Case Reports in Vascular Medicine最新文献

{"title":"Left Internal Carotid Artery Dissection Secondary to Minor Trauma: A Case Report Involving \"Headbanging\" in a Heavy Metal Band.","authors":"Louissa Srama Rosner Cidral, Eduarda Nakoula, Kristel Back Merida, Ana Carolina Andrade, Luiz Penzo, Leonardo Gilmone Ruschel","doi":"10.1155/crvm/9589977","DOIUrl":"https://doi.org/10.1155/crvm/9589977","url":null,"abstract":"<p><strong>Introduction: </strong>Internal carotid artery dissection (ICAD) is an uncommon but clinically significant cause of ischemic stroke in young adults, accounting for approximately 10%-25% of cases in this population. It is frequently associated with minor trauma or repetitive cervical movements. Headbanging, characteristic of heavy metal music performances, involves vigorous, repetitive movements of the head and neck and may increase the risk of cervical vascular injury, including ICAD.</p><p><strong>Case report: </strong>A 37-year-old male musician with no prior neurological disease presented with severe headache and transient focal neurological symptoms following heavy metal performances involving headbanging. On examination, blood pressure was 130/80 mmHg, and no focal neurological deficits were observed (NIHSS score: 0). Computed tomography angiography demonstrated a subocclusive thrombus involving the distal cervical and petrous segments of the left internal carotid artery, with distal hypoperfusion. Digital subtraction angiography subsequently confirmed a left ICAD of the petrous segment with approximately 80% luminal stenosis. Management included anticoagulation with dabigatran, strict blood pressure control, and multidisciplinary follow-up, including psychological support. The patient was discharged with guidance to avoid abrupt cervical movements and to continue regular outpatient and imaging follow-up.</p><p><strong>Discussion: </strong>Although uncommon, the association between headbanging and ICAD warrants consideration in young patients presenting with ischemic stroke in the absence of traditional cardiovascular risk factors. Repetitive, forceful cervical movements may cause arterial wall injury, predisposing to dissection. Early diagnosis is essential to guide appropriate management and prevent complications.</p><p><strong>Conclusion: </strong>This case highlights the importance of recognizing activities involving repetitive, vigorous cervical movements, such as headbanging, as potential etiological factors for arterial dissection in young adults. The absence of follow-up imaging is a limitation of this case report; nonetheless, it remains useful in raising awareness that may facilitate earlier diagnosis and improve clinical outcomes.</p>","PeriodicalId":9632,"journal":{"name":"Case Reports in Vascular Medicine","volume":"2026 ","pages":"9589977"},"PeriodicalIF":0.0,"publicationDate":"2026-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13711098/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149285545","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":"Coil Embolization and Open Splenectomy for a Massive Splenic Vein Aneurysm: A Case Report.","authors":"Kaitlyn Vu, Logan Brown, Blake Durrence, Tilak Patel, Robert Larsen, Stephanie Gordy","doi":"10.1155/crvm/6210301","DOIUrl":"10.1155/crvm/6210301","url":null,"abstract":"<p><strong>Background: </strong>Splenic vein aneurysms (SVAs) are a rare vascular anomaly of the portal system that are often asymptomatic and found incidentally on imaging. Intervention is reserved for aneurysms that are enlarging, thrombosed, symptomatic, or ruptured to avoid catastrophic complications. This can range from endovascular to open, complex procedures. Here, we present the case of a massive, symptomatic, partially thrombosed SVA that required a hybrid approach involving both minimally invasive and open surgery.</p><p><strong>Case presentation: </strong>A 56-year-old woman presented to the emergency department for an infected right foot wound and was admitted for intravenous antibiotics and surgical debridement. While hospitalized, she had a worsening transaminitis with associated abdominal pain, prompting investigation with a computed tomography (CT) scan, which identified a massively dilated, partially thrombosed SVA measuring 18 cm. Given the enormous size of the aneurysm and substantial risk of impending rupture, urgent surgical intervention was planned. Preoperative coil embolization of the splenic artery was performed first to reduce the arterial inflow to the SVA and to minimize the risk of intraoperative hemorrhage during open resection. Three days after embolization, the patient underwent open splenectomy with aneurysmectomy for definitive management. The patient's postoperative course was complicated by a bleeding gastric ulcer that was successfully cauterized, and she was discharged home on postoperative Day 10 after receiving the recommended postsplenectomy vaccines.