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Related Concept Videos

The Aorta01:14

The Aorta

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The aorta is the largest artery in the human body. It originates from the left ventricle of the heart and extends down to the abdomen, where it splits into two smaller arteries. Structurally, it can be divided into four main parts: the ascending aorta, the aortic arch, the thoracic aorta, and the abdominal aorta.
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The coronary arteries, originating from the ascending aorta, bifurcate from two sinuses located within the ascending aorta. Positioned just above the aortic semilunar valve, these sinuses house essential aortic baroreceptors and chemoreceptors, crucial for maintaining cardiac function. The left coronary artery and the right coronary artery branch off from the left posterior and anterior aortic sinuses, respectively.
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The thoracic section of the aorta begins at the T5 vertebra and extends to the T12 level at the diaphragm, initially progressing through the mediastinum to the left of the spinal column. Throughout its course in the thoracic segment, the thoracic aorta emits various offshoots known collectively as visceral and parietal branches. The branches that predominantly supply blood to visceral organs are termed visceral branches and include bronchial, pericardial, esophageal, and mediastinal arteries,...
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Once the aorta traverses the diaphragmatic plane at the aortic hiatus, it is known as the abdominal aorta. This anatomical structure is positioned leftward of the spinal column, encased within a cocoon of adipose tissue behind the peritoneal cavity. It terminates at the L4 vertebra, where it splits into the common iliac arteries. Prior to this bifurcation, the abdominal aorta gives rise to several vital branches.
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Crop cultivation has a long history in human civilization, with records showing the cultivation of cereal plants beginning at around 8000 BC. This early plant breeding was developed primarily to provide a steady supply of food.
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Persuasion is the process of changing our attitude toward something based on some kind of communication. Much of the persuasion we experience comes from outside forces. How do people convince others to change their attitudes, beliefs, and behaviors? What communications do you receive that attempt to persuade you to change your attitudes, beliefs, and behaviors?
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Cardiopulmonary Bypass in a Mouse Model: A Novel Approach
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Aorta-innominate bypass through ministernotomy.

Neel A Mansukhani1, Kyle R Miller1, George E Havelka1

  • 1Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, Ill.

Journal of Vascular Surgery
|July 25, 2018
PubMed
Summary
This summary is machine-generated.

Minimally invasive ministernotomy offers a safe alternative to full sternotomy for innominate artery bypass, achieving excellent outcomes. This approach effectively treats atherosclerotic innominate artery disease, preventing stroke and upper limb ischemia.

Keywords:
Aorta-innominate artery bypassAtherosclerosisInnominate arteryMinisternotomy

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Area of Science:

  • Vascular Surgery
  • Cardiovascular Surgery
  • Minimally Invasive Surgery

Background:

  • Atherosclerotic innominate artery occlusive disease causes significant cerebral and upper extremity ischemia.
  • Current endovascular treatments like angioplasty and stenting have limitations, including stent fractures and restenosis, and are less effective for occlusions.

Observation:

  • A series of three consecutive patients with innominate artery disease were treated using aorta-innominate artery bypass.
  • The surgical approach utilized a ministernotomy (second or third intercostal space) instead of a conventional full sternotomy.

Findings:

  • The ministernotomy approach for aorta-innominate artery bypass demonstrated excellent perioperative and long-term outcomes in all three patients.
  • This technique provides a viable and effective alternative for open surgical revascularization of the innominate artery.

Implications:

  • Ministernotomy represents a less invasive yet highly effective surgical option for innominate artery revascularization.
  • This approach may improve patient recovery and reduce the morbidity associated with traditional sternotomy for innominate artery disease.