While heart disease is often thought of as mainly being influenced by lifestyle factors, genetics can play a greater role in some people.
Aortic Arch Surgery
Thoracic Aortic Center
55 Fruit Street
Boston, MA 02114
About This Procedure
Aortic arch aneurysm is an abnormal dilation of the most superior part of the aorta that gives rise to the arteries supplying blood to the upper body, including the brain and the arms. Aortic aneurysms predispose patients to a risk of aortic dissection (tear in the wall of the aorta), bleeding or rupture. Aortic arch replacement is recommended for large aneurysms to minimize the risk of these complications.
Aortic arch surgery requires complex circulatory management and hypothermic circulatory arrest, where the body is cooled to very low temperatures while maintaining selective blood perfusion to preserve blood supply to the brain. This involves supplying oxygen-rich blood to the brain using a process called selective antegrade cerebral perfusion. This strategy preserves vital organs while Massachusetts General Hospital cardiac surgeons work to replace the aneurysmal portion of the aortic arch. For aneurysms that involve the proximal descending aorta, hybrid techniques such as the “Frozen Elephant Trunk” procedure can be performed. This involves placement of a stent graft in the proximal descending aorta during circulatory arrest to accomplish single stage treatment of these aneurysms.
Patient referrals can be made to the Thoracic Aortic Center at 617-724-4747 or directly to any of the participating physicians. Coverage is available 24 hours per day, seven days per week to receive emergency referrals from any regional physician or emergency department if an acute syndrome related to the thoracic aorta is suspected. A phone call to the Thoracic Aortic Center will set in motion the assembly of a team for emergency evaluation and management of the patient.
Outpatient referrals of patients with thoracic aortic aneurysms will result in multidisciplinary evaluation by appropriate physicians from cardiology, vascular radiology, cardiac and vascular surgery. Patients can be seen by multiple physicians on the same day, and the appointments are made with a single phone call to the Thoracic Aortic Center number.
Evaluation will result in a recommendation for either intervention or follow-up. Follow up for the aortic problem will be arranged at the center. General cardiac and pulmonary evaluation may also be done.
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What to expect before, during and after your surgery at the Corrigan Minehan Heart Center.
- Mar | 26 | 2021
Malissa Wood, MD, cardióloga de Mass General, afirma que el entorno, incluyendo los amigos, la familia y el lugar de trabajo, puede influir en su salud del corazón.
- Press Release
- Mar | 26 | 2021
A new study uncovers potential mechanisms that may contribute to “broken heart syndrome,” or Takotsubo syndrome (TTS), a temporary heart condition that is brought on by stressful situations and emotions.
- Feb | 18 | 2021
Christopher Learn, MD, of the Corrigan Minehan Heart Center and Department of Medicine, reviews the opportunities and challenges of adolescents and young adults transitioning to adult care providers.
- Feb | 5 | 2021
Michael Honigberg, MD, reviews the epidemiology of heart disease in women, differences in heart disease between women and men, unique sex-specific risk factors for heart disease in women and special considerations for promoting female heart health.
- Press Release
- Feb | 4 | 2021
Fine particulate air pollution stimulates production of inflammatory cells, leading to inflammation of the arteries.