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

{"title":"Common hepatic artery true aneurysm: Case report and review of the literature","authors":"Ismaïl Ben Ayad ,&nbsp;Luis Carlos Silva Corten ,&nbsp;Cabri Mathieu ,&nbsp;Vincent Scavee","doi":"10.1016/j.avsurg.2025.100383","DOIUrl":"10.1016/j.avsurg.2025.100383","url":null,"abstract":"<div><h3>Background</h3><div>Hepatic artery aneurysms (HAAs) are rare but potentially life-threatening vascular conditions that can be life-threatening. Their natural history remains poorly understood, and management guidelines are based on limited evidence due to their rarity.</div></div><div><h3>Case Report</h3><div>We describe the case of a 70-year-old male diagnosed incidentally with a saccular HAA during an oncologic workup for right colon adenocarcinoma. Due to aneurysm's size, its inherent risk of rupture, and the patient's history of carotid artery dissection, surgical intervention was indicated. A multidisciplinary approach was adopted, prioritizing right hemicolectomy, followed by open aneurysmectomy and primary vascular reconstruction. Histopathology confirmed an atherosclerotic aneurysm with no signs of vasculopathy. The patient recovered well after surgery.</div></div><div><h3>Discussion</h3><div>HAAs’ most frequent etiology is atherosclerosis, with other etiologies including infections, connective tissue disorders, and trauma. Most HAAs are asymptomatic and therefore are detected incidentally. Rupture is the primary concern since it carries high mortality. Current SVS guidelines recommend intervention for symptomatic HAAs of any size and those exceeding 2 cm. While an “endovascular first” approach is preferred due to multiple benefits, open surgery remains essential in complex cases, particularly when anatomical variations pose technical challenges.</div></div><div><h3>Conclusion</h3><div>The management of HAAs requires individualized decision-making. In our case, open surgery allowed for the simultaneous treatment of two pathologies and addressed anatomical constraints. A collaborative, multidisciplinary strategy is key to achieving the best outcomes. Further case reporting of this rare condition is essential to refine current management strategies.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 2","pages":"Article 100383"},"PeriodicalIF":0.0,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143947890","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":"Concomitant presentation and surgical management of bilateral serotonin-producing carotid body tumor and thyroid carcinoma","authors":"Astrid Varela-Arzate ,&nbsp;Carlos D. Franco-Gonzalez ,&nbsp;Aliberth Bonilla-Salas ,&nbsp;Osvaldo A. Gamboa-Abundis ,&nbsp;Rafael H. Pérez-Soto ,&nbsp;Hugo Laparra-Escareno ,&nbsp;Javier E. Anaya-Ayala","doi":"10.1016/j.avsurg.2025.100381","DOIUrl":"10.1016/j.avsurg.2025.100381","url":null,"abstract":"<div><div>Carotid body tumors (CBTs) are rare neuroendocrine neoplasms, and approximately 2% are catecholamine and dopamine producers. While CBTs may coexist with other neck neoplasms, the presence of a serotonin-producing CBT with malignancies, such as papillary thyroid carcinoma, is uncommon, with limited published data. We present the case of a 66-year-old woman with progressive weight loss who was found to have bilateral palpable neck masses. A comprehensive evaluation led to the diagnosis of a bilateral serotonin-producing carotid body tumor and papillary thyroid carcinoma. The initial surgical intervention included a total thyroidectomy and resection of the right CBT with our retrocarotid dissection technique. Eight months later, our vascular surgery team performed the resection of the contralateral CBT. At seventeen months of follow-up serotonin levels gradually decreased until reaching normal values. This case illustrates a rare clinical occurrence and successful management of bilateral serotonin-producers CBTs with papillary thyroid carcinoma.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 2","pages":"Article 100381"},"PeriodicalIF":0.0,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143943052","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":"Late effect of an embolized coronary stent in the lower extremities","authors":"Mauricio Gonzalez-Urquijo,&nbsp;Francisco Valdes,&nbsp;Leopoldo Marine,&nbsp;Jose Francisco Vargas,&nbsp;Michel Bergoeing","doi":"10.1016/j.avsurg.2025.100382","DOIUrl":"10.1016/j.avsurg.2025.100382","url":null,"abstract":"<div><h3>Purpose</h3><div>To report a late complication involving an embolized stent that migrated into the peripheral circulation during an emergency coronary intervention.</div></div><div><h3>Case Report</h3><div>A 69-year-old man with a history of myocardial infarction 12 years prior, during which he experienced prolonged cardiac arrest following a failed coronary stenting attempt and subsequent aorto-coronary bypass surgery, presented to the emergency department with acute limb ischemia in the right lower limb. A CT angiogram revealed complete occlusion of the popliteal artery and a hyperdense image at the tibioperoneal trunk. Popliteal artery exploration and embolectomy successfully restored proximal blood flow; however, a firm occlusion at the tibioperoneal trunk necessitated an arteriotomy. This procedure uncovered a coronary stent adhered to the endothelium, which was removed via endarterectomy. The patient was prescribed rivaroxaban for six months. At a six-year follow-up, he remains well and asymptomatic, continuing on aspirin and a reduced dose of rivaroxaban.</div></div><div><h3>Conclusion</h3><div>This case underscores the importance of monitoring long-term complications following coronary interventions and highlights the need for vigilance in managing patients at risk for device embolization.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 2","pages":"Article 100382"},"PeriodicalIF":0.0,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144069948","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 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}