Cardiovascular Medicine

2 pages, 181 KB

Open AccessInteresting Images

Dilatation Tardive de la Racine Aortique Après Réparation d’Une Tétralogie de Fallot

by Pedro Trigo Trindade, Dominique Didier, Afksendiyos Kalangos, Maurice Beghetti and Beat Friedli

Cardiovasc. Med. 2005, 8(3), 99; https://doi.org/10.4414/cvm.2005.01088 - 30 Mar 2005

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Une patiente de 31 ans souffrant d’une cardiopathie congénitale consulte car elle souhaite une grossesse [...] Full article

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1 pages, 153 KB

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Tachycardie à QRS Large et Fin

by Jürg Schläpfer

Cardiovasc. Med. 2005, 8(3), 98; https://doi.org/10.4414/cvm.2005.01087 - 30 Mar 2005

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Abstract

Description de l’ECG (fig. 1): Sur la gauche du tracé, une tachycardie irrégulière correspondant à une fibrillation auriculaire (FA) [...] Full article

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7 pages, 204 KB

Open AccessEditorial

Endovascular Therapy for Pathology of the Descending Thoracic Aorta: Current Status and Indications

by Tim C. Rehders, Tushar Chatterjee, Hüseyin Ince, Michael Petzsch, Stephan Kische and Christoph A. Nienaber

Cardiovasc. Med. 2005, 8(3), 89; https://doi.org/10.4414/cvm.2005.01081 - 30 Mar 2005

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Abstract

Interventional management of aortic dissection and other pathologies of the descending aorta by use of stent-grafts evolved slowly in anticipation of the risk of paraplegia from spinal artery occlusion, a complication known to occur in up to 18% after surgery. With ongoing technical [...] Read more.

Interventional management of aortic dissection and other pathologies of the descending aorta by use of stent-grafts evolved slowly in anticipation of the risk of paraplegia from spinal artery occlusion, a complication known to occur in up to 18% after surgery. With ongoing technical improvement a large series of type B dissection cases has now been successfully treated by endovascular stent-graft placement using the concept of sealing the most proximal entry tears to the dissecting process without neurological sequelae. Recent studies have demonstrated that closure of the entry tear is essential to depressurise the false lumen, reconstruct the aortic wall and reduce total aortic diameter. Entry tear closure promotes both thrombus formation in the false lumen and remodeling of the entire aorta. Various observational studies and registries have shown that the use of a customised stent-graft is an effective method to exclude an enlarging and aneurysmal dilated false lumen by sealing of the proximal entry tear. The absence of a distal reentry tear is desirable but not a prerequisite. Besides dissection, however, focal true (or false) aneurysm of the descending thoracic aorta represents another interesting target for endovascular repair instead of open surgical repair. Similarly, penetrating aortic ulcers, often originating from a localised intramural haematoma of the aorta, is evolving as a new attractive indication for stent-grafting, both in emergency and elective scenarios. Moreover, partial or complete rupture occuring as a result of deceleration trauma appears to be amenable to either emergent or delayed endovascular management. Stabilisation of the disrupted aorta with stent-graft has proven beneficial, with reconstruction of the inner lining by virtue of the endoprothesis to prevent enlargement, aneurysm formation and eventual rupture. Full article

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6 pages, 234 KB

Open AccessArticle

A Less Invasive Approach to Repair the Aortic Arch Using a “Partial or Complete Debranching” of the Supraaortic Vessels

by Jürg Schmidli, Dai-Do Do, Jürgen Triller, Iris Baumgartner, Pascal Berdat, Fritz Widmer, Felix Mahler and Thierry Carrel

Cardiovasc. Med. 2005, 8(3), 82; https://doi.org/10.4414/cvm.2005.01083 - 30 Mar 2005

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Abstract

Surgical replacement of the aortic arch is an established procedure that requires cardiopulmonary bypass and deep hypothermic circulatory arrest. However, this approach is associated with major perioperative risks. These risks and the fact that thoracic aneurysms have become more ubiquitous are the main [...] Read more.

