of an Anomalous Right Coronary Artery Giorgio Zanotti, MD, Rajan Gupta, MD, Thomas.

Faisal G. Bakaeen, MD, Joseph S. Coselli, MD, Scott A

Presentation transcript:

Surgical Treatment of Ascending Aortic Aneurysms in Patients With Giant Cell Aortitis Kenton J. Zehr, MD, Alok Mathur, MD, Thomas A. Orszulak, MD, Charles J. Mullany, MD, Hartzell V. Schaff, MD The Annals of Thoracic Surgery Volume 79, Issue 5, Pages 1512-1517 (May 2005) DOI: 10.1016/j.athoracsur.2004.10.039 Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 A 7-cm ascending aortic aneurysm involved with giant cell aortitis. Note the glistening cobblestone appearance. The Annals of Thoracic Surgery 2005 79, 1512-1517DOI: (10.1016/j.athoracsur.2004.10.039) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Inside view of the coronary buttons and residual involved aorta in a patient with aortic root involvement who was prepared for a valve-preserving aortic root reconstruction. The inflammatory process is grossly evident in the residual aorta, but the morphology of the valve cusps is preserved. The Annals of Thoracic Surgery 2005 79, 1512-1517DOI: (10.1016/j.athoracsur.2004.10.039) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Computerized tomographic image showing an ascending aortic aneurysm involved with giant cell aortitis. Note the left posterior thickening of the aorta from the inflammatory process (arrow). The Annals of Thoracic Surgery 2005 79, 1512-1517DOI: (10.1016/j.athoracsur.2004.10.039) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Photomicrograph of cross-section through aortic wall showing near-complete disruption of the elastic fibers and media by the inflammatory giant cell process. The Annals of Thoracic Surgery 2005 79, 1512-1517DOI: (10.1016/j.athoracsur.2004.10.039) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

Fig 5 Survival curve of patients undergoing surgical repair compared with the expected survival of our age- and sex-matched regional population. The Annals of Thoracic Surgery 2005 79, 1512-1517DOI: (10.1016/j.athoracsur.2004.10.039) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions