Historical Background The distal aorta and iliac segments are among the most common sites of chronic atherosclerotic disease. This disease is usually segmental, generally produces a constellation of characteristic symptoms, and is amenable to durable surgical reconstruction. Direct surgical correction…
Historical Background Juxtarenal aneurysms refer to abdominal aortic aneurysms with an infrarenal neck less than or equal to 1 cm in length, and pararenal aneurysms refer to abdominal aortic aneurysms that involve one or both orifices of the renal arteries.…
Historical Background Aortic endograft technology has evolved significantly since the initial U.S. commercial release in late 1999. Second- and third-generation endografts have come to market, providing improvements in fixation, sizing, versatility, tractability, and delivery profile. These device improvements have made…
Historical Background Volodos and colleagues performed the first stent graft repair of an aortic pathology in 1987 in Kharkov, Union of Soviet Socialist Republics, but Parodi, Palmaz, and Barone are credited with pioneering and popularizing the technique in the early…
Historical Background The surgical management of abdominal aortic aneurysms was first pursued by direct aortic ligation as reported by Matas in 1923. Likewise, beginning in 1906, Halsted and Reid at the Johns Hopkins Hospital attempted to treat suprarenal aortic aneurysms…
Historical Background Abdominal aortic aneurysms were first described by the sixteenth-century anatomist Vesalius. Before the advent of modern surgical techniques, numerous management methods focusing on aneurysm ligation, induced thrombosis, or wrapping were attempted, all with little success. It was not…
Historical Background Traumatic aortic injury is the result of a high-velocity or deceleration injury to the wall of the aorta, which most commonly occurs at the level of the ligamentum arteriosum, proximal to the third intercostal artery. Of those patients…
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 has been managed medically with an effective medical regimen directed…
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 work by DeBakey, Cooley, and others. Over the years, a…
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 of catheters. Downstream access to the branches made the arch…