John French MD , Zachary Schmittling MD , Robert Vorhies MD , Randolph Mullins MD , Scott Grant MD
{"title":"Congenital absence of the right iliac system with aneurysmal degeneration of a collateral lumbar artery: Diagnosis and treatment","authors":"John French MD , Zachary Schmittling MD , Robert Vorhies MD , Randolph Mullins MD , Scott Grant MD","doi":"10.1016/j.jvscit.2025.101768","DOIUrl":"10.1016/j.jvscit.2025.101768","url":null,"abstract":"<div><div>Congenital absences of the iliac arterial system are rare and often discovered incidentally. In these cases, treatment and operative strategy may require adjustment based on unique anatomy. In this report, we present a 67-year-old man who presented with a symptomatic large pseudoaneurysm of the lumbar artery secondary to absence of the iliac arterial system. Herein, we discuss treatment of this patient and review congenital arterial abnormalities.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 3","pages":"Article 101768"},"PeriodicalIF":0.7,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143839094","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":"Successful resection of a massive intrathoracic subclavian artery aneurysm via upper partial sternotomy","authors":"Kazuki Mori MD, Satoshi Takebayashi PhD, Masato Morita MD, Masazumi Kume MD","doi":"10.1016/j.jvscit.2025.101769","DOIUrl":"10.1016/j.jvscit.2025.101769","url":null,"abstract":"<div><div>This case report describes the successful surgical resection of a massive right subclavian artery aneurysm in a 76-year-old male. Preoperative imaging revealed a 46-mm saccular aneurysm with no evidence of other aneurysms. Surgical access was facilitated via a right supraclavicular incision, which was extended with a partial upper sternotomy. After successful resection of the aneurysm, a direct end-to-end anastomosis was performed. Subclavian artery aneurysms are a relatively uncommon subtype of peripheral artery aneurysms, necessitating individualized surgical strategies based on their location.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 3","pages":"Article 101769"},"PeriodicalIF":0.7,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143738434","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":"We don’t know what we don’t know, until we do","authors":"Thomas G. Lynch MD","doi":"10.1016/j.jvscit.2025.101766","DOIUrl":"10.1016/j.jvscit.2025.101766","url":null,"abstract":"","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 3","pages":"Article 101766"},"PeriodicalIF":0.7,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143725484","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}
Fletcher N. Pierce BA, Gear T. Vincent MS, Aubrey Mwinyogle MBChB, Jean M. Panneton MD
{"title":"Evolution and surgical management of a Mycobacterium avium complex aortic infection","authors":"Fletcher N. Pierce BA, Gear T. Vincent MS, Aubrey Mwinyogle MBChB, Jean M. Panneton MD","doi":"10.1016/j.jvscit.2025.101763","DOIUrl":"10.1016/j.jvscit.2025.101763","url":null,"abstract":"<div><div>We present a case describing the successful surgical management of both an infected aneurysm and an aortic graft infection in a patient with disseminated <em>Mycobacterium avium</em> complex infection and AIDS. The patient was a 53-year-old man presenting with a ruptured type V thoracoabdominal aortic aneurysm and an isolated 7.1-cm infrarenal abdominal aortic aneurysm. He underwent emergent repair of his ruptured thoracoabdominal aneurysm using a rifampin-impregnated Dacron graft. This was followed by a temporizing endovascular aortic repair and was eventually bridged with an in situ repair using a cryopreserved cadaveric aortic homograft.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 4","pages":"Article 101763"},"PeriodicalIF":0.7,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143883160","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}
Michael H. Parker MD , Michael C. Soult MD , Carlos F. Bechara MD
{"title":"Delayed bridging stent placement for rescue of spinal cord ischemia during complex endovascular repair of thoracoabdominal aortic aneurysms","authors":"Michael H. Parker MD , Michael C. Soult MD , Carlos F. Bechara MD","doi":"10.1016/j.jvscit.2025.101764","DOIUrl":"10.1016/j.jvscit.2025.101764","url":null,"abstract":"<div><div>Spinal cord ischemia remains a significant cause of patient morbidity in the repair of thoracoabdominal aortic aneurysms. We present a three-case series of delayed bridging stent placement in patients who had significant neuromonitoring changes during index aneurysm repair. To prevent spinal cord ischemia, we delayed placement of the final bridging stent in each case for 4 to 8 weeks. The final stent was then placed under local anesthesia with the patient moving their lower extremities throughout the procedure and a 10- to 15-minute balloon occlusion test to ensure adequate spinal perfusion. All patients tolerated the procedure well without evidence of spinal cord ischemia.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 3","pages":"Article 101764"},"PeriodicalIF":0.7,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143738432","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}
Lina Holmberg MD, PhD , Kevin Mani MD, PhD , Fredrik Linder MD, PhD , Giuseppe Asciutto MD, PhD
{"title":"Are hybrid operating rooms the best place for vascular trauma management and the role of multimodality imaging?","authors":"Lina Holmberg MD, PhD , Kevin Mani MD, PhD , Fredrik Linder MD, PhD , Giuseppe Asciutto MD, PhD","doi":"10.1016/j.jvscit.2025.101762","DOIUrl":"10.1016/j.jvscit.2025.101762","url":null,"abstract":"","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 3","pages":"Article 101762"},"PeriodicalIF":0.7,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143679943","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}
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}