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Special Issues
Current Status and Future Challenges of Aortic Arch Surgery
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Current Status and Future Challenges of Aortic Arch Surgery

A special issue of Journal of Cardiovascular Development and Disease (ISSN 2308-3425). This special issue belongs to the section "Cardiac Surgery".

Deadline for manuscript submissions: 20 November 2024 | Viewed by 547

Special Issue Editors

Dr. Jason Ali

E-Mail Website
Guest Editor
Department of Cardiothoracic Surgery, Royal Papworth Hospital NHS Foundation Trust, Cambridge Biomedical Campus, Cambridge CB2 0AY, UK
Interests: minimal-access cardiac surgery; risk scoring; EuroSCORE; postoperative outcomes; heart and lung transplantation
Special Issues, Collections and Topics in MDPI journals
Dr. Ravi De Silva

E-Mail Website
Guest Editor
Department of Cardiothoracic Surgery, Royal Papworth Hospital NHS Foundation Trust, Cambridge Biomedical Campus, Cambridge CB2 0AY, UK
Interests: aortic surgery; aortic valve repair; minimally invasive cardiac surgery; total arterial revascularization

Special Issue Information

Dear Colleagues,

Aortic arch surgery is technically challenging and requires true multidisciplinary collaboration at all stages. In preparation for elective aortic arch surgery there is careful planning, requiring input from radiologists, vascular surgeons, cardiothoracic surgeons, perfusionists and anaesthetists. Intraoperatively, this collaboration is even more important, particularly during periods of circulatory arrest, requiring careful management of cerebral and spinal cord perfusion.

With aortic arch replacement being performed at high-volume specialist centres, outcomes have become very good. Advances in techniques such as the use of composite grafts with frozen elephant trunks have also contributed to improved outcomes being observed, but also facilitate the management of descending thoracic aortic pathology.

It is also important to acknowledge that advances in stent technology are continuing, with the prospect of aortic arch stenting starting to become a reality in selected cases, again requiring multidisciplinary input and planning.

In this Special Issue, we hope to explore the state of the art in aortic arch surgery, both elective and emergency, considering the patient pathway and exploring the multidisciplinary considerations that contribute to the excellent outcomes observed.

Dr. Jason Ali
Dr. Ravi De Silva
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Cardiovascular Development and Disease is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2700 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • aortic arch
  • aneurysm
  • aortic dissection
  • frozen elephant trunk
  • TEVAR
  • acute aortic syndrome
  • deep hypothermic circulatory arrest
  • cerebral perfusion
  • spinal cord protection

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Published Papers (1 paper)

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Research

9 pages, 803 KiB  
Article
Aortic Aneurysm with and without Dissection and Concomitant Atherosclerosis—Differences in a Retrospective Study
by Andrey V. Suslov, Tatiana V. Kirichenko, Andrey V. Omelchenko, Petr V. Chumachenko, Alexandra Ivanova, Yury Zharikov, Yuliya V. Markina, Alexander M. Markin and Anton Yu. Postnov
J. Cardiovasc. Dev. Dis. 2024, 11(10), 311; https://doi.org/10.3390/jcdd11100311 - 8 Oct 2024
Viewed by 304
Abstract
Background: Thoracic aortic aneurysm is a latent disease with a high risk of death. Today, as data are accumulating, an estimation of the differences in thoracic aneurysm in men and women of different age groups is required. The present study evaluated the type [...] Read more.
Background: Thoracic aortic aneurysm is a latent disease with a high risk of death. Today, as data are accumulating, an estimation of the differences in thoracic aneurysm in men and women of different age groups is required. The present study evaluated the type of atherosclerotic aortic lesions in males and females at different ages regarding the presence or absence of aortic dissection. Methods: A retrospective analysis of clinical and morphological data of 43 patients with thoracic aortic aneurysm was carried out. Patients were divided into groups based on the presence or absence of thoracic aneurysm dissection. Results: Our results of a comparative analysis of the age of study participants showed that patients with aneurysm dissection were younger than patients without dissection. In the subgroup of patients with aortic dissection, the mean age was 50.6 years old, and in patients without aortic dissection, the mean age was 55.0 years old. When conducting a frequency analysis using Fisher’s exact test, it was found that in men and women aneurysm dissection was not associated with atherosclerotic lesions of the aorta. Conclusions: In women and men, aneurysm dissection was not associated with stage of atherosclerotic lesions of the aorta regardless of age; no statistically significant differences were found between the groups with and without aneurysm dissection (p > 0.05). Dissection of the thoracic aneurysm developed in the absence of severe atherosclerosis of the thoracic aorta. Only 18.6% men and women possessed atherosclerotic plaques of types IV and V. Full article
(This article belongs to the Special Issue Current Status and Future Challenges of Aortic Arch Surgery)
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