Surgical replacement of the aortic arch is an established procedure that requires cardiopulmonary bypass and deep hypothermic circulatory arrest. However, this approach is associated with major perioperative risks. These risks and the fact that thoracic aneurysms have become more ubiquitous are the main argument for less invasive strategies. To treat complex coarctation (recurrence, hypoplastic aortic arch), various surgical approaches have been proposed. In these cases, resection with end-to-end anastomosis may be demanding and expose the patient to a substantial morbidity. Cardiopulmonary bypass (CPB) and deep hypothermic circulatory arrest may be necessary to control the distal aortic arch. We present a less invasive, combined surgical and endovascular approach that allows partial or total exclusion of the aortic arch without the need for extracorporeal circulation, deep hypothermia and circulatory arrest. This technique was applied to 7 patients over the last 22 years. All procedures were technically successful and 6 of 7 patients recovered well. Arteriography confirmed proper position of the stent graft and complete exclusion of the lesion at the end of the procedure. One patient had an endoleak type I and underwent successful additional retrograde stent-graft placement over the proximal landing zone three weeks following the initial procedure. One patient had a diffuse cerebral and spinal damage, most probably due to embolic shower during the procedure. Clinical follow-up (between 8 and 18 months) has been fully uncomplicated in the 6 other patients and CT-scan at 6 months demonstrated complete exclusion of the arch lesion. Assuming that technical refinements may improve the steps of the endovascular intervention, this combined approach may turn out to be the preferred therapeutic modality to repair aortic arch lesions in patients with multiple co-morbidities who otherwise would not be candidates for a conventional operative repair. Long-term observation is necessary to confirm the stability of this type of repair. Full article

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3 pages, 172 KB

Open AccessEditorial

Aortenerkrankungen—Ein Vernachlässigtes Krankheitsbild der Kardiovaskulären Medizin

by Bernd van der Loo and Thomas F. Lüscher

Cardiovasc. Med. 2005, 8(3), 79; https://doi.org/10.4414/cvm.2005.01082 - 30 Mar 2005

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Abstract

Die kardiovaskuläre Medizin betreut ein breites Spektrum von Krankheitsbildern, Syndromen und Risikofaktoren[...] Full article

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2 pages, 138 KB

Open AccessEditorial

Zum Rücktritt von Professor Dr. h.c. Fritz R. Bühler

by Ruth Amstein and Thomas F. Lüscher

Cardiovasc. Med. 2005, 8(3), 107; https://doi.org/10.4414/cvm.2005.01084 - 30 Mar 2005

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Abstract

Auf Ende des Wintersemesters 2004/2005 tritt Fritz R. Bühler als Ordinarius für Pharmazeutische Medizin an der Universität Basel zurück[...] Full article

1 pages, 132 KB

Open AccessCommunication

Rapport Annuel 2003 du Groupe de Travail Echocardiographie

by Beat Aeschbacher, Nicole Aebischer, Cédric Vuille, Manfred Ritter, Patrick Hunziker and Jean Bérubé

Cardiovasc. Med. 2005, 8(3), 106; https://doi.org/10.4414/cvm.2005.01085 - 30 Mar 2005

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Abstract

Activités du Groupe de Travail: Le Groupe de Travail Echocardiographie a tenu sa séance administrative lors de l’assemblée annuelle de la Société Suisse de Cardiologie à Lausanne, le 9 mai 2003 en présence de 37 membres[...] Full article

2 pages, 141 KB

Open AccessCommunication

Jahresbericht 2003 der Arbeitsgruppe Lipide und Atherosklerose der Schweizerischen Gesellschaft für Kardiologie

by Giorgio Noseda, Edouard Battegay, Roger Darioli, Richard James, Ulrich Keller, Rubino Mordasini, Noll Georg and Walter Riesen

Cardiovasc. Med. 2005, 8(3), 102; https://doi.org/10.4414/cvm.2005.01086 - 30 Mar 2005

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Abstract

Activités du Groupe de Travail: Les facteurs de risque cardiovasculaire et par conséquent les recommandations pour une prise en charge thérapeutique n’ont en rien perdu de leur pertinence en 2003[...] Full article

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Cardiovasc. Med., Volume 8, Issue 3 (03 2005) – 8 articles

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