Laura Tupper-Ring MRM , Lauren Mills MPH , Joey McDonald MD, FRCSC , Chris Lightfoot MD, FRCPC , Scott Livingstone MD, FRCSC , Samuel Jessula MDCM, MSc, FRCSC
{"title":"Aortoenteric fistula following elective laparoscopic cholecystectomy","authors":"Laura Tupper-Ring MRM , Lauren Mills MPH , Joey McDonald MD, FRCSC , Chris Lightfoot MD, FRCPC , Scott Livingstone MD, FRCSC , Samuel Jessula MDCM, MSc, FRCSC","doi":"10.1016/j.jvscit.2025.101761","DOIUrl":"10.1016/j.jvscit.2025.101761","url":null,"abstract":"<div><div>We present the case of a 71-year-old woman with gastrointestinal bleeding 21 days after undergoing elective laparoscopic cholecystectomy. Initial imaging revealed a pseudoaneurysm of nonaneurysmal infrarenal aorta, managed with an endovascular stent graft. Despite this procedure, recurrent gastrointestinal bleeding persisted, prompting further imaging that identified an aortoenteric fistula complicated by endograft infection. The fistula likely resulted from an iatrogenic injury caused by trocar entry during the cholecystectomy. Definitive surgical repair involved resection of the infected endograft and reconstruction with a bovine pericardium conduit. This case highlights the diagnostic challenges of aortoenteric fistulas, endograft infection risks, and considerations in selecting conduits for reconstruction.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 3","pages":"Article 101761"},"PeriodicalIF":0.7,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143725485","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":"Colonic ischemia and the role of inferior mesenteric artery reimplantation after abdominal aortic aneurysm repair","authors":"Graham Roche-Nagle MD, MBA","doi":"10.1016/j.jvscit.2025.101760","DOIUrl":"10.1016/j.jvscit.2025.101760","url":null,"abstract":"","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 3","pages":"Article 101760"},"PeriodicalIF":0.7,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143643231","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}
Diego Soto V MD , Gabriel Cassorla J MD , Francisco Goyenechea M MD , Cristian Marín O MD , Sebastián Morales Z MD , Gabriel Seguel S MD
{"title":"Mid-term follow-up of renal artery reimplant in open surgical repair for abdominal aortic aneurysm with a crossed-fused renal ectopia","authors":"Diego Soto V MD , Gabriel Cassorla J MD , Francisco Goyenechea M MD , Cristian Marín O MD , Sebastián Morales Z MD , Gabriel Seguel S MD","doi":"10.1016/j.jvscit.2025.101751","DOIUrl":"10.1016/j.jvscit.2025.101751","url":null,"abstract":"<div><div>Crossed-fused renal ectopia is an uncommon congenital condition, and its association with abdominal aortic aneurysm can present a complex surgical scenario. We present a case of a 71-year-old male with abdominal aortic aneurysm and crossed-fused renal ectopia who underwent open surgical repair with renal artery reimplantation, using mannitol infusion and cold crystalloid perfusion for renal protection. Postoperatively, after transient creatinine rise, renal function normalized without dialysis. At 24 months follow-up, the reimplanted renal artery remains patent with normal renal function. This case illustrates open surgical repair’s effectiveness in addressing complex vascular anatomy, ensuring durable outcomes, and preserving vessel patency and renal function.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 3","pages":"Article 101751"},"PeriodicalIF":0.7,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143851784","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}
Ryan P. Lin MD , Rachel N. Rohrich BS , Sami Ferdousian MS , Cameron Akbari MD, MBA
{"title":"Anomalous dual posterior tibial arteries","authors":"Ryan P. Lin MD , Rachel N. Rohrich BS , Sami Ferdousian MS , Cameron Akbari MD, MBA","doi":"10.1016/j.jvscit.2025.101752","DOIUrl":"10.1016/j.jvscit.2025.101752","url":null,"abstract":"<div><div>Congenital vascular anomalies present significant diagnostic and therapeutic challenges in the scope of vascular surgery. We present a case of anomalous dual posterior tibial (PT) arteries in a diabetic patient with an infected nonhealing foot wound. The clinical, radiologic, and pathological results are presented. We report on a case of a 45-year-old patient with type 2 diabetes mellitus and an infected nonhealing ulceration on the left heel and midfoot. Given concern for ischemic ulceration, an angiogram was performed revealing anomalous dual PT arteries. This rare variant of PT artery anatomy presents challenges in initial diagnosis and limb salvage.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 3","pages":"Article 101752"},"PeriodicalIF":0.7,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143643232","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":"Pediatric axillary artery aneurysm","authors":"Thomas Boland BS , Bernadette Aulivola MD, MS","doi":"10.1016/j.jvscit.2025.101754","DOIUrl":"10.1016/j.jvscit.2025.101754","url":null,"abstract":"<div><div>Nonaortic aneurysms are rare in the pediatric patient population with axillary artery aneurysms accounting for <5% of these. The most common cause of pediatric nonaortic aneurysm is trauma followed by arterial dysplasia. There are only 14 reported cases of idiopathic true axillary aneurysm in the pediatric patient. We present a rare case of an idiopathic isolated right axillary artery aneurysm in a 13-year-old girl, managed with surgical repair with autogenous venous interposition. A thorough workup should be performed in pediatric patients with peripheral aneurysms to determine the etiology, which may guide the clinical management.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 3","pages":"Article 101754"},"PeriodicalIF":0.7,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143643230","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}
Andrew W. Schwartz BS , Masoud Azodi MD , Jonathan Cardella MD , Cassius Iyad Ochoa Chaar MD, MPH, MS
