Annals of vascular surgery. Brief reports and innovations最新文献

{"title":"Recurrent sepsis resulting from an aorto-appendicular fistula","authors":"K.W. Roskamp,&nbsp;H.S.M. Ammerlaan,&nbsp;J. Nederend,&nbsp;I.H.J.T. de Hingh","doi":"10.1016/j.avsurg.2025.100380","DOIUrl":"10.1016/j.avsurg.2025.100380","url":null,"abstract":"<div><div>A 75-year-old patient with a history of endovascular aorta repair, low anterior bowel resection and small bowel resection presented with episodes of recurrent sepsis. Radiological imaging and laparotomy revealed an aortoenteric fistula connecting the appendix to the aneurysmatic aorta as the cause of the recurrent sepsis. Surgical removal of the appendix and dismantling of the fistula allowed the patient to recover.</div><div>The patient in this report consented to the publication of anonymised case details and images.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 2","pages":"Article 100380"},"PeriodicalIF":0.0,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143864287","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":"Anterior lumbar interbody fusion in the setting of ectopic pelvic kidney","authors":"Antonio Ayerdi ,&nbsp;Austin G Helton ,&nbsp;Juan Ayerdi ,&nbsp;James E McGrory","doi":"10.1016/j.avsurg.2025.100379","DOIUrl":"10.1016/j.avsurg.2025.100379","url":null,"abstract":"<div><h3>Objective</h3><div>We present the case of a 69-year-old female with an ectopic pelvic kidney (EPK) who was indicated for an anterior lumbar interbody fusion (ALIF). We describe the use of a trans-abdominal transperitoneal approach with medial visceral rotation and the details of this patient’s unique renal anatomy.</div></div><div><h3>Summary of background data</h3><div>ALIF has been associated with decreased pain, enhanced recovery, and increased fusion rates compared with other lumbar fusion techniques. This approach involves dissection through the lower abdomen to the spine, requiring a thorough understanding of relevant anatomy and anatomic variations.</div></div><div><h3>Methods</h3><div>A 69-year-old female with an EPK presented with left lower extremity radicular pain. She had failed conservative management and an ALIF was recommended. Preoperative MRI and CT imaging delineated the unique location of the kidney and numerous renal vascular anatomic variations. However, other anomalous vascular and ureterovesical structures could not be excluded. For this reason, the authors opted to use a transabdominal transperitoneal approach.</div></div><div><h3>Results</h3><div>Our approach consisted of a midline-transabdominal-transperitoneal incision to include the skin, subcutaneous tissue, and linea alba. Once the peritoneum was entered, the omentum was packed cephalad, and the small bowel was wrapped and mobilized to the right. The EPK was rotated cephalo-medially and its three renal arteries were located, dissected, and carefully protected. After adequate exposure of the L4-L5 interbody space, a discectomy was performed, followed by implantation of a lumbar interbody fusion cage filled with allograft bone. The patient proceeded to have an uneventful recovery, with a mild increase in creatinine on postoperative day one, which normalized by her discharge on postoperative day four.</div></div><div><h3>Conclusion</h3><div>EPK is a congenital anomaly that can present with complex and variable anatomy. When planning to perform an ALIF in the setting of EPK, complex and anomalous vascular anatomy should be expected. Therefore, strong consideration may be given to imaging, though underlying vascular structure cannot be ruled out. We describe a trans-abdominal transperitoneal approach with medial visceral rotation, as this approach may provide the highest flexibility to avoid inadvertent complications during ALIF in patients with EPK.</div></div><div><h3>Level of evidence</h3><div>Level IV.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 2","pages":"Article 100379"},"PeriodicalIF":0.0,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143874305","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":"A case of arterial reconstruction for multiple hepatic artery aneurysms complicated by hereditary hemorrhagic telangiectasia","authors":"Yasutake Momokawa,&nbsp;Koji Maeda","doi":"10.1016/j.avsurg.2025.100378","DOIUrl":"10.1016/j.avsurg.2025.100378","url":null,"abstract":"<div><div>Hereditary hemorrhagic telangiectasia (HHT) is a rare autosomal dominant genetic disorder that manifests as mucous telangiectasia and arteriovenous malformations (AVMs) in the major organs. Although HHT type 2 often involves intrahepatic AVMs or aneurysms, which lead to high output and portal hypertension, extrahepatic aneurysm is a rare condition. Herein, we report a case of successful surgical intervention for an extrahepatic aneurysm in a patient with HHT type 2. Pathological findings of the resected aneurysm included hypoplasia of the media and absence of the intimal elastic lamina without atherosclerotic change. We believe that surgical resection is a favorable procedure for a patient with hepatic artery aneurysms concomitant with HHT.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 2","pages":"Article 100378"},"PeriodicalIF":0.0,"publicationDate":"2025-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143848424","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":"Traumatic common carotid artery-internal jugular vein fistula in an acute setting: A case report with review of literature","authors":"Ezaz Ahmed ,&nbsp;Aamir Mohammad ,&nbsp;Saifullah Khalid ,&nbsp;Syed Shamayal Rabbani ,&nbsp;Mohd Azam Haseen ,&nbsp;Areeba Khursheed","doi":"10.1016/j.avsurg.2025.100377","DOIUrl":"10.1016/j.avsurg.2025.100377","url":null,"abstract":"<div><h3>Introduction</h3><div>Arteriovenous fistulas may be due to trauma or due to iatrogenic causes. These patients present with non specific symptoms such as high output heart failure years later after the development of the fistula. Formation of the fistula in an acute setting immediately after the trauma is a rare occurrence. Here we present a case of a 19 year old boy who presented with a fistula a few hours after the trauma.