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Related Concept Videos

Aortic Regurgitation III: Medical Management01:25

Aortic Regurgitation III: Medical Management

29
Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...
29
Aortic Regurgitation I: Introduction01:15

Aortic Regurgitation I: Introduction

20
IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...
20
Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

13
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
13
Aortic Regurgitation IV: Nursing Management01:17

Aortic Regurgitation IV: Nursing Management

34
A nurse managing a patient with aortic regurgitation begins with a comprehensive assessment, including a review of the patient's medical history, family history, and lifestyle factors. During the cardiac examination, the nurse listens for heart sounds and checks for signs of valve abnormalities. The nurse also observes for symptoms such as dyspnea, orthopnea, and paroxysmal nocturnal dyspnea and assesses the patient's endurance and daily activity tolerance.Based on the findings, the nurse...
34

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Related Experiment Video

Updated: Jul 31, 2025

Novel and Innovative Hybrid Technique for Type A Aortic Dissection
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Novel and Innovative Hybrid Technique for Type A Aortic Dissection

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Complete zone 0-10 aortic endovascular reconstruction.

Mehdi Teymouri1, Manish Mehta1, Philip Paty1

  • 1Vascular Health Partners, Latham, NY.

Journal of Vascular Surgery Cases and Innovative Techniques
|May 8, 2023
PubMed
Summary

This study shows complete endovascular aortic reconstruction from zone 0-10 is safe and effective for high-risk patients. The technique uses parallel stent grafts, achieving zero 30-day mortality and complications.

Keywords:
DockingEVARStationTEVARZone 0-10

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Area of Science:

  • Vascular Surgery
  • Endovascular Repair
  • Aortic Aneurysm Treatment

Background:

  • Complex thoracoabdominal aortic aneurysms and dissections pose significant surgical challenges.
  • High-risk patients often have limited treatment options due to surgical unfitness.
  • Complete aortic reconstruction from zone 0-10 is rarely reported.

Purpose of the Study:

  • To evaluate the safety and efficacy of complete endovascular aortic reconstruction (zone 0-10) in high-risk patients.
  • To assess a standardized approach using parallel stent graft configurations.
  • To report outcomes in patients unfit for open surgery.

Main Methods:

  • Retrospective analysis of five high-risk patients undergoing zone 0-10 endovascular aortic reconstruction over 7 years.
  • Utilized off-the-shelf stent grafts in parallel configurations (chimneys, periscopes, docking stations).
  • Staged reconstruction (zone 0-5 and zone 5-10) with cerebrospinal fluid drainage.

Main Results:

  • Zero incidence of 30-day mortality, spinal cord ischemia, myocardial infarction, stroke, or visceral ischemia.
  • Mean follow-up of 4.5 years with 0% aortic reconstruction-related mortality.
  • 20% all-cause mortality (one late death from pneumonia); 40% incidence of endoleaks (treated with coil embolization).

Conclusions:

  • Complete endovascular zone 0-10 aortic reconstruction using parallel stent grafts is feasible and safe.
  • This technique allows customization of off-the-shelf devices for complex aortic pathologies.
  • Offers a low-morbidity and low-mortality treatment option for high-risk surgical candidates.