Victor Cabrera-Bou MD , Alyssa Dellutri BS , Frederick Fisher MD , Adel Hanandeh MD , Giancarlo Cires MD
{"title":"Surgical triumph over mycotic threat: Managing a superior mesenteric artery aneurysm complicated by endocarditis","authors":"Victor Cabrera-Bou MD , Alyssa Dellutri BS , Frederick Fisher MD , Adel Hanandeh MD , Giancarlo Cires MD","doi":"10.1016/j.jvscit.2025.102073","DOIUrl":"10.1016/j.jvscit.2025.102073","url":null,"abstract":"<div><div>Mycotic aneurysms of the superior mesenteric artery (SMA) are rare (<1% of mesenteric aneurysms) and often linked to infective endocarditis, carrying high rupture and mortality risks. We report a 53-year-old man with prior mitral and aortic valve replacement for <em>Streptococcus mutans</em> endocarditis, found incidentally to have a 2.1-cm saccular SMA aneurysm on computed tomography angiography. Given its infected appearance and complex branching, open resection with reversed saphenous vein interposition graft was performed. Recovery was uneventful. This case highlights early recognition, imaging, and the role of open repair in infected, anatomically challenging SMA aneurysms.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 1","pages":"Article 102073"},"PeriodicalIF":0.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145839183","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}
Claudiomar Zardo de Oliveira MD , Júlia Scussiato de Oliveira , Claudia C. Lovatel MD
{"title":"Endovascular treatment of spontaneous isolated celiac axis artery dissection (SICAD) treated with MicroNet-covered stent","authors":"Claudiomar Zardo de Oliveira MD , Júlia Scussiato de Oliveira , Claudia C. Lovatel MD","doi":"10.1016/j.jvscit.2025.102020","DOIUrl":"10.1016/j.jvscit.2025.102020","url":null,"abstract":"<div><div>This case involves a 48-year-old man who presented with persistent epigastric pain unresponsive to standard therapies. Diagnostic evaluation identified a spontaneous isolated dissection of the celiac axis artery, a rare vascular condition. In the absence of additional pathologies, endovascular management with a self-expanding MicroNet-covered stent was selected for treatment due to its potential to preserve collateral branches and prevent distal embolization. This is the first case of its kind reported in the literature. The procedure successfully resolved the dissection and resulted in significant symptom improvement. At 1-year follow-up, the patient remained asymptomatic.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 1","pages":"Article 102020"},"PeriodicalIF":0.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145569348","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}
Jonathan Crisp BSc, MBBS, Alexander Rolls PhD, FRCS, FRACS
{"title":"A novel off-the-shelf solution for the treatment of retrograde false lumen flow causing hemothorax after thoracic endovascular aortic repair for aortic dissection and rupture","authors":"Jonathan Crisp BSc, MBBS, Alexander Rolls PhD, FRCS, FRACS","doi":"10.1016/j.jvscit.2025.102013","DOIUrl":"10.1016/j.jvscit.2025.102013","url":null,"abstract":"<div><div>Persistent retrograde false lumen (FL) flow is a common complication following thoracic endovascular aortic repair (TEVAR) for type B aortic dissections. The candy plug technique is a well-established method for FL exclusion; however, device availability can be a limiting factor. We report the case of a 57-year-old man who underwent a novel FL exclusion procedure 2 days post-TEVAR, using a 36 × 66 mm Cook Converter graft and Amplatzer plugs, with complete FL thrombosis and resolution of hemothorax on imaging 7 weeks postoperatively. This off-label technique offers a viable alternative when commercially available candy plug devices are unavailable and urgent intervention is required.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 1","pages":"Article 102013"},"PeriodicalIF":0.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145569416","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}
Anush Motaganahalli MPH , Muskaan Ramchandani BS , Mackenzie Madison MD, MS , John Maijub MD , Ashley Gutwein MD , Alok Gupta MD
