Aortic arch replacement for recurrent cerebral embolization

Lancaster, Gilead; Lovoulos, Constantinos; Moussouttas, Michael; Goldstein, Andrew H.; Leifer, Dana; Fayad, Pierre; Olsen, Douglas P.; Elefteriades, John A.

doi:10.1016/s0003-4975(01)03010-7

Cited by 10 publications

(8 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Concrete treatment paradigms remain elusive.Our group has accumulated some experience with these lesions. 2,3 We agree with the generally aggressive posture suggested by Masaki and colleagues, 1 which has proved effective in our experience as well.We make the following specific points about these lesions and their management:…”

supporting

confidence: 90%

Aortic arch mobile masses: “Carotid-equivalent” lesions deserving aggressive surgical treatment

Elefteriades

Ziganshin

2017

The Journal of Thoracic and Cardiovascular Surgery

View full text Add to dashboard Cite

The article by Masaki and colleagues 1 focuses attention on intraluminal aortic masses. This focus is appreciated, because few surgeons have extensive experience with these relatively unusual conditions. Concrete treatment paradigms remain elusive.Our group has accumulated some experience with these lesions. 2,3 We agree with the generally aggressive posture suggested by Masaki and colleagues, 1 which has proved effective in our experience as well.We make the following specific points about these lesions and their management:

show abstract

supporting

confidence: 90%

Aortic arch mobile masses: “Carotid-equivalent” lesions deserving aggressive surgical treatment

Elefteriades

Ziganshin

2017

The Journal of Thoracic and Cardiovascular Surgery

View full text Add to dashboard Cite

show abstract

“…44,45 In another case, the aortic arch was successfully replaced in a patient who had recurrent embolization and plaque-associated aortic arch thrombi. 105 To date, there have been no randomized studies that evaluate these surgical approaches compared with medical therapy.…”

Section: Primary Surgical Therapymentioning

confidence: 99%

Aortic Atherosclerotic Disease and Stroke

2006

View full text Add to dashboard Cite

“…Aortic arch replacement was successful in a patient who had recurrent embolization and plaqueassociated aortic arch thrombi. 12) However, replacing the atheromatous proximal aorta is a high-risk procedure, 10) and the risk of perioperative morbidity must be weighed against the risk of recurrent stroke. With recent progress in cardiovascular surgery, the operative outcomes of such cases have been greatly improved.…”

Section: Discussionmentioning

confidence: 99%

Repeated Brain Infarction Caused by Atherosclerosis of the Bovine Aortic Arch Successfully Treated With Arch Replacement

Yamashita

Hiramatsu

Washiyama

et al. 2012

Neurol. Med. Chir.(Tokyo)

View full text Add to dashboard Cite

A 62-year-old man presented with repeated embolic infarction over the last 3 years. Computed tomography angiography of the aortic arch revealed that the patient had a common trunk for the innominate and left carotid arteries, the so-called bovine aortic arch, with stenosis extending to both the left common carotid artery and innominate artery. Since antiplatelet therapy was not adequate for prevention of recurrent infarction, total replacement of the aortic arch was performed. Since then, no further ischemic events have manifested. Endovascular procedures are not safe enough for atherosclerotic lesions in the aortic arch, especially in a patient with bovine aortic arch, so surgical aortic arch replacement should be considered.

show abstract

Aortic arch replacement for recurrent cerebral embolization

Cited by 10 publications

References 8 publications

Aortic arch mobile masses: “Carotid-equivalent” lesions deserving aggressive surgical treatment

Aortic arch mobile masses: “Carotid-equivalent” lesions deserving aggressive surgical treatment

Aortic Atherosclerotic Disease and Stroke

Repeated Brain Infarction Caused by Atherosclerosis of the Bovine Aortic Arch Successfully Treated With Arch Replacement

Contact Info

Product

Resources

About