Yuki Ikeno MD, Akiko Tanaka MD, PhD, Francesco Brandini BSA, Anthony L. Estrera MD
{"title":"Repair of thoracic aortic aneurysm with bilateral aberrant subclavian artery","authors":"Yuki Ikeno MD, Akiko Tanaka MD, PhD, Francesco Brandini BSA, Anthony L. Estrera MD","doi":"10.1016/j.jvscit.2024.101536","DOIUrl":"10.1016/j.jvscit.2024.101536","url":null,"abstract":"<div><p>We present a rare anatomical configuration of a 19-year-old woman, characterized by descending thoracic aortic aneurysm with right aberrant subclavian arteries with a Kommerell's diverticulum in a left aortic arch. The complexity of this vascular anomaly was accompanied by an anomalous origin of left subclavian artery. The patient underwent a single-stage open surgical repair via left thoracotomy under deep hypothermic circulatory arrest. The bilateral aberrant subclavian arteries were separately reconstructed in situ using hand-sewn branched grafts.</p></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468428724001205/pdfft?md5=194d79e5a06555e4f750204f3f4a2ac3&pid=1-s2.0-S2468428724001205-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141140083","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Marie Bigot BS , Sima Vazquez MS , Sateesh Babu MD , Suguru Ohira MD , Ramin Malekan MD , Igor Laskowski MD , Jared Pisapia MD, MSTR
{"title":"Neurological improvement following revision of vascular graft remnants in the upper extremity","authors":"Marie Bigot BS , Sima Vazquez MS , Sateesh Babu MD , Suguru Ohira MD , Ramin Malekan MD , Igor Laskowski MD , Jared Pisapia MD, MSTR","doi":"10.1016/j.jvscit.2024.101539","DOIUrl":"10.1016/j.jvscit.2024.101539","url":null,"abstract":"<div><p>Remnant vascular grafts may result in significant neurological deficits owing to compression of adjacent neural structures. We report this finding in two cases after extracorporeal membrane oxygenation decannulation and removal of an arteriovenous fistula in the upper extremity. In both cases, removal of the graft, patch arteriotomy, and external neurolysis resulted in significant recovery of neurological function. We review the preoperative workup, diagnostic studies, and technical approach to treatment in an effort to increase recognition among vascular and cardiovascular surgeons and to demonstrate a safe and effective management option through a multidisciplinary approach.</p></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468428724001230/pdfft?md5=1270781d5ff5058febe5ab748c6364d1&pid=1-s2.0-S2468428724001230-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141129998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yiu Che Chan MBBS, MD, FRCS, Grace C. Cheung BSc, MMedSc, Stephen W. Cheng MBBS, MS, FRCS
{"title":"Tomographic three-dimensional ultrasound imaging improves spatial visualization and management of varicose veins","authors":"Yiu Che Chan MBBS, MD, FRCS, Grace C. Cheung BSc, MMedSc, Stephen W. Cheng MBBS, MS, FRCS","doi":"10.1016/j.jvscit.2024.101542","DOIUrl":"10.1016/j.jvscit.2024.101542","url":null,"abstract":"<div><p>Tomographic three-dimensional ultrasound using handsfree electromagnetic tracking is an important adjunct to traditional two-dimensional duplex ultrasound examination. This technique allows vascular surgeons to better orientate and visualize the often complex anatomy along the entire length of the target vein. This paper reports a novel technique in preoperative and postoperative acquisition of superficial incompetent veins, thereby providing a comprehensive three-dimensional orientation of different pathological patterns of incompetence.</p></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468428724001266/pdfft?md5=ea4002c1db82f471f9d8775836f9e481&pid=1-s2.0-S2468428724001266-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141144537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Farman Ali MD , Khurram Arshad MBBS , Rabia Latif MBBS , Ali Farooq MD , Aravinda Nanjundappa MD
{"title":"Spontaneous spinal epidural hematoma following IV heparin and catheter-directed thrombolysis for deep vein thrombosis","authors":"Farman Ali MD , Khurram Arshad MBBS , Rabia Latif MBBS , Ali Farooq MD , Aravinda Nanjundappa MD","doi":"10.1016/j.jvscit.2024.101541","DOIUrl":"10.1016/j.jvscit.2024.101541","url":null,"abstract":"<div><p>Spontaneous spinal epidural hematoma (<em>SSEH</em>) is a rare condition, and it usually presents with acute onset neck or back pain, progressive weakness, and other symptoms of spinal cord compression. Catheter-directed thrombolysis is one option for limbs threatened by iliofemoral venous thrombosis; other options, such as venous thrombectomy (either open or percutaneous), are also available. There are few reported cases of SSEH owing to catheter-directed thrombolysis for deep venous thrombosis (<em>DVT</em>). We present a case of a 65-year-old man who presented with left lower limb extensive iliofemoral DVT and received catheter-directed thrombolysis. The patient initially had rapid improvement in his symptoms with restoration of limb perfusion. However, within 6 hours of starting catheter-directed thrombolysis, the patient developed extensive SSEH and underwent emergent spinal decompression surgery with laminectomy of T11 to T12 with complete resolution of the neurological deficit. Clinicians should consider SSEH in differential diagnosis if the patient develops acute onset neck or back pain after catheter-guided thrombolysis for DVT.</p></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468428724001254/pdfft?md5=5fde62d5fdaad0fd857590c46d9b6f2c&pid=1-s2.0-S2468428724001254-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141140893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hubert Provost MD , Xavier Hommery-Boucher MD , Laura M. Drudi MD , Nathalie Beaudoin MD , Marie-Jo Plamondon MD , Philippe Charbonneau MD
