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Aortic Disease and Management in India

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Vascular Surgery

Abstract

Aortic disease is not as prevalent in India as in the West. Apart from the usual presentations of aortic disease viz. aneurysms, occlusions and dissections, a vast spectrum of disease is prevalent. This includes Takayasu Arteritis with it sequale, Tuberculous and non-specific arteritis, Primary Aortic Mural Thrombosis and aortic tropical infections. The open and endovascular management of these entities is well developed in India. We present the aortic experience of 2 of the largest centres in India.

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References

  1. Raddin JB. Ancient Indian medicine. Arch Intern Med. 1964;113(6):922–3.

    Article  Google Scholar 

  2. Ghalioungui P. Magic and medical science in ancient Egypt. London: Hodder and Stoughton Ltd.; 1963.

    Google Scholar 

  3. Bhishagratna KKL. An English translation of the Sushruta Samhita. Calcutta: Self Published; 1916.

    Google Scholar 

  4. Sen PK, Kinare SG, Engineer SD. The middle aortic syndrome. Br Heart J. 1963;25(5):610–8.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  5. Moriwaki R, Noda M, Yajima M, Sharma BK, Numano F. Clinical manifestations of Takayasu arteritis in India and Japan—new classification of angiographic findings. Angiology. 1997;48(5):369–79.

    CAS  PubMed  Google Scholar 

  6. Tyagi S, Kaul U, Arora R, et al. Endovascular stenting for unsuccessful angioplasty of aorta in aortoarteritis. Cardiovasc Intervent Radiol. 1999;22(6):452–6.

    Article  CAS  PubMed  Google Scholar 

  7. Waikar HD, Gopakumar KP, Mohandas K, Neelakandhan KS. Transverse aortic arch aneurysms—a challenge ahead. Indian Heart J. 1993;45(3):205–9.

    CAS  PubMed  Google Scholar 

  8. Tripathi R. In situ fenestration of thoracic stent-grafts for supra-aortic revascularization via carotid and innominate arteries. Vascular and endovascular issues techniques and horizons. VEITH symposium abstract book. New York: Mosby; 2005.

    Google Scholar 

  9. Verma H, Baliga K, George RK, Tripathi RK. Surgical and endovascular treatment of occlusive aortic syndromes. J Cardiovasc Surg (Torino). 2013;54:55–69.

    CAS  Google Scholar 

  10. Sen I, Stephen E, Agarwal S. Clinical profile of aortoiliac occlusive disease and outcomes of aortobifemoral bypass in India. J Vasc Surg. 2013;57(2 Suppl):20S–5S.

    Article  PubMed  Google Scholar 

  11. Stephen E, Joseph G, Sen I, Chacko S, Premkumar P, Varghese L, Selvaraj D. A novel cautery instrument for on-site fenestration of aortic stent-grafts: a feasibility study of 18 patients. J Endovasc Ther. 2013;20(5):638–46.

    Article  PubMed  Google Scholar 

  12. Chaikof EL, et al. The care of patients with an abdominal aortic aneurysm: the Society for Vascular Surgery practice guidelines. J Vasc Surg. 2009;50:S2–49.

    Article  PubMed  Google Scholar 

  13. Moll FL, et al. Management of abdominal aortic aneurysms clinical practice guidelines of the European Society for Vascular Surgery. Eur J Vasc Endovasc Surg. 2011;41 Suppl 1:S1–58.

    Article  PubMed  Google Scholar 

  14. Unnikrishnan M, Shashidhar KP, Rajendran S, et al. Perspectives, personal experiences and personalized threshold for intervention in abdominal aortic aneurysm. Indian J Thorac Cardiovasc Surg. 2014;30(3):207–13.

    Article  Google Scholar 

  15. Unnikrishnan M. Improvised top-end strategy for surgical repair of juxtarenal abdominal aortic aneurysm. Indian J Vasc Endovasc Surg. 2015;2(1):21–4.

    Article  Google Scholar 

  16. Savlania A, Parameshwarappa SK, Agrawal V, Unnikrishnan M. Adult coarctation of the aorta repaired with a prosthetic bypass and its long-term follow-up. Eur J Cardiothorac Surg. 2013;45(6). doi:10.1093/ejcts/ezt485.

  17. Duara R, Theodore S, Sarma PS, Unnikrishnan M, Neelakandhan KS. Correction of coarctation of aorta in adult patients--impact of corrective procedure on long-term recoarctation and systolic hypertension. Thorac Cardiovasc Surg. 2008;56(2):83–6.

    Article  CAS  PubMed  Google Scholar 

  18. Wheat Jr M, et al. Dissecting aneurysms of the aorta: present status of drug versus surgical therapy. Prog Cardiovasc Dis. 1968;11:198–210.

    Article  PubMed  Google Scholar 

  19. Verma H, Meda N, Vora S, George RK, Tripathi RK. Contemporary management of symptomatic primary aortic mural thrombus. J Vasc Surg. 2014;60(6):1524–34.

    Article  PubMed  Google Scholar 

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Correspondence to Ramesh K. Tripathi .

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Unnikrishnan, M., Savlania, A., Goura, P., Tripathi, R.K. (2017). Aortic Disease and Management in India. In: Dardik, A. (eds) Vascular Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-33745-6_12

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  • DOI: https://doi.org/10.1007/978-3-319-33745-6_12

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-33743-2

  • Online ISBN: 978-3-319-33745-6

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