Endovascular Treatment of Thoracic Aneurysms
Historical Background Aneurysms of the descending thoracic aorta (DTA) affect an estimated 3 to 4 per 100,000 adults. The surgical treatment of DTA aneurysms began in the 1950s through pioneering…
VASCULAR SURGERY
Endovascular Repair of the Aortic Arch and Thoracoabdominal Aorta
Historical Background The first multibranched stent grafts, like the first bifurcated stent grafts, were of unibody design, whereby the entire stent graft was inserted whole and deployed using a system…
Supraclavicular Approach for Surgical Treatment of Thoracic Outlet Syndrome
Historical Background Thoracic outlet syndrome (TOS) is recognized to encompass three conditions: (1) neurogenic TOS, caused by compression of the brachial plexus nerve roots within the scalene triangle, subcoracoid space,…
Endovascular Treatment of Aortic Dissection
Historical Background Acute dissection of the thoracic aorta was first described by Nichools (1699-1778) in referring to the autopsy findings of King George II. Traditionally, acute uncomplicated type B dissection…
Direct Surgical Repair of Aneurysms of the Thoracic and Thoracoabdominal Aorta
Historical Background The first surgeon to repair a thoracoabdominal aortic aneurysm (TAAA) was Etheredge in 1955 in a patient with a Type IV TAAA using a homograft. In 1956 DeBakey…
Surgical Treatment of the Vertebral Artery
Historical Background Reconstruction of the subclavian arteries via thromboendarterectomy was first described by Cate and Scott in 1957 and a year later, Crawford, DeBakey, and Fields described the technique of…
Transaxillary Rib Resection for Thoracic Outlet Syndrome
Historical Background The first anatomic descriptions of the thoracic outlet can be traced to 150 ad when Galen identified the presence of a cervical rib in human dissections. However, it…
Surgical Treatment of the Subclavian and Axillary Artery
Historical Background Although arterial compression represents the least common type of thoracic outlet syndrome, developmental anomalies of the thoracic outlet were probably first recognized in patients with arterial complications. As…
Endovascular Therapy for Subclavian-Axillary Vein Thrombosis
Historical Background Subclavian-axillary vein thrombosis, also referred to as Paget-Schroetter syndrome or “effort thrombosis,” refers to primary thrombosis of the subclavian vein at the costoclavicular junction. Primary subclavian-axillary vein thrombosis…
Extraanatomic Repair of Aortic Arch Vessels
Historical Background Savory was the first to describe a patient with signs and symptoms suggesting occlusive disease involving the aortic arch vessels. Nearly 20 years later, in 1875, Broadbent chronicled…
