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

Paget-Schroetter Syndrome secondary to anomalous right-sided aortic arch: A case report

Annals of vascular surgery. Brief reports and innovations Pub Date : 2025-02-09 DOI: 10.1016/j.avsurg.2025.100368

Katrina Pardo , Sofia Steger , Edgar Galinanes , Juan Carlos Pereda

{"title":"Paget-Schroetter Syndrome secondary to anomalous right-sided aortic arch: A case report","authors":"Katrina Pardo , Sofia Steger , Edgar Galinanes , Juan Carlos Pereda","doi":"10.1016/j.avsurg.2025.100368","DOIUrl":"10.1016/j.avsurg.2025.100368","url":null,"abstract":"<div><div>Thoracic Outlet Syndrome (TOS) is a rare condition, with an estimated prevalence of about 3 in 100,000 individuals.<sup>1</sup> Venogenic TOS, also referred to as Paget-Schroetter Syndrome (PSS), is rarer than neurogenic TOS with an estimated prevalence of 1 in 100,000.<sup>1</sup> In this case report, we present a rare case of PSS secondary to an anomalous right-sided aortic arch with branching anomalies, which are described poorly in the literature. The patient, a 41-year-old male with no significant past medical history, presented with classic PSS symptoms that include left neck swelling and pain, intermittent numbness, and swelling in the left arm. Following admission, a chest CT with contrast revealed a right-sided aortic arch along with a left common carotid artery and left subclavian artery that share a common trunk. Ultrasound revealed thrombosis of the left subclavian and innominate veins consistent with PSS. He underwent an aspiration thrombectomy and catheter-directed thrombolytic therapy. The patient is currently symptom-free and successfully managed in the short term with anticoagulation therapy.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 1","pages":"Article 100368"},"PeriodicalIF":0.0,"publicationDate":"2025-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143395651","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}

引用次数: 0

Facial flushing can be a rare presentation of SVC syndrome

Annals of vascular surgery. Brief reports and innovations Pub Date : 2025-02-09 DOI: 10.1016/j.avsurg.2025.100369

Claire Elizabeth Cassianni , Noora Jabeen , Tiziano Tallarita , Michel K Barsoum , Vaibhav R. Vaidya , Indrani Sen

引用次数: 0

A rare case of acute arterial thrombosis revealing undifferentiated arterial leiomyosarcoma

Annals of vascular surgery. Brief reports and innovations Pub Date : 2025-01-23 DOI: 10.1016/j.avsurg.2025.100365

Masato Tsuchimochi , Shigeta Miyake , Taisuke Akimoto , Yuta Otomo , Yasunobu Nakai , Kotaro Oshio , Tetsuya Yamamoto

{"title":"A rare case of acute arterial thrombosis revealing undifferentiated arterial leiomyosarcoma","authors":"Masato Tsuchimochi , Shigeta Miyake , Taisuke Akimoto , Yuta Otomo , Yasunobu Nakai , Kotaro Oshio , Tetsuya Yamamoto","doi":"10.1016/j.avsurg.2025.100365","DOIUrl":"10.1016/j.avsurg.2025.100365","url":null,"abstract":"<div><div>Aortic leiomyosarcoma, a rare and elusive malignancy, presents diagnostic and therapeutic dilemmas due to its nonspecific symptoms and aggressive course. We report a unique case where the incidental discovery of arterial leiomyosarcoma occurred during acute cerebral infarction management. A previously healthy 58-year-old woman, initially presenting with severe neurological deficits indicative of acute ischemic stroke, underwent prompt recanalization therapy that resulted in successful restoration. Unexpectedly, a histopathological examination of the extracted thrombus revealed arterial leiomyosarcoma. The diagnostic process involved immunohistochemistry and contrast-enhanced computed tomography, confirming the presence of leiomyosarcoma originating from the ascending aorta. Given the patient's severe disability, a palliative care approach was chosen to prioritize comfort and quality of life. This case underscores the diagnostic potential of acute recanalization therapy for functional recovery as well as histopathological examination, shedding light on rare diseases. Further case accumulation is essential to refine treatment strategies and improve prognostic outcomes for vascular sarcomas.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 1","pages":"Article 100365"},"PeriodicalIF":0.0,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143139032","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}

