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Branched endograft repair of an aortic stump aneurysm 主动脉残端动脉瘤的分支内移植物修复。
Journal of vascular surgery cases Pub Date : 2015-06-01 DOI: 10.1016/j.jvsc.2015.05.001
Sarah E. Langdon BS , John C. Motta MD , Alexander Kulik MD, MPH , Irfan Imami MD , Lisamarie Kernicky RN, BSN, CCRC , W. Anthony Lee MD
{"title":"Branched endograft repair of an aortic stump aneurysm","authors":"Sarah E. Langdon BS ,&nbsp;John C. Motta MD ,&nbsp;Alexander Kulik MD, MPH ,&nbsp;Irfan Imami MD ,&nbsp;Lisamarie Kernicky RN, BSN, CCRC ,&nbsp;W. Anthony Lee MD","doi":"10.1016/j.jvsc.2015.05.001","DOIUrl":"10.1016/j.jvsc.2015.05.001","url":null,"abstract":"<div><p>We present a patient with an aortic stump aneurysm that was repaired with a custom-made, four-branched thoracoabdominal endograft. The repair was performed in two stages using a special delivery system designed to be introduced in an antegrade manner through a median sternotomy due to a lack of iliofemoral access. At 1 year, the patient remains in good health, with his aneurysm completely excluded and decreased in size, without migration, and all branch vessels patent. This report represents a unique endovascular repair of a complex aortic pathology in a patient without other surgical options.</p></div>","PeriodicalId":91348,"journal":{"name":"Journal of vascular surgery cases","volume":"1 2","pages":"Pages 177-179"},"PeriodicalIF":0.0,"publicationDate":"2015-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jvsc.2015.05.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49686111","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
Staphylococcus hominis carotid artery infection with septic embolization 人型葡萄球菌颈动脉感染合并脓毒性栓塞
Journal of vascular surgery cases Pub Date : 2015-06-01 DOI: 10.1016/j.jvsc.2015.03.001
Kirsten Dansey BS, Lee Stratton BS, Brian D. Park MD
{"title":"Staphylococcus hominis carotid artery infection with septic embolization","authors":"Kirsten Dansey BS,&nbsp;Lee Stratton BS,&nbsp;Brian D. Park MD","doi":"10.1016/j.jvsc.2015.03.001","DOIUrl":"10.1016/j.jvsc.2015.03.001","url":null,"abstract":"<div><p>We present the case report of a <em>Staphylococcus hominis</em> carotid artery plaque infection, without mycotic aneurysm formation, that provided the nidus for septic embolization. The patient presented with transient neurologic symptoms, with no clinical signs or symptoms of sepsis. Multiple preoperative imaging modalities revealed critical carotid stenosis but no indication of an infection. Secondary carotid infection was discovered incidentally intraoperatively, and carotid reconstruction was completed with autogenous tissue. The patient transiently manifested sepsis only after the carotid reconstruction and recovered with the institution of parenteral antibiotics.</p></div>","PeriodicalId":91348,"journal":{"name":"Journal of vascular surgery cases","volume":"1 2","pages":"Pages 81-83"},"PeriodicalIF":0.0,"publicationDate":"2015-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jvsc.2015.03.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54823829","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: 3
Nonhemophiliac musculoskeletal pseudotumor 非血友病性肌肉骨骼假瘤
Journal of vascular surgery cases Pub Date : 2015-06-01 DOI: 10.1016/j.jvsc.2015.04.007
Indrani Sen MS, Dheepak Selvaraj MS, Prabhu Premkumar MS, Sunil Agarwal MS
{"title":"Nonhemophiliac musculoskeletal pseudotumor","authors":"Indrani Sen MS,&nbsp;Dheepak Selvaraj MS,&nbsp;Prabhu Premkumar MS,&nbsp;Sunil Agarwal MS","doi":"10.1016/j.jvsc.2015.04.007","DOIUrl":"10.1016/j.jvsc.2015.04.007","url":null,"abstract":"<div><p>A 24-year-old man presented with impending ulceration of a large thigh swelling which appeared after minor trauma. Imaging revealed a large well-encapsulated lesion with no vascularity. He was diagnosed to have a pseudotumor and underwent successful excision of the mass under blood and cryoprecipitate cover. The unusual presentation was suspected to be secondary to a transient drug-induced factor XIII deficiency because the result of the final coagulation study was normal.</p></div>","PeriodicalId":91348,"journal":{"name":"Journal of vascular surgery cases","volume":"1 2","pages":"Pages 187-190"},"PeriodicalIF":0.0,"publicationDate":"2015-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jvsc.2015.04.007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54824241","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