{"title":"Endovascular treatment of an iatrogenic right subclavian artery pseudoaneurysm associated with an arteriovenous fistula","authors":"Hubert Provost MD , Xavier Hommery-Boucher MD , Laura M. Drudi MD , Nathalie Beaudoin MD , Marie-Jo Plamondon MD , Philippe Charbonneau MD","doi":"10.1016/j.jvscit.2024.101538","DOIUrl":"10.1016/j.jvscit.2024.101538","url":null,"abstract":"<div><p>This report describes the case of a frail 36-year-old patient who underwent an endovascular treatment of a right subclavian artery pseudoaneurysm (SAP) associated with an arteriovenous fistula secondary to a traumatic central venous catheter insertion. The deployment of a covered stent from the innominate to the right common carotid artery combined with coiling of the SAP and the internal mammary artery was performed. Two additional covered stents were deployed from the vertebral artery to the distal subclavian artery to preserve right upper extremity circulation. This case highlights the feasibility of an endovascular treatment of a complex SAP in a candidate unsuitable for open surgery.</p></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468428724001229/pdfft?md5=dc726a42222fcb1daba5083a79cc12f2&pid=1-s2.0-S2468428724001229-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141137136","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Taleen A. MacArthur MD , Richard T. Rogers MD , C. Charles Jain MD , Bernardo C. Mendes MD
{"title":"Hybrid management of descending thoracic pseudoaneurysm in a patient with DiGeorge syndrome","authors":"Taleen A. MacArthur MD , Richard T. Rogers MD , C. Charles Jain MD , Bernardo C. Mendes MD","doi":"10.1016/j.jvscit.2024.101535","DOIUrl":"10.1016/j.jvscit.2024.101535","url":null,"abstract":"<div><p>We present a case of a 42-year-old man with DiGeorge syndrome and congenital cardiac anomalies including a type B interrupted aortic arch who had previously undergone two bypasses between the ascending and descending thoracic aorta in childhood. He was found to have a 7.4-cm pseudoaneurysm of the descending thoracic aorta with the left subclavian artery arising from the aneurysm. The patient was treated with a single stage hybrid repair including left common carotid to subclavian bypass followed by thoracic endovascular aortic aneurysm repair.</p></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468428724001199/pdfft?md5=e9f70c95aee68f77a3efa1c03fa5e313&pid=1-s2.0-S2468428724001199-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141138220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Information for Readers","authors":"","doi":"10.1016/j.jvscit.2024.101530","DOIUrl":"https://doi.org/10.1016/j.jvscit.2024.101530","url":null,"abstract":"","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S246842872400114X/pdfft?md5=530ab2c75592f182b4cbd9f996571207&pid=1-s2.0-S246842872400114X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141068607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Events of Interest","authors":"","doi":"10.1016/j.jvscit.2024.101531","DOIUrl":"https://doi.org/10.1016/j.jvscit.2024.101531","url":null,"abstract":"","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468428724001151/pdfft?md5=01f79428a2390e02ee8e60f306528272&pid=1-s2.0-S2468428724001151-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141068590","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Cover thumbnail page","authors":"","doi":"10.1016/j.jvscit.2024.101533","DOIUrl":"https://doi.org/10.1016/j.jvscit.2024.101533","url":null,"abstract":"","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468428724001175/pdfft?md5=e9ebb65bc940b6aa2dd0f31661162b18&pid=1-s2.0-S2468428724001175-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141068604","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Roberto G. Aru MD , Courtenay M. Holscher MD, PhD , Connor W. Smith , James H. Black III MD, FACS, DFSVS
{"title":"Endovascular fenestration and stenting for renovisceral malperfusion in a pediatric patient with type II Loeys-Dietz syndrome","authors":"Roberto G. Aru MD , Courtenay M. Holscher MD, PhD , Connor W. Smith , James H. Black III MD, FACS, DFSVS","doi":"10.1016/j.jvscit.2024.101514","DOIUrl":"10.1016/j.jvscit.2024.101514","url":null,"abstract":"<div><p>A 16-year-old girl with Loeys-Dietz syndrome presented with an acute, complicated type B aortic dissection (AD) with mesenteric and right renal malperfusion owing to a dynamic obstruction. The anatomy of her AD and her genetic aortography were suboptimal for thoracic endovascular aortic repair. Given the concern for anticipated late aortic degeneration and the need for open aortic repair, she underwent successful transfemoral endovascular septal fenestration with stenting of the fenestration into the superior mesenteric artery and additional stenting of the right renal artery. Her renal failure and mesenteric angina resolved, and she was discharged home. Endovascular fenestration provides an elegant solution for AD-associated dynamic malperfusion of aortic branch vessels without compromising future open aortic repairs.</p></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468428724000984/pdfft?md5=7027ecd56d6d9708d672dc2253983079&pid=1-s2.0-S2468428724000984-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141140777","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}