引用次数: 0

Retroperitoneal approach for redo median arcuate ligament release

Annals of vascular surgery. Brief reports and innovations Pub Date : 2025-01-21 DOI: 10.1016/j.avsurg.2025.100366

Matthew Fastiggi, Arash Bornak, Matthew Sussman, Hilene DeAmorim, Naixin Kang

引用次数: 0

Recurrent disconnection of Gore Iliac Branch Endoprosthesis: Case report and review of contributing factors

Annals of vascular surgery. Brief reports and innovations Pub Date : 2025-01-20 DOI: 10.1016/j.avsurg.2025.100363

Catherine Boudreau, Caroline Caradu, Xavier Bérard, Eric Ducasse

{"title":"Recurrent disconnection of Gore Iliac Branch Endoprosthesis: Case report and review of contributing factors","authors":"Catherine Boudreau, Caroline Caradu, Xavier Bérard, Eric Ducasse","doi":"10.1016/j.avsurg.2025.100363","DOIUrl":"10.1016/j.avsurg.2025.100363","url":null,"abstract":"<div><h3>Introduction</h3><div>Iliac artery aneurysms (IAAs) which may coexist with abdominal aortic aneurysms (AAAs) or appear as isolated lesions, represent around 2 % of intra-abdominal aneurysms. Endovascular repair using iliac branch devices (IBDs) helps preserve internal iliac artery (IIA) perfusion, reducing complications like buttock claudication. However, device displacement and type III endoleaks are significant challenges, especially in tortuous anatomy.</div></div><div><h3>Report</h3><div>We report two cases of type III endoleak due to displacement of Gore Iliac Branch Endoprosthesis (IBE). In the first case, a 60-year-old male with a left IAA experienced immediate postoperative IBE migration and type III endoleak, necessitating urgent reintervention with bridging stents. In the second, a 74-year-old male treated for a right IAA had recurrent IBE displacements over four years, with repeated type III endoleaks, managed by repeated stenting. Severe iliac tortuosity contributed to both cases.</div></div><div><h3>Discussion</h3><div>These cases highlight the complexities of IAA endovascular repair with IBDs, particularly the risk of device migration and endoleaks, with severe iliac tortuosity, device properties (e.g. conformability, low friction coefficient), and response to cardiac pulsatility increasing migration risk. Future studies should address these challenges, focusing on device design improvements and predictive imaging techniques, including artificial intelligence, to enhance long-term outcomes in IAA repair.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 1","pages":"Article 100363"},"PeriodicalIF":0.0,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143139016","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}

引用次数: 0

Endovascular coil embolization of a symptomatic profunda femoris artery aneurysm in a patient with a complex vascular history through a transbrachial approach

Annals of vascular surgery. Brief reports and innovations Pub Date : 2025-01-19 DOI: 10.1016/j.avsurg.2025.100364

W.M. Yu , D.K. Shan , S.M. Saravitz , N. Udgiri

引用次数: 0

Surgical extremity preservation in severe acute limb ischemia in a 4-week-old newborn

Annals of vascular surgery. Brief reports and innovations Pub Date : 2025-01-08 DOI: 10.1016/j.avsurg.2025.100362

Manuela Schulz , Johannes Hatzl , Katrin Meisenbacher , Christian Gille , Andreas S. Peters , Dittmar Böckler