</p><p><strong>Conclusion: </strong>No standard treatment algorithm exists for SVAs, as management is individualized, and treatment evidence is limited to case reports and series. This patient had one of the largest SVAs ever recorded, and management was based on the acuity of symptoms, size, and rupture risk of the aneurysm sac. This case also demonstrated the success of a novel management approach to massive SVAs, using preoperative embolization of the splenic artery followed by open resection without portal reconstruction.</p>","PeriodicalId":9632,"journal":{"name":"Case Reports in Vascular Medicine","volume":"2026 ","pages":"6210301"},"PeriodicalIF":0.0,"publicationDate":"2026-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13676035/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149215023","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":"Kommerell's Diverticulum Resection With Left Brachiocephalic Artery Transfer in an Adult With Tracheoesophageal Compression: Off-Pump Sternotomy With External Skin Cooling.","authors":"Michael Malyshev, Alexander Safuanov, Anton Malyshev, Dmitry Sinyukov, Andrey Rostovykh, Natalie Rostovykh, Vladlena Trushina, Alexey Malyshev","doi":"10.1155/crvm/6292815","DOIUrl":"10.1155/crvm/6292815","url":null,"abstract":"<p><p>Congenital anomalies of the aortic arch often lead to tracheoesophageal compression during childhood. Occasionally, symptoms may not emerge until adulthood, appearing for the first time at any age due to age-related or pathological dilation of the aortic segments. The oldest patient described with symptoms at the onset was 76 years old. Surgical intervention is complex and poses challenges. This case study describes a patient with a right mirror-image branching aortic arch, Kommerell's diverticulum, and a ligamentum arteriosum originating from the diverticulum. The patient first experienced symptoms of tracheoesophageal compression at 57 years of age. Initial treatment at another hospital, which involved division of the ligamentum and incomplete resection of the diverticulum with its fixation to the chest wall, did not alleviate symptoms. Successful off-pump resurgery was performed through a sternotomy, which included complete resection of Kommerell's diverticulum and direct closure of the aorta without the use of a patch. Additionally, the left brachiocephalic artery was repositioned away from the tracheoesophageal complex. External skin surface cooling to 30°C-31°C in the esophagus facilitated safe clamping of the left brachiocephalic artery during the transfer. This case demonstrates successful exposure of Kommerell's diverticulum through sternotomy and the potential to avoid extracorporeal circulation during clamping of the brachiocephalic trunk by utilizing systemic hypothermia with external cooling.</p>","PeriodicalId":9632,"journal":{"name":"Case Reports in Vascular Medicine","volume":"2026 ","pages":"6292815"},"PeriodicalIF":0.0,"publicationDate":"2026-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13197828/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148013877","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":"Myocardial Infarction With Nonobstructive Coronary Arteries With Coronary Microvascular Dysfunction Associated With Systemic Sclerosis: Case Report.","authors":"Yuya Ohga, Tatsuya Nishikawa, Akeo Hirai, Go Nakano, Ryota Yoshioka, Atsushi Iseki, Tatsuya Matsubara, Hibiki Kadohara, Motohiro Shingu, Yuto Osumi, Kenta Ishibashi, Toshimitsu Ishii, Mana Hiraishi, Mitsuo Kinugasa, Yasutaka Hirayama, Kouichi Tamita","doi":"10.1155/crvm/9472631","DOIUrl":"10.1155/crvm/9472631","url":null,"abstract":"<p><strong>Background: </strong>Myocardial infarction with nonobstructive coronary arteries (MINOCA) accounts for a meaningful proportion of acute myocardial infarction presentations and encompasses heterogeneous mechanisms. Coronary microvascular dysfunction (CMD) is a major cause of MINOCA and can be invasively characterized using coronary physiology indices, including the index of microvascular resistance (IMR) and coronary flow reserve (CFR). Systemic sclerosis (SSc) is associated with small-vessel vasculopathy and may predispose individuals to CMD. However, MINOCA attributable to SSc-related CMD confirmed by invasive coronary function testing and cardiac magnetic resonance (CMR) is not widely reported.