Journal of cardiac surgery
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The objective was to review the operative risk and outcomes of redo aortic root replacement. ⋯ Redo aortic root replacement can be done with low operative mortality in elective patients and the risk increases in those who need emergent surgery and are older. The long-term results are satisfactory and similar to those for patients who have aortic root replacement for the first time.
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Cerebral complication is still a major concern in surgery for arteriosclerotic aortic arch disease. For preventing this complication, axillary artery cannulation, selective cerebral perfusion, and replacement of the ascending and arch aorta were applied to thoracic aortic aneurysm involving aortic arch. ⋯ Continuous perfusion through the axillary artery with selective cerebral perfusion and replacement of the ascending and arch aorta may minimize cerebral complication leading to satisfactory results in patients with chronic aortic aneurysm involving aortic arch.
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Case Reports
Operative management of atherosclerotic aortic aneurysm in a patient with bicuspid aortic valve disease.
An adult patient with a congenital bicuspid aortic valve, an aneurysm, and a calcific atherosclerotic plaque of the ascending aorta, underwent an aortic valve replacement, a vertical reduction aortoplasty, an endarterectomy, and a distal external synthetic wrapping.
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Biography Historical Article
John W. Kirklin: reminiscences of a surgical resident.