{"title":"Surgical extremity preservation in severe acute limb ischemia in a 4-week-old newborn","authors":"Manuela Schulz , Johannes Hatzl , Katrin Meisenbacher , Christian Gille , Andreas S. Peters , Dittmar Böckler","doi":"10.1016/j.avsurg.2025.100362","DOIUrl":"10.1016/j.avsurg.2025.100362","url":null,"abstract":"<div><div>This case report describes a successful revascularisation of severe acute limb ischemia (ALI) in a 4-week-old newborn following common femoral artery dissection due to catheterization for invasive blood pressure measurement during cardiac arrest in the intensive care unit. Iatrogenic acute limb ischemia in childhood is very rare and, in selected cases, a fatal condition potentially associated with limb loss and lifelong mobility impairments. The most common cause of acute limb ischemia in newborns is catheter-associated thrombosis. Current clinical guidelines recommend primary conservative management with heparin administration (level of recommendation: Class 1C) for children under 2 years of age. If revascularization is needed and indicated, open surgical techniques are typically performed. The following case report describes successful surgical treatment of acute limb ischemia in the context of current literature on ALI in childhood, including clinical presentation, diagnosis, treatment, and follow-up.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 1","pages":"Article 100362"},"PeriodicalIF":0.0,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143139017","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}

引用次数: 0

Takayasu arteritis beyond the young: What to consider?

Annals of vascular surgery. Brief reports and innovations Pub Date : 2025-01-07 DOI: 10.1016/j.avsurg.2025.100361

Suci Indriani , Averina Geffanie Suwana , Suko Adiarto , Taofan , Ruth Grace Aurora , Iwan Dakota

{"title":"Takayasu arteritis beyond the young: What to consider?","authors":"Suci Indriani , Averina Geffanie Suwana , Suko Adiarto , Taofan , Ruth Grace Aurora , Iwan Dakota","doi":"10.1016/j.avsurg.2025.100361","DOIUrl":"10.1016/j.avsurg.2025.100361","url":null,"abstract":"<div><h3>Background</h3><div>Takayasu arteritis (TA), also known as the pulseless disease, is a rare systemic inflammatory condition that damages medium and larger arteries. With an incidence rate of 2–6 per million, it predominantly affects individuals aged 20–40. Clinical manifestations vary from asymptomatic cases to severe vascular damage, often complicating diagnosis. This report aims to shed light on diagnosing Takayasu arteritis in older women.</div></div><div><h3>Case Summary</h3><div>A 57-year-old Southeast Asian woman presented with intermittent claudication of the upper and lower limbs. Examination revealed a significant systolic blood pressure discrepancy of 60 mmHg between the left and right leg, and vascular bruits over the subclavian arteries. Laboratory tests showed high inflammatory markers and positive ANA. Imaging with duplex ultrasound and CT scan revealed total occlusion of bilateral superficial femoral artery and stenosis of the subclavian arteries. Based on the findings, the patient was diagnosed with Takayasu arteritis. Treatment with high-dose corticosteroids and methotrexate (Methotrexate), along with antihypertensive and antiplatelet drugs, led to symptom improvement and no adverse events at the 1-year follow-up.</div></div><div><h3>Discussion</h3><div>Takayasu arteritis, while primarily affecting the young, can manifest in older individuals, presenting diagnostic challenges due to its rarity and non-specific symptoms. This case underscores the importance of including TA in the differential diagnosis for older patients with vascular symptoms. Individualized and tailored management of immunosuppressive therapy and regular monitoring are essential to control disease progression and improve outcomes.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 1","pages":"Article 100361"},"PeriodicalIF":0.0,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143139018","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}

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Thoracic aorta to inferior mesenteric artery bypass for treatment of chronic mesenteric ischemia

Annals of vascular surgery. Brief reports and innovations Pub Date : 2025-01-03 DOI: 10.1016/j.avsurg.2025.100360

Marjorie R. Liggett , Margaret A. Reilly , Nidhi Reddy , Nicholas S. Lysak , Heron Rodriguez , Neel A. Mansukhani

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Cross-pelvic retrograde embolization of an enlarging proximally occluded internal iliac artery aneurysm: A case report

Annals of vascular surgery. Brief reports and innovations Pub Date : 2025-01-01 DOI: 10.1016/j.avsurg.2024.100359

Alyssa J. Pyun, Ashley C. Hsu , Sukgu M. Han, Fred A. Weaver, Gregory A. Magee

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