{"title":"Massive retroperitoneal aortoiliac aneurysm rupture revealing chronic Q fever","authors":"Lin-Pierre Zhao MD , Quentin Pellenc MD , Nicoletta Pasi MD , Khadija Benali MD , Lydia Deschamps MD , Karim Sacre MD, PhD","doi":"10.1016/j.jvsc.2015.12.003","DOIUrl":"10.1016/j.jvsc.2015.12.003","url":null,"abstract":"<div><p>Chronic <em>Coxiella burnetii</em> vascular infection is rare and usually develops on a pre-existing vascular lesion, such as an aneurysm or vascular prosthesis. We report a case of proven <em>C. burnetii</em> aortic infection revealed by a massive retroperitoneal aortoiliac aneurysm rupture in a patient at apparent low risk for chronic Q fever. Emergency treatment consisted of resection of the infected aneurysm and replacement with an in situ graft angioplasty. Doxycycline and hydroxychloroquine therapy was started postoperatively. After 6 months of follow-up, the patient had no signs of infection, and <em>C. burnetii</em> serologic antibody titers had significantly decreased.</p></div>","PeriodicalId":91348,"journal":{"name":"Journal of vascular surgery cases","volume":"2 1","pages":"Pages 1-3"},"PeriodicalIF":0.0,"publicationDate":"2016-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jvsc.2015.12.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54824842","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}
Giovanni Spinella MD, Bianca Pane MD, Maria Cecilia Perfumo MD, Domenico Palombo MD
{"title":"Spontaneous iliac artery dissection treated with a combination of covered and self-expandable stents to preserve hypogastric patency","authors":"Giovanni Spinella MD, Bianca Pane MD, Maria Cecilia Perfumo MD, Domenico Palombo MD","doi":"10.1016/j.jvsc.2016.02.003","DOIUrl":"10.1016/j.jvsc.2016.02.003","url":null,"abstract":"<div><p>A 56-year-old man presented with abdominal pain in the left lower quadrant. Computed tomography angiography showed the presence of an iliac axis dissection.</p><p>Two Viabahn (W. L. Gore & Associates, Flagstaff, Ariz) covered stents were placed, starting from the beginning of the left common iliac artery to the iliac bifurcation, closing the proximal dissection tear in the left common iliac artery. A self-expandable EverFlex stent (EV3-Covidien, Plymouth, Minn) was then placed, bridging the covered stent and the left external iliac artery, covering the re-entry tear.</p><p>There were no postoperative complications. During follow-up, we observed a progressive and complete thrombosis of the false lumen in 12 months.</p></div>","PeriodicalId":91348,"journal":{"name":"Journal of vascular surgery cases","volume":"2 1","pages":"Pages 14-17"},"PeriodicalIF":0.0,"publicationDate":"2016-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jvsc.2016.02.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54824924","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":"Information for readers","authors":"","doi":"10.1016/S2352-667X(16)00019-9","DOIUrl":"https://doi.org/10.1016/S2352-667X(16)00019-9","url":null,"abstract":"","PeriodicalId":91348,"journal":{"name":"Journal of vascular surgery cases","volume":"2 1","pages":"Page A8"},"PeriodicalIF":0.0,"publicationDate":"2016-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S2352-667X(16)00019-9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91676155","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":"Endovascular stent graft exclusion of a thoracic arteriovenous malformation in a patient with Cobb syndrome","authors":"Cindy Huynh MD , Vivian Gahtan MD , Robert Schwartz MD","doi":"10.1016/j.jvsc.2015.04.014","DOIUrl":"10.1016/j.jvsc.2015.04.014","url":null,"abstract":"<div><p>Cobb syndrome is a rare neurocutaneous disorder characterized by spinal vascular abnormalities in association with a vascular lesion of the skin at the same metamere. Patients present after the onset of symptoms such as paraplegia, back pain, and, less commonly, fatigue due to heart failure. Available treatment options to date have included neurosurgical resection and endovascular embolization. We present a patient with Cobb syndrome with a progressively symptomatic arteriovenous malformation involving the thoracic vertebrae and left hemithorax, with extensive blood supply from the T3 to T10 intercostal arteries, and demonstrate successful endovascular thoracic stent graft placement and coil embolization.</p></div>","PeriodicalId":91348,"journal":{"name":"Journal of vascular surgery cases","volume":"2 1","pages":"Pages 7-9"},"PeriodicalIF":0.0,"publicationDate":"2016-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jvsc.2015.04.014","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49686109","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":"Aortic arch aneurysm repair using the Najuta stent graft in a challenging compromised seal zone","authors":"Naoki Toya MD , Kota Shukuzawa MD , Soichiro Fukushima MD , Masamichi Momose MD , Tadashi Akiba MD , Takao Ohki MD","doi":"10.1016/j.jvsc.2016.02.004","DOIUrl":"10.1016/j.jvsc.2016.02.004","url":null,"abstract":"<div><p>We report the case of a 67-year-old patient with an anatomically complex aneurysm of the aortic arch treated by fenestrated thoracic endovascular aortic repair with subclavian-carotid extrathoracic bypass. We used the Najuta thoracic stent graft, which was approved for use in January 2013 in Japan and successfully excluded the aneurysm. Our case shows that the Najuta stent graft procedure is a feasible treatment if open repair is unsuitable for cases of aortic arch aneurysm with a challenging compromised seal zone.</p></div>","PeriodicalId":91348,"journal":{"name":"Journal of vascular surgery cases","volume":"2 1","pages":"Pages 21-24"},"PeriodicalIF":0.0,"publicationDate":"2016-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jvsc.2016.02.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54824934","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}
