{"title":"Management of type 2 endoleaks following endovascular thoracic aortic dissection repair associated with patent ductus arteriosus: A report of two cases in patients with Marfan syndrome","authors":"Joshua Burk MD, MBA , Clément Batteux MD , Reda Jerrari MD , Dominque Fabre MD, PhD , Sebastien Hascoet MD, PhD , Stéphan Haulon MD, PhD","doi":"10.1016/j.jvscit.2025.102114","DOIUrl":"10.1016/j.jvscit.2025.102114","url":null,"abstract":"<div><div>Type 2 endoleaks remain a significant clinical concern after thoracic endovascular aneurysm repair, potentially leading to aneurysm sac enlargement or rupture. A rare but clinically significant source of these endoleaks is patent ductus arteriosus (PDA). This article presents two unique cases of aortic dissection with an associated PDA. It reviews the limited available literature to comment on the background, pathophysiology, presentation, diagnostic evaluation, and management strategies of PDA-associated type 2 endoleaks after thoracic endovascular aneurysm repair.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 2","pages":"Article 102114"},"PeriodicalIF":0.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145978904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nicola Basile MD , Marco Panagrosso MD , Eduardo Cavallo MD , Marco Di Francesco MD , Francesca Carbone MD, PhD , Giorgio Giudice MD
{"title":"Open treatment of superior mesenteric artery pseudoaneurysm due to infective endocarditis","authors":"Nicola Basile MD , Marco Panagrosso MD , Eduardo Cavallo MD , Marco Di Francesco MD , Francesca Carbone MD, PhD , Giorgio Giudice MD","doi":"10.1016/j.jvscit.2025.102104","DOIUrl":"10.1016/j.jvscit.2025.102104","url":null,"abstract":"<div><div>In this work, we describe the case of a 63-year-old man, with a history of infective endocarditis, who presented with abdominal pain, significant weight loss, and recurrent diarrheal episodes over the preceding months. Contrast-enhanced computed tomography angiography demonstrated a large pseudoaneurysm of the superior mesenteric artery, located in the mid-segment of the vessel, with poor opacification of the distal branches. The patient underwent surgical management via midline laparotomy. This case report aims to highlight the role of open surgical repair in the management of visceral artery pseudoaneurysms, as this approach allows preservation of major collateral branches and enables thorough histopathological examination to assess the underlying etiology of the lesion.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 2","pages":"Article 102104"},"PeriodicalIF":0.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146038726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Xiaowen Lin MM, Qingjin Huang MM, Minxiang Hu MM, Xiangyu Peng MM, Yin Xia MD, PhD
{"title":"Open drainage of abscess cavity with omental wrapping for treatment of post-endovascular aortic repair aortic graft infection: A case report and literature review","authors":"Xiaowen Lin MM, Qingjin Huang MM, Minxiang Hu MM, Xiangyu Peng MM, Yin Xia MD, PhD","doi":"10.1016/j.jvscit.2026.102138","DOIUrl":"10.1016/j.jvscit.2026.102138","url":null,"abstract":"<div><div>The present case report concerns a 70-year-old man who developed an infection after endovascular abdominal aortic repair. For treatment, we performed open surgical debridement with abscess drainage while preserving the aortic stent graft, followed by omental packing between the aneurysm sac and the stent graft, together with continuous negative-pressure irrigation and drainage of the purulent cavity. At the 10-month postoperative follow-up, abdominal aortic computed tomography angiography demonstrated satisfactory abscess removal and vascular reconstruction recovery. This innovative graft-preserving strategy for managing stent-graft infection achieved favorable short-term outcomes in this patient, suggesting its potential for consideration in clinical practice.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 2","pages":"Article 102138"},"PeriodicalIF":0.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146167132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
James L. Rogers BS , Micaela Cuneo MD , Kevin Kniery MD , M. Wayne Causey MD
{"title":"Covered endovascular reconstruction of the aortic bifurcation for blunt abdominal aortic injury","authors":"James L. Rogers BS , Micaela Cuneo MD , Kevin Kniery MD , M. Wayne Causey MD","doi":"10.1016/j.jvscit.2026.102134","DOIUrl":"10.1016/j.jvscit.2026.102134","url":null,"abstract":"","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 2","pages":"Article 102134"},"PeriodicalIF":0.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146188719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pablo Kurzan BA , Perry Kerner MD , Eva Urrechaga MD , Gina Sisti MD , Venkat Kalapatapu MD
{"title":"Supraceliac aortohepatic bypass for an inferior pancreaticoduodenal artery aneurysm with an associated celiac artery occlusion","authors":"Pablo Kurzan BA , Perry Kerner MD , Eva Urrechaga MD , Gina Sisti MD , Venkat Kalapatapu MD","doi":"10.1016/j.jvscit.2025.102115","DOIUrl":"10.1016/j.jvscit.2025.102115","url":null,"abstract":"<div><div>We report a rare case of open repair of an inferior pancreaticoduodenal artery (IPDA) aneurysm with a celiac artery occlusion. A 38-year-old woman with no past medical history developed a 2.1 × 2.1 cm saccular inferior pancreaticoduodenal artery aneurysm with a chronic celiac artery occlusion. Given her young age and vascular anatomy, open repair was performed with a supraceliac aorta to common hepatic artery bypass and aneurysm excision and ligation. Recovery was uneventful, and follow-up computed tomography scan demonstrated a patent bypass and no residual aneurysm. This case underscores the need for tailored surgical planning in complex visceral artery aneurysms when endovascular repair options are limited.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 2","pages":"Article 102115"},"PeriodicalIF":0.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145978906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Guilherme B. Lima MD, PhD, Randall R. DeMartino MD, MS, Bernardo C. Mendes MD
