Juniper Publishers Journal of Cardiology and Cardiovascular Therapy

JUNIPER PUBLISHERS - OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY Abstract Incidence of aorto-caval fistulae is quite low, ranging from 0.22 to 6.04% of all abdominal aortic aneurysm. One of the rare forms of abdominal aortic aneurysm rupture is rupture into great abdominal veins, such as the inferior vein cava (IVC) or the iliac veins. The typical clinical presentation includes abdominal pain, a pulsatile abdominal mass, an abdominal bruit and acute dyspnea. Morbidity and mortality will be affected by the acute presentation, preoperative recognition of the fistula, the extent of cardiac failure, coronary disease and other risk factors of atherosclerosis. Correct operative management includes expeditious control of the bleeding, greater care to avoid embolization through the fistula, use of blood salvage, and only selective caval interruption. Introduction Arteriovenous fistula (AVF) of the infrare...

JUNIPER PUBLISHERS-OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY Abstract Acute aortic syndrome (AAS) describes emergency aortic diseases. In 80% of patients, the AAS presents itself as an Acute Dissection of Aorta (ADA). It’s worth pointing out that the traumatic etiology of this condition has great relevance regarding morbidity and mortality. This is fact that the Traumatic Thoracic Aortic Dissection (TTAD), usually occurs from a contuse injury, product of an abrupt deceleration, especially in men and individuals with overweight or obesity, which have a history of smoking and heart surgeries. Early diagnosis of ADA is indispensable, since patients who arrive alive at the hospital, have high probability of death in a short period of time if not treated properly, especially those who have been victims of some traumatic event earlier. In this context, the endovascular approach has become the treatment of choice for acute surgical emergencies involvin...

JUNIPER PUBLISHERS-OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY Case Report A 68-year-old woman with Marfan syndrome presented to our outpatient clinic. In 1984 a huge aortic root aneurysm and severe aortic valve regurgitation were diagnosed. She underwent Cabrol-type aortic root and aortic valve replacement with 31mm Björk-Shiley prosthesis. Only paroxysmal atrial fibrillation was reported since surgery. She was under therapy with beta-blocker, ACE inhibitor, diuretic and oral anticoagulation. The echocardiography revealed normal aortic valve function and flow through the aortic root and arch. There was only a mild mitral regurgitation. In order to safely exclude relevant changes in the area of previous surgery in the ascending aorta, at the bypass and in the coronary arteries, Multislice Computer Tomography imaging (MS-CT) was performed. MS-CT depicted non-significant atheromatous plaques in the coronary interposing tube graft and an ectasiaof...

JUNIPER PUBLISHERS-OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY Introduction This paper forms the second of a two part series on the natural history and survival of Thoracic aortic aneurysms (TAA), in which this part focuses on patients following surgical operation [1]. Surgical intervention on the thoracic aorta has historically been thwart with such high rates of morbidity and mortality that in the past surgeons have previously given all hope of being able to successfully operate on patients suffering from TAAs. It has required innovation, persistence and pioneering surgeons to achieve the reduced morbidity and mortality of today’s acceptable rates. The natural history of thoracic aortic aneurysms (TAA) is still highly debated within the world of aortic surgery. Particular considerations are made to the aetiology of aortic disease. Certain genetic conditions, particularly those affecting connective tissue, predispose patients to development o...