Long-segment thoracoabdominal aortic coarctation in a child with Down syndrome 唐氏综合征儿童长段胸腹主动脉缩窄1例
Journal of vascular surgery cases Pub Date : 2015-06-01 DOI: 10.1016/j.jvsc.2015.04.011
Vladimir Tonello de Vasconcelos MD , Ruy Guilherme Rodrigues Cal MD , Adriano Luís Gomes MD , Simone Aguiar MD , Maria Fernanda Carvalho de Camargo MD , José Carlos Costa Baptista-Silva MD
{"title":"Long-segment thoracoabdominal aortic coarctation in a child with Down syndrome","authors":"Vladimir Tonello de Vasconcelos MD ,&nbsp;Ruy Guilherme Rodrigues Cal MD ,&nbsp;Adriano Luís Gomes MD ,&nbsp;Simone Aguiar MD ,&nbsp;Maria Fernanda Carvalho de Camargo MD ,&nbsp;José Carlos Costa Baptista-Silva MD","doi":"10.1016/j.jvsc.2015.04.011","DOIUrl":"10.1016/j.jvsc.2015.04.011","url":null,"abstract":"<div><p>Midaortic syndrome is a rare vascular anomaly characterized by coarctation of the descending thoracic and abdominal aorta. Down syndrome is associated with multiple congenital cardiac malformations but is rarely associated with developmental vascular anomalies. Midaortic syndrome may result in severe renovascular hypertension that requires early intervention to prevent life-threatening complications. We report a child with Down syndrome who presented with occlusion of the aorta and was treated with aortic bypass. More than 4 years after the procedure, the patient's renal function remains normal, and there is no evidence of recurrent hypertension. Long-term follow-up is important to assess the benefits of surgical repair.</p></div>","PeriodicalId":91348,"journal":{"name":"Journal of vascular surgery cases","volume":"1 2","pages":"Pages 171-173"},"PeriodicalIF":0.0,"publicationDate":"2015-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jvsc.2015.04.011","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54824288","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: 2
Prophylactic distal revascularization with interval ligation and simultaneous arteriovenous fistula creation in high-risk patients 高危患者预防性远端血运重建术间段结扎及同时造动静脉瘘
Journal of vascular surgery cases Pub Date : 2015-06-01 DOI: 10.1016/j.jvsc.2015.02.003
Andrew E. Leake MD , Steven A. Leers MD , Thomas Reifsnyder MD , Ellen D. Dillavou MD
{"title":"Prophylactic distal revascularization with interval ligation and simultaneous arteriovenous fistula creation in high-risk patients","authors":"Andrew E. Leake MD ,&nbsp;Steven A. Leers MD ,&nbsp;Thomas Reifsnyder MD ,&nbsp;Ellen D. Dillavou MD","doi":"10.1016/j.jvsc.2015.02.003","DOIUrl":"10.1016/j.jvsc.2015.02.003","url":null,"abstract":"<div><p>Dialysis access-related ischemic steal syndrome is a well-recognized dialysis access complication. When severe, manifestations include rest pain, hand dysfunction, and tissue loss. Dialysis access attempts on the affected extremity are usually abandoned after a diagnosis of steal syndrome, and patients are often left catheter-dependent. Prophylactic distal revascularization with interval ligation has been described in patients at high-risk for steal syndrome. We present our experience with prophylactic distal revascularization with interval ligation performed simultaneously with arteriovenous fistula creation to prevent the recurrence in five patients and review the current body of literature supporting its use.</p></div>","PeriodicalId":91348,"journal":{"name":"Journal of vascular surgery cases","volume":"1 2","pages":"Pages 87-89"},"PeriodicalIF":0.0,"publicationDate":"2015-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jvsc.2015.02.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54823817","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: 2