</p><p><strong>Case presentation: </strong>A 76-year-old woman with SSc and interstitial pneumonia presented with persistent chest pain. Electrocardiography revealed new T-wave inversions in leads V1-V4, and echocardiography demonstrated mid-anterior left ventricular asynergy. Troponin T was elevated (0.206 ng/mL). Emergency coronary angiography showed no obstructive epicardial stenosis, but left ventriculography confirmed regional wall-motion abnormality. CMR demonstrated base-to-mid anteroseptal dysfunction with increased native T1, T2, and extracellular volume fraction, supporting MINOCA. Transient systemic inflammation was observed (peak C-reactive protein 14.69 mg/dL; white blood cell count 24,600/<i>μ</i>L) without evidence of infection and it resolved spontaneously. Six weeks later, acetylcholine provocation testing was negative for epicardial spasm, but invasive physiological assessment identified CMD (IMR 30.5; CFR 1.7). The patient was treated with a calcium-channel blocker and nicorandil. At 3-month follow-up, symptoms, electrocardiographic changes, and CMR abnormalities normalized, which indicated a reverse of the ischemic injury. No recurrence occurred during 1 year of follow-up.</p><p><strong>Conclusion: </strong>SSc-associated MINOCA, possibly driven by CMD, was diagnosed by comprehensive invasive coronary function testing and CMR. Serial CMR may help to document reversibility of microvascular ischemic injury and guide vasodilator therapy and follow-up.</p>","PeriodicalId":9632,"journal":{"name":"Case Reports in Vascular Medicine","volume":"2026 ","pages":"9472631"},"PeriodicalIF":0.0,"publicationDate":"2026-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13196789/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148013915","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":"In Situ Laser Fenestration for Subclavian Preservation During Aortic Dissection Repair.","authors":"Charlotte Burch, S Ayesha Farooq, Mark Levy, Francisco Albuquerque, Robert Larson, Daniel Newton","doi":"10.1155/crvm/1224237","DOIUrl":"10.1155/crvm/1224237","url":null,"abstract":"<p><p>Laser fenestration is a novel technique to create an opening in an endograft to maintain perfusion to the arch vessels during thoracic endovascular aortic repair (TEVAR). A 40-year-old female who had undergone an emergent ascending aortic repair for acute dissection presented with aneurysmal degeneration of the descending thoracic aorta. She then underwent debranching of the left carotid and innominate arteries, followed by TEVAR. Herein, we describe our approach during repair with in situ laser fenestration of the endograft to preserve subclavian arterial flow.</p>","PeriodicalId":9632,"journal":{"name":"Case Reports in Vascular Medicine","volume":"2026 ","pages":"1224237"},"PeriodicalIF":0.0,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13122722/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147763462","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":"Uncommon Ophthalmic Artery Involvement in Spontaneous Vertebral Artery Dissection in a Young Woman With Optic Neuritis: A Case Report and Literature Review.","authors":"Jaime Said, Andrew Rhim, Dennis Cardriche, Thomas H Matese","doi":"10.1155/crvm/8169088","DOIUrl":"10.1155/crvm/8169088","url":null,"abstract":"<p><p>We report a 36-year-old healthy woman with 2 days of right-sided blurry vision, headache, and pain with eye movement. Exam showed decreased visual acuity, focal retinal pallor, and abnormal cranial nerve II findings. CTA revealed right vertebral artery dissection at C5-C6 with concurrent ophthalmic artery narrowing. She received anticoagulation, intravenous steroids for optic neuritis, and improved with follow-up. This rare presentation underscores the need to consider cervical artery dissection in young patients with painful vision loss and subtle fundoscopic changes, as timely vascular imaging can reveal unexpected concurrent pathology.</p>","PeriodicalId":9632,"journal":{"name":"Case Reports in Vascular Medicine","volume":"2026 ","pages":"8169088"},"PeriodicalIF":0.0,"publicationDate":"2026-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13067750/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147670553","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":"Mycotic Pseudoaneurysms of the Superior Mesenteric and Splenic Artery: A Case Report.","authors":"Fred Rudensky, Nausheen Merchant, Prasad Chalasani","doi":"10.1155/crvm/5841946","DOIUrl":"10.1155/crvm/5841946","url":null,"abstract":"<p><p>Visceral artery aneurysms and pseudoaneurysms are defined as aneurysms of the splenic, superior mesenteric, or inferior mesenteric arteries and their respective branches. Mycotic aneurysms, defined as aneurysms of the arterial wall caused by bacterial or fungal embolization, are a rapidly progressive and often fatal form of arterial aneurysms that can form in the visceral arteries. Aneurysms and pseudoaneurysms of the visceral arteries most commonly present as abdominal pain. The ambiguity with which they often present, paired with their high risk of rupture and hemorrhage, creates a highly precarious situation for clinicians. Failure to identify an aneurysm or pseudoaneurysm of the visceral arteries in time can be a fatal mistake. We present a case of mycotic