{"title":"Superior mesenteric artery aneurysms in pediatric patients with congenital anomalies","authors":"Anush Motaganahalli MPH , Muskaan Ramchandani BS , Mackenzie Madison MD, MS , John Maijub MD , Ashley Gutwein MD , Alok Gupta MD","doi":"10.1016/j.jvscit.2025.102008","DOIUrl":"10.1016/j.jvscit.2025.102008","url":null,"abstract":"<div><div>This is a case series of two pediatric patients with symptomatic superior mesenteric artery aneurysms. Visceral artery aneurysms are rare with an incidence of 0.1% to 2% in the general population. Pediatric visceral arterial aneurysms are even more rare. This report describes two unique cases of symptomatic pediatric superior mesenteric artery aneurysms. Both patients had congenital anomalies highlighting a potential syndromic association. The patients received autogenous conduits, which were grafted using an interrupted end-to-end technique. We believe that these grafts provide increased durability and a better fit, and that they should be considered as the conduit of choice for pediatric reconstructions.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 1","pages":"Article 102008"},"PeriodicalIF":0.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145520630","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}
Trent W. Kinnear MD , Thomas W. Mazonas MD , Morgan P. McNally BS , Catherine L. McKnight MD , Thomas E. Gaines MD , Michael M. McNally MD
{"title":"Medical and surgical management of aorto-esophageal fistula after denture erosion due to esophageal stent placement","authors":"Trent W. Kinnear MD , Thomas W. Mazonas MD , Morgan P. McNally BS , Catherine L. McKnight MD , Thomas E. Gaines MD , Michael M. McNally MD","doi":"10.1016/j.jvscit.2025.102019","DOIUrl":"10.1016/j.jvscit.2025.102019","url":null,"abstract":"<div><div>This case reports on the management of a patient who initially presented to an outside hospital with an esophageal perforation secondary to swallowed dentures. The patient was subsequently treated with an esophageal stent that eroded the dentures into his thoracic aorta, creating an aorto-esophageal fistula. The patient underwent successful management of an aorto-esophageal fistula utilizing antibiotic and antifungal medications and endovascular therapy as the definitive surgical treatment of the aorta, followed by esophagectomy with foreign body removal and staged esophageal reconstruction. Long-term survival was optimized due to early diagnosis and treatment through a multidisciplinary approach.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 1","pages":"Article 102019"},"PeriodicalIF":0.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145520629","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}
Daemar H. Jones MD, Nicole A. Heidt MD, Laura B. Pride MD, Chandler A. Long MD, Young Kim MD, MS
{"title":"Explantation of fenestrated endograft complicated by complete junctional dissociation and symptomatic type IIIa endoleak","authors":"Daemar H. Jones MD, Nicole A. Heidt MD, Laura B. Pride MD, Chandler A. Long MD, Young Kim MD, MS","doi":"10.1016/j.jvscit.2025.102065","DOIUrl":"10.1016/j.jvscit.2025.102065","url":null,"abstract":"<div><div>In this report, we present a 67-year-old man who was transferred from an outside facility with complaints of severe back pain. Computed tomography imaging demonstrated a type IIIa endoleak with complete junctional dissociation of his prior fenestrated endograft, between the visceral and the bifurcated components. Given the perpendicular configuration of the dissociated stent grafts, no endovascular salvage was feasible, and open explantation was indicated. His preoperative evaluation was significant for a positive cardiac stress test warranting coronary artery stenting. The patient underwent subsequent open graft explantation and aortic repair, and was ultimately discharged home after an uncomplicated hospital course.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 1","pages":"Article 102065"},"PeriodicalIF":0.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145736323","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}
Melissa Marie D'Andrea MD , Luis R. Leon Jr. MD, FACS