The role of advanced diagnostic technology in the selection of a patient with symptomatic but hemodynamically insignificant disease for carotid endarterectomy 先进的诊断技术在选择有症状但血流动力学无关紧要的疾病患者进行颈动脉内膜切除术中的作用
Journal of vascular surgery cases Pub Date : 2015-06-01 DOI: 10.1016/j.jvsc.2015.03.002
Kristine Clodfelter Orion MD, Jenna Ruppert RDMS, RVT, Diana Call RVT, Mahmoud Malas MD, Kristen Piazza PA-C, Bruce A. Perler MD, MBA
{"title":"The role of advanced diagnostic technology in the selection of a patient with symptomatic but hemodynamically insignificant disease for carotid endarterectomy","authors":"Kristine Clodfelter Orion MD,&nbsp;Jenna Ruppert RDMS, RVT,&nbsp;Diana Call RVT,&nbsp;Mahmoud Malas MD,&nbsp;Kristen Piazza PA-C,&nbsp;Bruce A. Perler MD, MBA","doi":"10.1016/j.jvsc.2015.03.002","DOIUrl":"10.1016/j.jvsc.2015.03.002","url":null,"abstract":"<div><p>Current Level I evidence demonstrates no benefit for carotid endarterectomy in symptomatic patients with &lt;50% carotid stenoses. However, unstable plaque morphology is increasingly recognized in the genesis of ischemic cerebral events. New advanced imaging technology, such as contrast-enhanced magnetic resonance angiography and ultrasound imaging, are emerging as important adjuncts in the evaluation of this patient population. We present a case where both modalities were beneficial in identifying plaque instability manifested by intraplaque hemorrhage and neovascularization in a patient with recurrent cerebral ischemic events and hemodynamically insignificant carotid disease.</p></div>","PeriodicalId":91348,"journal":{"name":"Journal of vascular surgery cases","volume":"1 2","pages":"Pages 90-93"},"PeriodicalIF":0.0,"publicationDate":"2015-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jvsc.2015.03.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54823845","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: 1
Ruptured aneurysm of replaced left hepatic artery 左肝动脉置换动脉瘤破裂
Journal of vascular surgery cases Pub Date : 2015-06-01 DOI: 10.1016/j.jvsc.2015.03.008
Gian Piero Guerrini PhD , Stefano Bolzon MD , Alessio Vagliasindi PhD , Domenico Palmarini MD , Felice Lo Faso MD , Paolo Soliani MD
{"title":"Ruptured aneurysm of replaced left hepatic artery","authors":"Gian Piero Guerrini PhD ,&nbsp;Stefano Bolzon MD ,&nbsp;Alessio Vagliasindi PhD ,&nbsp;Domenico Palmarini MD ,&nbsp;Felice Lo Faso MD ,&nbsp;Paolo Soliani MD","doi":"10.1016/j.jvsc.2015.03.008","DOIUrl":"10.1016/j.jvsc.2015.03.008","url":null,"abstract":"<div><p>Hepatic artery aneurysm is an uncommon and potentially fatal form of vascular disease. We report the case of a 53-year-old man with an isolated, nontraumatic rupture of an aneurysm of a replaced left hepatic artery originating from the left gastric artery. This case is unusual because the ruptured aneurysm involved an hepatic artery with a rare vascular pattern.</p></div>","PeriodicalId":91348,"journal":{"name":"Journal of vascular surgery cases","volume":"1 2","pages":"Pages 105-109"},"PeriodicalIF":0.0,"publicationDate":"2015-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jvsc.2015.03.008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54823915","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: 1
Use of a hybrid polytetrafluoroethylene stent graft for iliofemoral bypass in the setting of femoral blow-out 混合型聚四氟乙烯支架在股动脉爆裂患者髂股分流术中的应用
Journal of vascular surgery cases Pub Date : 2015-06-01 DOI: 10.1016/j.jvsc.2015.03.011
Mohammed Chaudry MD, Matthew J. Dougherty MD, Douglas Troutman DO, Keith D. Calligaro MD