pseudoaneurysms of the superior mesenteric artery and splenic artery secondary to infective endocarditis managed with open surgical resection, coil embolization, and splenectomy in a 36-year-old male with a history of intravenous drug use. The patient presented with a chief complaint of abdominal pain and confusion. He was admitted for sepsis and work-up of suspected bacteremia and endocarditis. MRI revealed multiple cortical infarcts suggestive of an embolic shower, and transesophageal echocardiogram showed mitral valve vegetations. CT imaging showed an aneurysm of the superior mesenteric artery, later determined to be a pseudoaneurysm. The patient underwent emergent open superior mesenteric artery pseudoaneurysm resection as well as splenectomy due to intraparenchymal pseudoaneurysms and associated necrosis and intraparenchymal hemorrhage. Our case highlights the importance of considering visceral artery aneurysms when formulating a list of differential diagnoses for patients presenting with abdominal pain due to their vague presenting symptoms in conjunction with their potential to rapidly progress to aneurysmal rupture and catastrophic hemorrhage.</p>","PeriodicalId":9632,"journal":{"name":"Case Reports in Vascular Medicine","volume":"2025 ","pages":"5841946"},"PeriodicalIF":0.0,"publicationDate":"2025-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12638144/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145586232","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":"Fractured Stents: The Silent Trigger of a Popliteal Artery Aneurysm.","authors":"R Teh, M Garbowski","doi":"10.1155/crvm/4628882","DOIUrl":"10.1155/crvm/4628882","url":null,"abstract":"<p><p>Popliteal artery aneurysms (PAAs) are largely attributed to arteriosclerotic disease processes, with a rare aetiology of infective and traumatic origin. This disease may be complicated by acute limb ischaemia, which could result in limb loss. Therefore, early management of symptomatic aneurysms, or asymptomatic aneurysms > 2 cm, is suggested. We present a unique case of PAA secondary to a fractured femoropopliteal stent and discuss ongoing challenges toward the management of femoropopliteal disease, along with treatments for PAA.</p>","PeriodicalId":9632,"journal":{"name":"Case Reports in Vascular Medicine","volume":"2025 ","pages":"4628882"},"PeriodicalIF":0.0,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12513776/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145278922","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":"Corrigendum to \"The Immediate Effect of Exercising in a Virtual Reality Treadmill (C-Mill) on Skin Temperature of a Man With Lower Limb Amputation\".","authors":"","doi":"10.1155/crvm/9762585","DOIUrl":"10.1155/crvm/9762585","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1155/2023/7081000.].</p>","PeriodicalId":9632,"journal":{"name":"Case Reports in Vascular Medicine","volume":"2025 ","pages":"9762585"},"PeriodicalIF":0.0,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12408133/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144999767","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":"Epilepsy Secondary to a Giant AVM: A Case Report.","authors":"Emilio García Gómez, Daniela Carolina Pimentel Saona, Juan Romero Valencia, Lenin Sandoval Luna, Cristobal Jeronimo Ortega Arenas, Daniel San-Juan","doi":"10.1155/crvm/5668999","DOIUrl":"10.1155/crvm/5668999","url":null,"abstract":"<p><p>Intracranial arteriovenous malformations (AVMs) are vascular anomalies that can present with intracranial hemorrhage, seizures, or neurological deficits. In this case, we present a woman with a giant right frontoparietal AVM (Spetzler-Martin Grade V) initially diagnosed after an intracerebral hemorrhage at Age 6. Surgical, endovascular, and radiosurgical treatments were not viable due to the lesion's size and eloquent location. Over time, the patient developed focal seizures, including catamenial patterns and left-arm spastic monoparesis. Initial antiseizure medications (ASMs) such as carbamazepine and phenytoin failed to provide adequate control at optimal dosage, with phenytoin exacerbating seizure frequency. Partial seizure control was eventually achieved with a combination of levetiracetam and carbamazepine. Neuroimaging showcases a large AVM, while EEG revealed focal epileptiform activity. This case illustrates the complexity of treating epilepsy secondary to giant AVMs, emphasizing the need for individualized ASM strategies and collaborative, multidisciplinary management.</p>","PeriodicalId":9632,"journal":{"name":"Case Reports in Vascular Medicine","volume":"2025 ","pages":"5668999"},"PeriodicalIF":0.0,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12310307/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144752516","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}