{"title":"Vascular segmental exclusion for recurrent vulvar squamous cell carcinoma invading the femoral vessels","authors":"Andrew W. Schwartz BS , Masoud Azodi MD , Jonathan Cardella MD , Cassius Iyad Ochoa Chaar MD, MPH, MS","doi":"10.1016/j.jvscit.2025.101753","DOIUrl":"10.1016/j.jvscit.2025.101753","url":null,"abstract":"<div><div>A 55-year-old woman presented with a recurrent left inguinal necrotic mass caused by locally invasive vulvar carcinoma. Computed tomography of the abdomen pelvis showed compression of the femoral vein and superficial femoral artery. The patient underwent a left axillary to popliteal artery bypass with left superficial femoral artery embolization in preparation for possible wide resection. Subsequent resection was aborted because of extensive local invasion and rapid spread. Three-month follow-up revealed a patent graft. The patient died after 4 months from progression of oncologic disease and an unresectable tumor in the groin that eroded through the blood vessels without bleeding or lower limb ischemia.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 3","pages":"Article 101753"},"PeriodicalIF":0.7,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143679942","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":"A practical technique for optimal visualization of popliteal artery in patients with prior knee arthroplasty","authors":"Sachinder Singh Hans MD","doi":"10.1016/j.jvscit.2025.101755","DOIUrl":"10.1016/j.jvscit.2025.101755","url":null,"abstract":"<div><div>A practical technique to visualize popliteal artery in patients with prior knee arthroplasty is described using ipsilateral lateral knee flexion and contralateral oblique position of the image intensifier. This position is well-tolerated without any risk of kinking of the femoral sheath.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 3","pages":"Article 101755"},"PeriodicalIF":0.7,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143636649","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}
Esther H. Shim MD , Ryan Lydon MD , Stephanie S. Hyon MD , Robert J. Plummer MD , Thomas Y. Lee MD , Hal Ginsberg MD
{"title":"Revascularization of chronic occluded celiac artery for gastroduodenal coil embolization in massive upper gastrointestinal bleed","authors":"Esther H. Shim MD , Ryan Lydon MD , Stephanie S. Hyon MD , Robert J. Plummer MD , Thomas Y. Lee MD , Hal Ginsberg MD","doi":"10.1016/j.jvscit.2025.101750","DOIUrl":"10.1016/j.jvscit.2025.101750","url":null,"abstract":"<div><div>Upper gastrointestinal bleeding is a serious condition often linked to peptic ulcer disease, contributing to significant morbidity and mortality. A 78-year-old male presented with upper gastrointestinal bleeding that required blood product transfusions despite multiple endoscopic interventions. Although embolization or surgical ligation of the gastroduodenal artery was considered, angiography revealed celiac trunk occlusion, which would increase the risk of hepatic ischemia. Recanalization and stenting of the celiac trunk was performed, facilitating successful embolization of the gastroduodenal artery. This case illustrates the importance of considering anatomical variations and patient risk factors for visceral arterial occlusions, reducing morbidity and mortality.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 3","pages":"Article 101750"},"PeriodicalIF":0.7,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143679944","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}
Ryan Wahidi MD , Dan Kindell MD , Puja Kachroo MD , J.Westley Ohman MD
{"title":"Aortic rupture during transcatheter aortic valve replacement requiring emergent thoracic endovascular aortic repair and endograft infection requiring endograft explant","authors":"Ryan Wahidi MD , Dan Kindell MD , Puja Kachroo MD , J.Westley Ohman MD","doi":"10.1016/j.jvscit.2025.101746","DOIUrl":"10.1016/j.jvscit.2025.101746","url":null,"abstract":"<div><div>Infection of endografts after thoracic endovascular aortic repair (TEVAR) is a catastrophic complication with dramatically high morbidity and mortality. We present the case of a 58-year-old gentleman who underwent TEVAR for aortic rupture during transcatheter aortic valve replacement, later presenting with TEVAR infection, endocarditis, and aortobronchial fistula who underwent TEVAR explantation, aortic valve replacement, and aortic reconstruction. The patient consented to publication of his operative course.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 3","pages":"Article 101746"},"PeriodicalIF":0.7,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143551270","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}
Anahita Shiva BS, Hilary Hayssen MD, Khanjan H. Nagarsheth MD, Eugene Y. Koh MD, Steven C. Ludwig MD, Shahab Toursavadkohi MD
{"title":"Adjunctive endovascular stent graft reinforcement of the common iliac vein for safer anterior lumbar interbody fusion","authors":"Anahita Shiva BS, Hilary Hayssen MD, Khanjan H. Nagarsheth MD, Eugene Y. Koh MD, Steven C. Ludwig MD, Shahab Toursavadkohi MD","doi":"10.1016/j.jvscit.2025.101747","DOIUrl":"10.1016/j.jvscit.2025.101747","url":null,"abstract":"<div><div>Anterior lumbar surgery is associated with risk of vascular complications that lead to termination of surgical goals. We present the case of a 52-year-old male sustaining injury to the left common iliac vein (CIV) during exploration of the retroperitoneum for revision L5-S1 anterior lumbar interbody fusion. One day after initial exploration and CIV repair, a thoracic endovascular stent graft was placed across the left CIV, allowing for completion of revision anterior lumbar interbody fusion. Adjunctive endograft placement can assist prevention of compounding iatrogenic venous injuries during anterior lumbar surgery. Patients at high risk of injury may benefit most after options are weighed.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 3","pages":"Article 101747"},"PeriodicalIF":0.7,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143563850","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}