</div></div><div><h3>Case Summary</h3><div>A 19 year old boy with history of firearm injury to the left side of the neck presented with a palpable thrill and an audible bruit over the site of injury. CT Angiography was done which showed multiple pseudo aneurysms arising from the left common carotid artery(CCA) and a communication with the adjacent internal jugular vein(IJV). Endovascular embolisation of the fistula was done and a stent was placed across the fistula. On check angiography, no fistulous communication was noted between the left CCA and IJV post procedure and the patient was discharged under stable conditions.</div></div><div><h3>Conclusion</h3><div>Traumatic AVFs involving the common carotid artery and internal jugular veins is not uncommon but usually presents after a period of time with added morbidity, and has been not been reported frequently. Also, the fistulas present much later unlike in this case report which presented very early. Ultrasound or CT angiogram may aid in diagnosis. However, conventional angiogram is the gold standard for diagnosis with interventional techniques available for managing these high flow fistulas with a good technical success and acceptable safety profile.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 2","pages":"Article 100377"},"PeriodicalIF":0.0,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143859836","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":"Aortic endograft infection with Mycobacterium bovis following intravesical BCG immunotherapy diagnosed via the Karius Test™- case report and review of literature","authors":"Prateek Sharma ,&nbsp;Kristin Schafer ,&nbsp;Richard J. Hankins ,&nbsp;Jonathan R. Thompson ,&nbsp;Jason R. Cook","doi":"10.1016/j.avsurg.2025.100376","DOIUrl":"10.1016/j.avsurg.2025.100376","url":null,"abstract":"<div><div>Bacillus Calmette-Guérin (BCG), a live attenuated form of <em>Mycobacterium bovis,</em> is utilized in non–muscle-invasive bladder cancer therapy. Disseminated BCG infection causing vascular graft infection is extremely rare. In this report, we review the literature and describe a rare case of aortic endograft infection in a 72- year-old man, who underwent intravesical BCG treatment four years ago that was diagnosed utilizing next generation sequencing technique via the Karius test™ enabling earlier diagnosis and treatment start compared to conventional microbiological diagnostic tools. The morbidity and mortality from aortic graft infections remain high, therefore prompt diagnosis and multidisciplinary approach is paramount.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 2","pages":"Article 100376"},"PeriodicalIF":0.0,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143837928","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":"Recurrent rupture of an infected femoral artery pseudoaneurysm secondary to a 35-year-old plated arthrodesis: A case report","authors":"Dan Y. Draytsel ,&nbsp;Deena B. Chihade ,&nbsp;Michael J. Costanza ,&nbsp;Anthony Feghali","doi":"10.1016/j.avsurg.2025.100375","DOIUrl":"10.1016/j.avsurg.2025.100375","url":null,"abstract":"<div><div>Femoral endarterectomy with patch angioplasty is the standard of care for patients suffering from chronic limb-threatening ischemia with significant inflow disease. Despite avoidance of prosthetic and increased use of biologicanalogs, graft infection remains a risk. We describe a patient with recurrent infected femoral artery pseudoaneurysm who underwent appropriate work-up that failed to implicate a source initially. This case highlights the dilemma of patch selection in the face of recurrent infection, the importance of collaborative efforts of three specialties to identify that source and the paucity of studies linking orthopedic hardware to infectious complications associated with vascular grafts.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 2","pages":"Article 100375"},"PeriodicalIF":0.0,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143785907","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":"Internal carotid artery hypoplasia: A case report","authors":"Felipe Labaki Pavarino ,&nbsp;Adriano Carvalho Guimarães ,&nbsp;Halison Vilacorta Araujo de Sousa ,&nbsp;Fernanda Fagundes Ribeiro ,&nbsp;Zeferino Demartini Junior ,&nbsp;Laura Ziemba Araujo ,&nbsp;Ricardo Herkenhoff Moreira ,&nbsp;Walter Junior Boim de Araujo","doi":"10.1016/j.avsurg.2025.100374","DOIUrl":"10.1016/j.avsurg.2025.100374","url":null,"abstract":"<div><div>The internal carotid artery hypoplasia is a rare congenital anomaly that results in a diffuse narrowing of the arterial lumen, affecting the internal carotid artery from 1 to 2 centimeters above the bifurcation, continuing cranially. When clinically symptomatic, it can lead to cerebral ischemia or hemorrhage. This anomaly is often associated with some circle of Willis’ variations, increased intracranial aneurysm incidence, and an extensive compensation network of collateral vessels due to the decreased carotid flow. We report the case of a 59-year-old female patient with nonspecific complaints, whose investigations revealed unilateral hypoplasia of the left internal carotid artery.