{"title":"Use of a hybrid polytetrafluoroethylene stent graft for iliofemoral bypass in the setting of femoral blow-out","authors":"Mohammed Chaudry MD,&nbsp;Matthew J. Dougherty MD,&nbsp;Douglas Troutman DO,&nbsp;Keith D. Calligaro MD","doi":"10.1016/j.jvsc.2015.03.011","DOIUrl":"10.1016/j.jvsc.2015.03.011","url":null,"abstract":"<div><p>Revascularization in the setting of anastomotic “blow-out” in the groin is a technically demanding and morbid undertaking, often mandating transabdominal or retroperitoneal exposure of the iliac artery for proximal control or anastomosis, or both. The Gore Hybrid Vascular Graft (W. L. Gore and Associates Inc, Flagstaff, Ariz) is an expanded polytetrafluoroethylene graft with an external nitinol stent on one end designed for remote venous implantation for proximal axillary vein dialysis access outflow. We recently used this device to treat femoral anastomotic disruptions in two postoperative patients.</p></div>","PeriodicalId":91348,"journal":{"name":"Journal of vascular surgery cases","volume":"1 2","pages":"Pages 120-122"},"PeriodicalIF":0.0,"publicationDate":"2015-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jvsc.2015.03.011","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54823945","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: 2
Endovascular coil embolization for a giant anomalous splenic artery aneurysm 血管内线圈栓塞治疗巨大异常脾动脉瘤
Journal of vascular surgery cases Pub Date : 2015-06-01 DOI: 10.1016/j.jvsc.2015.03.018
Hua Yi Zhang MD, Dong Zhe Chai MD
{"title":"Endovascular coil embolization for a giant anomalous splenic artery aneurysm","authors":"Hua Yi Zhang MD,&nbsp;Dong Zhe Chai MD","doi":"10.1016/j.jvsc.2015.03.018","DOIUrl":"10.1016/j.jvsc.2015.03.018","url":null,"abstract":"<div><p>Splenic arteries arising from superior mesenteric arteries, also known as splenomesenteric trunks, are uncommon entities. Aneurysms in relation to these variant splenic arteries are even rarer. Open surgery, laparoscopic technique, or endovascular management could be chosen. We report a patient with an anomalous splenic arteries aneurysm that was excluded with coil embolization in a minimally invasive endovascular way. A follow-up contrast-enhanced computed tomography angiogram performed 1 year after the procedure showed total exclusion of the aneurysm sac, patency of the superior mesenteric artery, and the patient was in good condition.</p></div>","PeriodicalId":91348,"journal":{"name":"Journal of vascular surgery cases","volume":"1 2","pages":"Pages 141-143"},"PeriodicalIF":0.0,"publicationDate":"2015-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jvsc.2015.03.018","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54824124","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: 2
An internal iliac artery aneurysm causing sudden buttock ischemia and nerve root compression 引起臀部突然缺血和神经根压迫的髂内动脉瘤
Journal of vascular surgery cases Pub Date : 2015-06-01 DOI: 10.1016/j.jvsc.2015.04.015
Menno T. de Bruijn MD , Tom Verbelen MD , C. Peter Kralt MD , Jeff G. van Baal MD
{"title":"An internal iliac artery aneurysm causing sudden buttock ischemia and nerve root compression","authors":"Menno T. de Bruijn MD ,&nbsp;Tom Verbelen MD ,&nbsp;C. Peter Kralt MD ,&nbsp;Jeff G. van Baal MD","doi":"10.1016/j.jvsc.2015.04.015","DOIUrl":"10.1016/j.jvsc.2015.04.015","url":null,"abstract":"<div><p>Acute buttock ischemia can be a consequence of aneurysmatic disease and has a dramatic presentation. This case report describes an otherwise healthy patient with a simultaneous onset of buttock ischemia combined with sciatic nerve compression caused by a small distal internal iliac artery aneurysm. Coiling of the aneurysm prevented thromboembolism recurrence but was only partially successful in reducing the symptoms of nerve compression. Given the serious consequences, prophylactic treatment independent of aneurysm diameter can be considered.</p></div>","PeriodicalId":91348,"journal":{"name":"Journal of vascular surgery cases","volume":"1 2","pages":"Pages 151-153"},"PeriodicalIF":0.0,"publicationDate":"2015-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jvsc.2015.04.015","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54824359","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: 1
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