[Experience of Sun's procedure for chronic type B dissection with aortic arch involvement].

Objective: To study the surgical treatment of chronic type B dissection with aortic arch involvement using Sun's procedure. Methods: Between February 2009 and December 2015, 29 patients [20 males, 9 females, with a mean age of (41±12) years, range 24-64 years] with type B dissection with aortic arch involvement underwent Sun's procedure. Sixteen patient had a history of hypertension. Marfan syndrome was observed in 9 cases, coronary artery disease in 3 cases, mitral regurgitation in 3 patients, cerebrovascular disease in one patient. Twenty-two patients suffered proximal aortic arch disease, 4 cases experienced history of aortic root procedure and 2 subjects had history of pregnancy. Four patients had aortic arch malformation. Results: One case suffered from massive cerebral infarction after surgery and died in another hospital. Concomitant procedures included mitral valve replacement in 3 cases, coronary artery bypass grafting in 3 patients, reconstruction of the right aberrant subclavian artery in one patient. Ventilator support exceeding 24 hours obseved in 2 patients. One of them recieved continuous renal replacement therapy and recovered before discharge. Spinal cord injury was obseved in one case, brain infarction in one patient and pericardial drainage in one case. Two patients required tracheotomy. During 12-94 (43±23) months' follow-up, thoracoabdominal aortic replacment was performed in 4 patients, thoracic endovascular aortic repair (TEVAR) in 2 subjects and repair of perivalvular leakage in one patient. Conclusions: Sun's procedure obtained satisfactory results in patients with chronic type B dissection with aortic arch involvement. Concomitant repair of proximal aortic arch lesions and distal type B dissection can be adopted using Sun's procedure.

First Report of Phytophthora tentaculata Causing Stem and Root Rot on Celery in China.

Celery (Apium graveolens) is an important vegetable in China. In August 2012, about 20 to 70% declining plants with root and basal stem rot were observed in Bengbu, Anhui Province, China. Typical symptoms included large dark brown to black water-soaked lesions near the soil line of stems. As the disease progressed, lesions girdled the stem, and plants became brown, wilted, and eventually died. A Phytophthora-like organism was consistently isolated from symptomatic tissues on a selective medium, P5ARP. Resultant isolates were identified as Phytophthora tentaculata based on their morphological features and rDNA sequence. Sporangia, chlamydospores, hyphal swellings, and oospores were produced on V8 agar. Sporangia were ovoid to pyriform, 28.5 to 52.5 × 21.5 to 40.6 µm, average 35.3 × 29.8 µm, with one or occasionally two papillae. Chlamydospores were spherical, 21.3 to 30.2 µm in diameter, average 25.7 µm. The isolates were homothallic, and one or occasionally two paragynous antheridia were attached to the global oogonia (24 to 39 µm in diameter, average 29.5 µm). The internal transcribed spacer region of rDNA was amplified with primer pair ITS1/ITS4 for one isolate (1), and the sequence (GenBank Accession No. KF501392) showed >99% similarity with those P. tentaculata isolates deposited in GenBank (AJ854302.1). Pathogenicity was confirmed by inoculating Shijihuangqin, a local cultivar of celery, with isolate PT12081. The isolate was cultivated on V8 agar at 25°C for 5 to 7 days to produce sporangia. Five 2-month-old, disease-free celery were drench-inoculated with 10 ml of a suspension of 2 × 104 zoospores/ml, and five control plants per pot were treated with sterile water. There were four pots for each of the inoculated and non-inoculated treatments, and the experiment was repeated twice. All plants were maintained at 25°C for 10 days. Symptoms similar to those observed in the field developed 7 days after inoculation. Ten days later, five plants wilted and two or three died in each pot inoculated with PT12081, but the control plants remained symptomless. P. tentaculata was consistently re-isolated from the symptomatic plants. P. tentaculata has been reported to infect Chrysanthemum spp., Delphinium ajacis, Verbena spp., and Origanum vulgare (2,3). To our knowledge, this is the first report of Phytophthora blight caused by P. tentaculata on celery in China. References: (1) H. Guo et al. Plant Dis. 96:1072, 2012. (2) P. Martini et al. Plant Dis. 93:843, 2009. (3) J. Meng and Y. C. Wang. Plant Dis. 92:1365, 2008.