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 1","pages":"Article 100374"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143579144","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":"Successful staged treatment of rapidly expanded thoracic aortic aneurysm following abdominal aortic aneurysm occlusion","authors":"Shigeshi Ono,&nbsp;Yutaka Takigawa,&nbsp;Hirotoshi Hasegawa","doi":"10.1016/j.avsurg.2025.100372","DOIUrl":"10.1016/j.avsurg.2025.100372","url":null,"abstract":"<div><div>We present the case of a 66-year-old man with aortoiliac occlusive disease (AIOD) complicated by mild abdominal aortic dilation and a thoracic aortic aneurysm (TAA). The patient first presented with intermittent claudication; imaging revealed bilateral common iliac artery stenosis with severe calcification and a dilated thoracic and abdominal aorta. The patient declined treatment and he was lost to follow-up for over two years. Upon returning to the hospital with worsening symptoms, imaging revealed aorto-bilateral iliac occlusion and significant progression of both thoracic and abdominal aortic dilation. Surgical intervention was again declined, and conservative management was continued. Three and a half years after the initial visit, the patient consented to a two-stage treatment. The first stage involved aorto-bifemoral bypass for the AIOD, which improved circulation and relieved symptoms. The second stage, performed three months later, involved thoracic endovascular aortic repair for the TAA. Both procedures were completed without complications, and the patient was discharged in stable condition. This case provides valuable insight into the progression of occlusive arteriosclerosis and aneurysms under conservative observation, highlighting the need for tailored, patient-centric approaches in vascular disease management.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 1","pages":"Article 100372"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143550464","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":"Ruptured abdominal aortic aneurysm treated using infrarenal-occlusion-balloon technique with ENDURANT IIs","authors":"Shuhei Azuma,&nbsp;Yuki Asada,&nbsp;Ryo Shimada,&nbsp;Shigeru Nakamura","doi":"10.1016/j.avsurg.2025.100373","DOIUrl":"10.1016/j.avsurg.2025.100373","url":null,"abstract":"<div><div>Rapid and effective cessation of bleeding is the most important step in the treatment of ruptured abdominal aortic aneurysms (rAAAs) and should be achieved before endovascular abdominal aneurysm repair (EVAR). In this study, we assessed the infrarenal-occlusion-balloon technique using ENDURANT Ⅱs for rAAAs. Our technique involves dilating the occlusion balloon in ENDURANT Ⅱs just below the renal artery, which helps avoid damage to the native aorta and the risk of organ ischemia. Additionally, the ability to perform continuous EVAR with bleeding control is another major advantage. We analyzed 12 consecutive patients with rAAAs who were treated using our infrarenal-occlusion-balloon technique with ENDURANT Ⅱs between March 2016 and December 2024. The average time from the start of surgery until hemostasis was 20 min, with a 30-day mortality rate of 16.7 %. Our infrarenal-occlusion-balloon technique using ENDURANT Ⅱs can be considered a faster, safer, and more effective method for treating rAAAs.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 1","pages":"Article 100373"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143550465","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":"Intravascular lipoma with extravascular extension, a rare phenomena and review of the literature","authors":"Mennatalla Hegazi ,&nbsp;Charlene Yuan ,&nbsp;Nii-Kabu Kabutey ,&nbsp;Roy M Fujitani ,&nbsp;Hari Keshava ,&nbsp;Ali Mahtabifard ,&nbsp;Anthony H Chau","doi":"10.1016/j.avsurg.2025.100370","DOIUrl":"10.1016/j.avsurg.2025.100370","url":null,"abstract":"<div><div>Lipomas are the most common soft tissue tumors, accounting for half of all soft tissue masses. However, intravascular lipomas (IVLs) are rare. IVLs have been described in case reports in the various major veins. They are often asymptomatic and found incidentally. Given the risk of malignancy, as liposarcomas are the second most common soft tissue sarcoma in adults and account for 1 % of all malignancies, histological differentiation is important, and surgical excision remains the mainstay of treatment in the literature. We present the case of a 61-year-old male who presented with left chest pain that radiated to his left shoulder and arm. On further evaluation, the patient endorsed left-hand swelling and weakness and increased prominence of veins in the left upper extremity. He underwent a CT scan that showed a hypodense mass with fat attenuation in the left innominate vein extending extra-vascularly and into the left internal jugular vein, measuring 2.3 × 2.0 × 5.2 cm. Successful surgical excision and reconstruction of the innominate vein with reimplantation of the left internal jugular vein was performed through median sternotomy and left cervical incision. The postoperative course was unremarkable, and the patient recovered well. The clinical presentation of an intravascular lipoma in a large caliber vessel can be subtle and nonspecific. This case report characterizes this rare vascular tumor and includes a contemporary literature review, summarizing the diagnosis and treatment options.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 1","pages":"Article 100370"},"PeriodicalIF":0.0,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143453840","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}