ABSTRACT
The authors report a 71-year-old male with descending thoracic aortic aneurysm and multiple risk factors (aortoiliac occlusive disease, obesity, ascending aorta dilatation, and history of left ventriculoperitoneal shunt for hydrocephalus) who was treated with thoracic endovascular aortic repair (TEVAR) via left common carotid artery (LCCA) access and left axillary-carotid artery (Ax-CA) bypass; this approach shortened the LCCA clamp time during the procedure. The patient was discharged without any complications. TEVAR via LCCA access with left Ax-CA bypass is a useful and safe procedure for patients in whom conventional femoral artery access is not feasible.
ABSTRACT
Ostial atresia of the left main coronary artery (LMCA) in children without any primary disease is extremely rare. We present here a case of occlusion of the LMCA in a 9-year-old girl. Myocardial scintigraphy showed poor perfusion in both domains of the left anterior descending artery (LAD) and left circumflex artery (LCx). Coronary artery graphy (CAG) showed complete ostial atresia of the LMCA and retrograde perfusion from the thin collateral arteries into the LAD. We performed angioplasty using an autologous pericardium onlay patch. Her postoperative course was unremarkable. Postoperative CAG showed vanishing collateral arteries, confirming anterograde flow through the LAD and LCx, and myocardial scintigraphy showed improvement in perfusion.
Subject(s)
Angioplasty/methods , Aorta, Thoracic/surgery , Coronary Vessel Anomalies/surgery , Coronary Vessels/surgery , Anastomosis, Surgical/methods , Child , Coronary Angiography , Coronary Vessel Anomalies/diagnostic imaging , Female , Humans , Imaging, Three-Dimensional , Tomography, X-Ray ComputedABSTRACT
A cationic palladium(II)/(S)-xyl-Segphos complex catalyzes enantioselective cycloisomerizations of N-alkenyl arylethynylamides leading to axially chiral 4-aryl-2-pyridones in high yields with high ee values. The present catalysis represents the first enantioselective construction of axial chirality by the transition-metal-catalyzed cycloisomerization.
Subject(s)
Alkenes/chemistry , Alkynes/chemistry , Palladium/chemistry , Pyridones/chemical synthesis , Catalysis , Combinatorial Chemistry Techniques , Cyclization , Molecular Structure , Pyridones/chemistry , StereoisomerismABSTRACT
A new route to substituted phenols has been developed by cationic rhodium(I)/BINAP complex-catalyzed decarboxylative [2 + 2 + 2] cycloadditions of 1,6- and 1,7-diynes with commercially available vinylene carbonate.
ABSTRACT
A cationic rhodium(I)/BIPHEP complex catalyzes amide-directed regioselective alkenylations of olefinic or aromatic sp(2) C-H bonds in good yields under mild reaction conditions. The use of a 1-pyrrolidinecarbonyl group as a directing group dramatically accelerates the reaction.
ABSTRACT
A cationic rhodium(i)/(R)-H(8)-BINAP or (R)-Segphos complex catalyzes an intramolecular [2 + 2 + 2] cycloaddition of unsymmetrical dienynes, leading to fused tri- and tetracyclic cyclohexenes bearing two tertiary or quaternary carbon centers in high yields with high enantio- and diastereoselectivity.
ABSTRACT
A new method for the convergent and rapid assembly of substituted 2-pyridones was developed through the formation of N-alkenyl alkynylamides (amide-linked 1,5-enynes) by N-acylation of imines with alkynoyl chlorides and the subsequent cationic Au(I)/PPh 3-catalyzed cycloisomerization.
Subject(s)
Alkenes/chemistry , Alkynes/chemistry , Amides/chemical synthesis , Organogold Compounds/chemistry , Pyridones/chemical synthesis , Amides/chemistry , Catalysis , Cyclization , Imines/chemical synthesis , Imines/chemistry , Molecular Structure , Pyridones/chemistry , StereoisomerismABSTRACT
A cationic rhodium(I)/H(8)-BINAP complex catalyzes codimerization of alkenes bearing no alpha-hydrogen and electron-deficient internal alkynes, leading to 1,3-dienes in good yields with moderate to excellent regio- and stereoselectivity. The same complex also catalyzes codimerization of an acrylate and phenyl-substituted electron-rich internal alkynes, leading to 1,3-dienes.
ABSTRACT
A cationic rhodium(I)/Segphos or H(8)-BINAP complex catalyzes the unprecedented cotrimerization of commercially available monoenes and dialkyl acetylenedicarboxylates, leading to functionalized furylcyclopropanes with excellent enantioselectivity and perfect diastereoselectivity.
ABSTRACT
A cationic rhodium(I)/rac-BINAP complex catalyzes chemo- and regioselective formal cross-cyclotrimerizations of alkynes with enol ethers or acetates. Commercially available and cheap liquid enol ethers and acetates could be used as convenient gaseous alkyne equivalents in the present rhodium catalyses.
ABSTRACT
We have achieved the first catalytic enantioselective synthesis of planar-chiral dithiaparacyclophanes by means of cationic rhodium(I)/(S)-BINAPHANE complex-catalyzed reactions of dithiols and 1,4-bis(bromomethyl)benzenes. The present method represents the first example of asymmetric synthesis of planar-chiral cyclophanes through catalytic enantioselective construction of the ansa chains.
ABSTRACT
We have developed the first catalytic cycloisomerization of 1,6- and 1,7-diynes leading to trienes and vinylpyrroles by using a cationic rhodium(I)/Segphos complex (2.5-10 mol %) and 1,2-cyclohexanedione (100 mol %). 1,2-Cyclohexanedione may effectively occupy vacant coordination sites and thus promote the present cycloisomerization.
ABSTRACT
Regio-, diastereo-, and enantioselective intermolecular [4 + 2] carbocyclizations of vinylarylaldehydes with alkenes and alkynes leading to substituted tetralones and 1-naphthols have been developed by using a cationic rhodium(I)/dppb or dppp complex as a catalyst.
ABSTRACT
We have determined that a cationic rhodium(I)/H8-BINAP complex catalyzes a [2 + 2 + 2] cycloaddition of both activated and unactivated carbonyl compounds with 1,6-diynes leading to dienones in high yields. On the other hand, unactivated aryl ketones react with 1,6-diynes in the presence of a cationic rhodium(I)/Segphos complex to give ortho-functionalized aryl ketones in high yields.
ABSTRACT
A convenient synthesis of perfluoroalkylated benzenes and pyridines has been achieved by a cationic Rh(I)/modified BINAP-complex-catalyzed chemo- and regioselective [2 + 2 + 2] cycloaddition of alkynes with a perfluoroalkylacetylene and a perfluoroalkylnitrile.