{"title":"Increased risk for severe peripheral arterial disease in Kabuki syndrome","authors":"Melissa Marie D'Andrea MD , Luis R. Leon Jr. MD, FACS","doi":"10.1016/j.jvscit.2025.101967","DOIUrl":"10.1016/j.jvscit.2025.101967","url":null,"abstract":"<div><div>Kabuki syndrome (KS) is a rare congenital syndrome characterized by abnormal facies, short stature, cognitive impairments, and organ dysfunction. Vascular disease has rarely been observed in patients with KS, and, when reported, cases mostly involve the carotid arteries or the thoracic aorta. Peripheral arterial disease, however, has yet to be evaluated specifically in the KS population. This case report describes a patient with KS who presented with extremely difficult to manage lower extremity peripheral arterial disease, illustrating the challenging vasculopathy associated with this rare genetic syndrome. Endovascular management was a safe management option for this patient; open techniques are still unexplored.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 1","pages":"Article 101967"},"PeriodicalIF":0.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145520627","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}
Shymal Pansuriya DO , Guillermo Polanco Serra MD , Sachinder S. Hans MD
{"title":"Results of open repair of giant femoral artery anastomotic aneurysms","authors":"Shymal Pansuriya DO , Guillermo Polanco Serra MD , Sachinder S. Hans MD","doi":"10.1016/j.jvscit.2025.102014","DOIUrl":"10.1016/j.jvscit.2025.102014","url":null,"abstract":"<div><div>Repair of femoral and anastomotic aneurysms was performed in 85 patients; 16 (Group A) were giant aneurysms (>6.5 cm) and 69 (Group B) measured 3.5 to 6.5 cm. In Group A, five presented with rupture and 11 with local compressive symptoms. One patient in Group A died following repair of a ruptured aneurysm (6.2%). There was no operative mortality in group B. Time from index operation to repair in Group A was 9.8 ± 3.5 years and 6.3 ± 1.8 years in Group B (<em>P</em> < .0001). Intraoperative blood loss and intra operative time was greater in Group A as compared with Group B.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 1","pages":"Article 102014"},"PeriodicalIF":0.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145520649","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}
Matthew S. Harris BS, Konstantinos C. Karabetsos MD, Mark Levy MD, Robert A. Larson MD, Francisco C. Albuqerque MD, Daniel H. Newton MD
{"title":"A modified squid capture technique for improved laser position during in situ fenestration","authors":"Matthew S. Harris BS, Konstantinos C. Karabetsos MD, Mark Levy MD, Robert A. Larson MD, Francisco C. Albuqerque MD, Daniel H. Newton MD","doi":"10.1016/j.jvscit.2025.102007","DOIUrl":"10.1016/j.jvscit.2025.102007","url":null,"abstract":"<div><div>In situ laser fenestration during thoracic endovascular aortic repair is effective and widely utilized, although achieving orthogonal laser alignment can be difficult in patients with complex aortic arch anatomy. A modification of the previously described “squid capture” technique is presented, employing a temporary, removable wire loop to stabilize a sheath against the endograft and facilitate perpendicular laser positioning. This approach minimizes intravascular manipulation, reducing the risk of embolic events, stroke, and arterial injury. A case involving a 60-year-old male with residual dissection and aneurysmal degeneration illustrates the technique’s application. The method is simple, reproducible, and suited for challenging anatomy.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 1","pages":"Article 102007"},"PeriodicalIF":0.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145569415","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}
Jeremy Fridling MD , Felix Appiah MD , Kwame Amankwah MD, MSc
{"title":"Endovascular management of an innominate artery aneurysm in a patient with COVID-19","authors":"Jeremy Fridling MD , Felix Appiah MD , Kwame Amankwah MD, MSc","doi":"10.1016/j.jvscit.2025.101998","DOIUrl":"10.1016/j.jvscit.2025.101998","url":null,"abstract":"<div><div>Innominate artery aneurysms are dangerous pathologies given their potential for rupture and thrombosis and their ability to compress adjacent structures. Management options include endovascular therapy, open surgery, or hybrid intervention. We present the case of a young, healthy man with dysphagia secondary to innominate artery aneurysm in the setting of an acute COVID-19 infection managed with endovascular stenting without subsequent right upper extremity ischemia secondary to a covered subclavian artery.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 1","pages":"Article 101998"},"PeriodicalIF":0.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145420427","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}