Rodolfo Pini MD, Gianluca Faggioli MD, Chiara Mascoli MD, Antonio Freyrie MD, Mauro Gargiulo MD, Andrea Stella MD
{"title":"The diagnostic and treatment challenge of type IIIb endoleaks","authors":"Rodolfo Pini MD, Gianluca Faggioli MD, Chiara Mascoli MD, Antonio Freyrie MD, Mauro Gargiulo MD, Andrea Stella MD","doi":"10.1016/j.jvsc.2015.07.009","DOIUrl":"10.1016/j.jvsc.2015.07.009","url":null,"abstract":"<div><p>Type IIIb endoleak is a rare complication of endovascular aortic repair caused by endoprosthesis deterioration, leading to aneurysm pressurization and potential rupture. Because of its rarity, few cases are published. We report six cases of type IIIb endoleak in a 15-year period. Appropriate preoperative diagnosis was achieved in five cases; duplex ultrasonography, computed tomography angiography, and contrast-enhanced ultrasonography were useful diagnostic tools in one case, and angiography led to the correct diagnosis in four cases. In the remaining case, only surgical exploration identified the type IIIb endoleak. Successful treatment was achieved by endovascular relining in five cases and by surgical conversion in one case.</p></div>","PeriodicalId":91348,"journal":{"name":"Journal of vascular surgery cases","volume":"1 4","pages":"Pages 249-253"},"PeriodicalIF":0.0,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jvsc.2015.07.009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54824020","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":"Events of interest","authors":"","doi":"10.1016/S2352-667X(15)00131-9","DOIUrl":"https://doi.org/10.1016/S2352-667X(15)00131-9","url":null,"abstract":"","PeriodicalId":91348,"journal":{"name":"Journal of vascular surgery cases","volume":"1 4","pages":"Page A6"},"PeriodicalIF":0.0,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S2352-667X(15)00131-9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137366346","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}
Arjun Jayaraj MBBS, Peter Gloviczki MD, Syed Peeran MD, Linda Canton RN
{"title":"Hybrid intervention for treatment of the nutcracker syndrome","authors":"Arjun Jayaraj MBBS, Peter Gloviczki MD, Syed Peeran MD, Linda Canton RN","doi":"10.1016/j.jvsc.2015.08.005","DOIUrl":"10.1016/j.jvsc.2015.08.005","url":null,"abstract":"<div><p>Nutcracker syndrome is a rare anomaly resulting from compression of the left renal vein between the aorta and the superior mesenteric artery. Open and endovascular interventions have both been performed to relieve the compression. Each of these interventions has strengths and weaknesses. We report two patients in whom a hybrid approach was adopted in the process combining the strengths of each intervention while reducing potential complications.</p></div>","PeriodicalId":91348,"journal":{"name":"Journal of vascular surgery cases","volume":"1 4","pages":"Pages 268-271"},"PeriodicalIF":0.0,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jvsc.2015.08.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54824613","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":"Abnormally high failure rate for femoral angioplasty in patients with pseudoxanthoma elasticum","authors":"Myriam Ammi MD , Guido Kranenburg MD , Loukman Omarjee MD , Ludovic Martin MD, PhD , Wilko Spiering MD, PhD , Georges Lefthériotis MD, PhD","doi":"10.1016/j.jvsc.2015.10.001","DOIUrl":"10.1016/j.jvsc.2015.10.001","url":null,"abstract":"<div><p>Pseudoxanthoma elasticum (PXE) is an inherited disease characterized by skin lesions, central blindness, and progressive peripheral occlusive disease. Severe claudication is a frequent symptom for which angioplasty represents a possible therapeutic avenue. We report the outcomes of four patients with PXE treated by angioplasty and stenting of the superficial femoral artery in two centers. These patients exhibited an abnormal failure rate for angioplasty and stenting of the superficial femoral artery, suggesting an as yet unknown susceptibility in such patients. In the absence of further evidence, we do not recommend arterial angioplasty with stenting as a primary surgical approach in PXE patients with femoral artery lesions.</p></div>","PeriodicalId":91348,"journal":{"name":"Journal of vascular surgery cases","volume":"1 4","pages":"Pages 276-278"},"PeriodicalIF":0.0,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jvsc.2015.10.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54824734","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}
John Byrne MB BCh, MD, FRCSI , Elisa Greco MD , Erik Yeo MD, FACP, FRCPC , Stuart McCluskey MD, FRCPC , Thomas Lindsay MDCM, Msc, BSc, FRCSC
{"title":"Tibial bypass salvage with eptifibatide in a patient with thrombocythemia","authors":"John Byrne MB BCh, MD, FRCSI , Elisa Greco MD , Erik Yeo MD, FACP, FRCPC , Stuart McCluskey MD, FRCPC , Thomas Lindsay MDCM, Msc, BSc, FRCSC","doi":"10.1016/j.jvsc.2015.08.004","DOIUrl":"10.1016/j.jvsc.2015.08.004","url":null,"abstract":"<div><p>Early graft failure is a complex and challenging clinical condition faced by vascular surgeons performing infrainguinal bypass surgery. This case describes a patient with undiagnosed thrombocytosis undergoing urgent open revascularization for critical limb ischemia. The operative case was complicated by recurrent on-table acute thrombosis that was successfully managed with intravenous glycoprotein IIb/IIIa antagonism with eptifibatide. This is a novel case of its use for on-table salvage of an infrainguinal bypass graft. This case report outlines this challenging clinical problem and a novel use for glycoprotein IIb/IIIa antagonists.</p></div>","PeriodicalId":91348,"journal":{"name":"Journal of vascular surgery cases","volume":"1 4","pages":"Pages 246-248"},"PeriodicalIF":0.0,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jvsc.2015.08.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54824576","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}