{"title":"Endovascular repair of an intercostal patch aneurysm in a patient with previous open thoracoabdominal aortic aneurysm repair","authors":"Guilherme B. Lima MD, PhD, Randall R. DeMartino MD, MS, Bernardo C. Mendes MD","doi":"10.1016/j.jvscit.2025.102116","DOIUrl":"10.1016/j.jvscit.2025.102116","url":null,"abstract":"","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 2","pages":"Article 102116"},"PeriodicalIF":0.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145978899","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Samer Koussayer MD , Faisal A. Almudaiheem MBBS , Talia Koussayer MS , Hussein Alkohlani MD , Nizar Zein MB
{"title":"Primary aortic angiosarcoma following endovascular aneurysm repair: Case report and review of the literature","authors":"Samer Koussayer MD , Faisal A. Almudaiheem MBBS , Talia Koussayer MS , Hussein Alkohlani MD , Nizar Zein MB","doi":"10.1016/j.jvscit.2025.102095","DOIUrl":"10.1016/j.jvscit.2025.102095","url":null,"abstract":"<div><div>Angiosarcoma arising in the aortic wall after endovascular aneurysm repair (EVAR) is an exceptionally rare but devastating complication. We report a case of a 76-year-old man who developed progressive systemic symptoms and persistent imaging abnormalities years after EVAR. Despite extensive workup and empirical treatment for graft infection and aortitis, diagnosis was delayed until biopsy revealed angiosarcoma. The clinical course was rapidly progressive and ultimately led to death. Atypical symptoms after EVAR should raise suspicions of malignancy. Early tissue diagnosis is essential for the timely recognition of this aggressive and frequently misdiagnosed entity, which often carries a poor prognosis.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 2","pages":"Article 102095"},"PeriodicalIF":0.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145939653","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Custom-made donut technique: An innovative approach to treating scalp arteriovenous fistula","authors":"Paolo Gennaro PhD , Flavia Cascino MD , Simone Benedetti PhD , Sandra Bracco MD , Samuele Cioni MD , Linda Latini MD","doi":"10.1016/j.jvscit.2025.102092","DOIUrl":"10.1016/j.jvscit.2025.102092","url":null,"abstract":"<div><div>Scalp arteriovenous fistulas are rare, high-flow vascular anomalies, often of post-traumatic origin. Their management remains a subject of debate owing to the limited number of reported cases. This study presents a novel approach for the treatment of a post-traumatic right mastoid scalp arteriovenous fistula in a patient with a history of multiple unsuccessful treatments. A customized, in-house three-dimensional-printed device, designed in a donut shape, was used to enhance the precision of direct puncture embolization. This approach aimed to confine embolization exclusively to the fistula site, minimizing the risk of inadvertent occlusion of adjacent vessels and subsequent cutaneous necrosis. The treatment strategy combined endovascular embolization using precipitating hydrophobic injectable liquid with surgical resection in a single-stage procedure. The intervention was completed without intraoperative or postoperative complications. Follow-up assessments confirmed complete fistula occlusion with no recurrence and satisfactory functional and aesthetic outcomes. This innovative technique highlights the potential advantages of patient-specific three-dimensional-printed devices in optimizing embolization strategies for complex vascular malformations.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 2","pages":"Article 102092"},"PeriodicalIF":0.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145940073","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dora Z. Zatyko MD , Ponraj Chinnadurai MMST , Adam Bardoczi MD , Alan B. Lumsden MD , Charudatta S. Bavare MD
{"title":"Dynamic CTA image guidance for targeted robotic ligation of type II aortic endoleak","authors":"Dora Z. Zatyko MD , Ponraj Chinnadurai MMST , Adam Bardoczi MD , Alan B. Lumsden MD , Charudatta S. Bavare MD","doi":"10.1016/j.jvscit.2025.102113","DOIUrl":"10.1016/j.jvscit.2025.102113","url":null,"abstract":"<div><div>Type II endoleaks are frequent after endovascular aortic repair, and recurrent endovascular failures may require open repair with high morbidity. We report a 73-year-old patient with a persistent type II endoleak managed by targeted robot-assisted retroperitoneal ligation of lumbar arteries. Dynamic computed tomography-based three-dimensional reconstructions of target vessels provided intraoperative navigation, enabling precise localization through a minimally invasive robotic approach, while minimizing procedural complications and effective management. This case demonstrates the feasibility of combining advanced imaging and robotic technology, highlighting the potential advantages of image-guided robotic surgery for complex vascular pathologies requiring innovative, definite treatment options.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 2","pages":"Article 102113"},"PeriodicalIF":0.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145940082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Agustin Borjon MD, Luca Di Tonno MD, Anatoly J. Bulkin MD
{"title":"Treatment of a pancreaticoduodenal artery aneurysm with greater saphenous vein bypass for preservation of hepatic flow in a patient with celiac occlusion","authors":"Agustin Borjon MD, Luca Di Tonno MD, Anatoly J. Bulkin MD","doi":"10.1016/j.jvscit.2026.102136","DOIUrl":"10.1016/j.jvscit.2026.102136","url":null,"abstract":"<div><div>A 62-year-old woman presented with epigastric pain and elevated liver function test results. Magnetic resonance cholangiopancreatography showed a 10-mm common bile duct, with a 3-cm aneurysm in what was believed to be from the superior mesenteric artery. Follow-up computed tomography angiography showed that this was actually from the inferior pancreaticoduodenal artery. The celiac artery had a flush occlusion. A major collateral pathway was present between the inferior and superior pancreaticoduodenal arteries, which supplied the hepatic and splenic circulation. Open surgery with aneurysm resection and bypass from the infrarenal aorta to the normal inferior pancreaticoduodenal artery using saphenous vein was performed.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 2","pages":"Article 102136"},"PeriodicalIF":0.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146078611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}