Moderate hypothermic circulatory arrest with antegrade cerebral perfusion for the open repair of juxtarenal abdominal aortic aneurysm repair with shaggy aorta
Shaggy aorta is severe luminal surface degeneration of the aorta leading to an increased risk of plaque destabilization and embolization to the peripheral or visceral vessel beds. It represents a challenging clinical entity for both endovascular and open repair owing to potential atheroembolization,...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-02-01
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| Series: | Journal of Vascular Surgery Cases and Innovative Techniques |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468428724002272 |
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| author | Yamini Vyas, MD Jane M. Chung, MD Yakov L. Elgudin, MD, PhD Jae S. Cho, MD |
| author_facet | Yamini Vyas, MD Jane M. Chung, MD Yakov L. Elgudin, MD, PhD Jae S. Cho, MD |
| author_sort | Yamini Vyas, MD |
| collection | DOAJ |
| description | Shaggy aorta is severe luminal surface degeneration of the aorta leading to an increased risk of plaque destabilization and embolization to the peripheral or visceral vessel beds. It represents a challenging clinical entity for both endovascular and open repair owing to potential atheroembolization, increased early morbidity and mortality, and poor long-term survival. Patients may be denied repair owing to its high risks. Herein, we present a novel approach to open repair of a juxtarenal abdominal aortic aneurysm with shaggy aorta using moderate hypothermic circulatory arrest with antegrade cerebral perfusion and concurrent flow modification to mitigate the risk of atheroma embolism. |
| format | Article |
| id | doaj-art-b8ba99251bbf42b2b5cf62cf0c4ce0c7 |
| institution | Kabale University |
| issn | 2468-4287 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Vascular Surgery Cases and Innovative Techniques |
| spelling | doaj-art-b8ba99251bbf42b2b5cf62cf0c4ce0c72025-01-20T04:17:38ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872025-02-01111101643Moderate hypothermic circulatory arrest with antegrade cerebral perfusion for the open repair of juxtarenal abdominal aortic aneurysm repair with shaggy aortaYamini Vyas, MD0Jane M. Chung, MD1Yakov L. Elgudin, MD, PhD2Jae S. Cho, MD3Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, Case Western Reserve University School of Medicine, University Hospitals, Harrington Heart and Vascular Institute, Cleveland, OHDivision of Vascular Surgery and Endovascular Therapy, Department of Surgery, Case Western Reserve University School of Medicine, University Hospitals, Harrington Heart and Vascular Institute, Cleveland, OHDivision of Cardiac Surgery, Department of Surgery, Case Western Reserve University School of Medicine, University Hospitals, Harrington Heart and Vascular Institute, Cleveland, OHDivision of Vascular Surgery and Endovascular Therapy, Department of Surgery, Case Western Reserve University School of Medicine, University Hospitals, Harrington Heart and Vascular Institute, Cleveland, OH; Correspondence: Jae S. Cho, MD, Professor & Chief, Division of Vascular Surgery and Endovascular Therapy, Case Western Reserve University School of Medicine, University Hospitals, Harrington Heart & Vascular Institute, 11000 Euclid Ave, LKS 7060, Cleveland, OH 44106-7060Shaggy aorta is severe luminal surface degeneration of the aorta leading to an increased risk of plaque destabilization and embolization to the peripheral or visceral vessel beds. It represents a challenging clinical entity for both endovascular and open repair owing to potential atheroembolization, increased early morbidity and mortality, and poor long-term survival. Patients may be denied repair owing to its high risks. Herein, we present a novel approach to open repair of a juxtarenal abdominal aortic aneurysm with shaggy aorta using moderate hypothermic circulatory arrest with antegrade cerebral perfusion and concurrent flow modification to mitigate the risk of atheroma embolism.http://www.sciencedirect.com/science/article/pii/S2468428724002272Shaggy aortaShaggy aorta syndromeHypothermic circulatory arrestAbdominal aortic aneurysm |
| spellingShingle | Yamini Vyas, MD Jane M. Chung, MD Yakov L. Elgudin, MD, PhD Jae S. Cho, MD Moderate hypothermic circulatory arrest with antegrade cerebral perfusion for the open repair of juxtarenal abdominal aortic aneurysm repair with shaggy aorta Journal of Vascular Surgery Cases and Innovative Techniques Shaggy aorta Shaggy aorta syndrome Hypothermic circulatory arrest Abdominal aortic aneurysm |
| title | Moderate hypothermic circulatory arrest with antegrade cerebral perfusion for the open repair of juxtarenal abdominal aortic aneurysm repair with shaggy aorta |
| title_full | Moderate hypothermic circulatory arrest with antegrade cerebral perfusion for the open repair of juxtarenal abdominal aortic aneurysm repair with shaggy aorta |
| title_fullStr | Moderate hypothermic circulatory arrest with antegrade cerebral perfusion for the open repair of juxtarenal abdominal aortic aneurysm repair with shaggy aorta |
| title_full_unstemmed | Moderate hypothermic circulatory arrest with antegrade cerebral perfusion for the open repair of juxtarenal abdominal aortic aneurysm repair with shaggy aorta |
| title_short | Moderate hypothermic circulatory arrest with antegrade cerebral perfusion for the open repair of juxtarenal abdominal aortic aneurysm repair with shaggy aorta |
| title_sort | moderate hypothermic circulatory arrest with antegrade cerebral perfusion for the open repair of juxtarenal abdominal aortic aneurysm repair with shaggy aorta |
| topic | Shaggy aorta Shaggy aorta syndrome Hypothermic circulatory arrest Abdominal aortic aneurysm |
| url | http://www.sciencedirect.com/science/article/pii/S2468428724002272 |
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