Imaging: Echo, CT and MRI
Fig. 6.1a PLAX zoom view at peak/mid-systole to measure the aortic annulus and LVOT Fig. 6.1b PLAX zoom view at end diastole to measure the SOV and STJ Fig. 6.1c…
Surgery (Bentall, Valve Sparing, Ross Procedure, Etc.)
Fig. 12.1a The aneurysmal ascending aorta is removed from 10 mm above the coronary ostia to the normal distal ascending aorta Fig. 12.1b Coronary ostia are detached as large buttons with…
Tetralogy of Fallot and Pulmonary Atresia with Ventricular Septal Defect
Fig. 17.1 Upper panel: 35-year-old male with repaired tetralogy of Fallot (MRI and Echo). Lower Panel: Infant (6 months old) with ventricular septal defect with pulmonary atresia angiography and necropsy specimen:…
Pathological Background
Fig. 2.1 Definition of so-called cystic medial necrosis In CHD with great artery dilatation (aortic or pulmonary dilatation), six morphologic variations are possibly represented: 1. Marfan syndrome (intrinsic connective tissue…
Physiological Background
Fig. 3.1 Magnetic resonance image of a patient with conduit dysfunction of aortic arch (aortic coarctation) (Ref. [1]) 3.2 Aortic Reservoir Function The aorta is not only a simple conduit…
Pulse Wave Velocity and Augmentation Index
Fig. 7.1 Measurement of pulse wave velocity. The delay time between the two pressures is the transmission time (T), and the distance (L) between the two pressure recording sites divided…
Stenting in Aortopathies
Fig. 13.1 (a) Aortic angiogram, lateral projection demonstrating near interruption of the distal aortic arch. (b) Angiogram following stent placement demonstrating a patent aorta without evidence of dissection or pseudoaneurysm….
Clinical Diagnosis and Surgical Therapy of the Ascending Aorta and the Aortic Arch
Etiology aortic disease Degenerative or patients without connective tissue disorder ≥55 mm Patients with bicuspid aortic valve (BAV) ≥55 mm Patients with bicuspid aortic valve (BAV) and risk factorsa ≥50 mm Patients with…
Transposition of the Great Arteries After Arterial Switch Operation
Fig. 19.1 Probability of freedom from neo-aortic root dilation (neo-aortic root z-score ≧ 3.0) and probability of freedom from moderate to more severe neo-aortic regurgitation, each independently over time since ASO. AR…
Comprehensive Assessment of Aortopathy Using Catheterization
Fig. 8.1 Mechanisms for developing aortic dilatation 8.3 Impedance Mismatch Characteristic features of aortopathy, including augmented stiffness, aortic dilatation, and subsequent distal narrowing, result in heterogeneity of aortic properties, both…
