Case Reports in Vascular Medicine最新文献_第4页

Late Stent Thrombosis in a Patient with Endovascular Aortic Repair for Blunt Thoracic Aortic Injury. 钝性胸主动脉损伤行血管内修复术患者的晚期支架血栓形成。

Case Reports in Vascular Medicine Pub Date : 2022-02-14 eCollection Date: 2022-01-01 DOI: 10.1155/2022/5583120

Michael H Chiu, Youri Kaitoukov, Amanda Roze des Ordons

引用次数: 1

Renal Artery Thrombectomy Causing Functional and Symptomatic Recovery after 50-Hour Delay in Reperfusion of Acute Main Renal Artery Thrombosis. 肾动脉血栓切除术导致急性肾主动脉血栓再灌注延迟50小时后功能和症状恢复。

Case Reports in Vascular Medicine Pub Date : 2022-02-08 eCollection Date: 2022-01-01 DOI: 10.1155/2022/1021683

Kevin Singh Kang, John Steven Wilson

{"title":"Renal Artery Thrombectomy Causing Functional and Symptomatic Recovery after 50-Hour Delay in Reperfusion of Acute Main Renal Artery Thrombosis.","authors":"Kevin Singh Kang, John Steven Wilson","doi":"10.1155/2022/1021683","DOIUrl":"https://doi.org/10.1155/2022/1021683","url":null,"abstract":"Acute renal artery thrombosis is rare and even rarer in the thrombus occluding the main renal artery and compromising the entire kidney. We report on a 46-year-old female smoker with no past medical history and no hypercoagulability who developed sudden severe left flank pain, hematuria, acute renal failure, and severe hypertension. A CT angiogram showed totally occluded renal artery at the ostium with a thrombus and severely hypoperfused left kidney with multiple infarcts. Initial course of treatment was with intravenous heparin but with no improvement after 50 hours since symptom onset; angiography was done. This revealed totally occluded renal artery at ostium with no vessels or kidney blush seen. After aspiration thrombectomy, blush was seen in kidney parenchyma along with flow in the arcuate renal arteries although with some distal embolic events. The ostial lesion was treated with a drug eluting stent with excellent result angiographically. However, 8 months later, severe restenosis occurred. This time, the patient did not flank pain or renal failure but had progressive hypertension. The patient was treated this time with rheolytic thrombectomy followed by intravascular ultrasound-guided drug-eluting stenting. The patient has been followed for a year and a half since and recent CT scan revealed widely patent renal arteries bilaterally with normal kidney function, BP, and good perfusion to the left kidney with only tiny areas of infarct. Ultrasound of the kidneys also showed the size of the left kidney as within normal range now, and she has good distal flow velocities in the branch renal arteries. Our case report shows that even delayed reperfusion of complete renal artery occlusion with jeopardized arterial flow to the entire kidney could result in restoration of function to most of the kidney.","PeriodicalId":9632,"journal":{"name":"Case Reports in Vascular Medicine","volume":" ","pages":"1021683"},"PeriodicalIF":0.0,"publicationDate":"2022-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8846983/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39933686","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

An Abdominal Aortic Pseudoaneurysm Revealing Behçet's Disease. 腹主假性动脉瘤显示behaperet病。

Case Reports in Vascular Medicine Pub Date : 2022-01-27 eCollection Date: 2022-01-01 DOI: 10.1155/2022/8286579

Zineb Baba, Ahmed Mougui, Imane El Bouchti

引用次数: 1

Renovascular Hypertension with Superimposed Aortic Arch Baroreceptor Failure: Case Report and Review of Literature. 肾血管性高血压合并主动脉弓压力感受器功能衰竭:病例报告及文献回顾。

Case Reports in Vascular Medicine Pub Date : 2022-01-21 eCollection Date: 2022-01-01 DOI: 10.1155/2022/4754027

Amro Daoud, Bisher Mustafa, Hamza Alsaid, Zeid Khitan

{"title":"Renovascular Hypertension with Superimposed Aortic Arch Baroreceptor Failure: Case Report and Review of Literature.","authors":"Amro Daoud, Bisher Mustafa, Hamza Alsaid, Zeid Khitan","doi":"10.1155/2022/4754027","DOIUrl":"https://doi.org/10.1155/2022/4754027","url":null,"abstract":"Background: Atherosclerotic renal artery diseases are among the most common causes of secondary hypertension. Baroreceptors, as carotid and aortic, are important regulatory mechanisms of blood pressure; their disruption can lead to labile blood pressure due to sympathetic overactivity: an entity called neurogenic hypertension. A disease such as aortic dissection can lead to a challenging combined etiology of secondary hypertension. It can affect both or one of the renal arteries leading to a renovascular pathology that can cause hypertension through RAAS activation. Also, surgical repair of the dissected aortic arch can disrupt baroreceptors leading to neurogenic hypertension. Case Report. We report a case of an 83-year-old female patient investigated for recurrent episodes of aphasia. She has a history of hypertension and coronary artery disease. Surgical history is significant for aortic valve replacement complicated by type A aortic dissection requiring surgical repair. Following surgery, the patient developed difficult-to-control and labile blood pressure. Workup included a CT angiogram of the abdominal aorta that showed an infrarenal dominant abdominal aortic aneurysm with juxtarenal aortic dissection; these findings were similar to previous findings. A diagnosis of aortic baroreceptor failure following aortic dissection repair was established, which lead to labile hypertension with superimposed renovascular pathology due to unilateral compromised renal artery blood flow following aortic dissection and thrombosis.Conclusions: This report highlights the importance of accurate diagnosis of secondary hypertension and its underlying mechanisms, as this has a huge impact on the choice of therapy to avoid undertreatment or overtreatment of hypertension.","PeriodicalId":9632,"journal":{"name":"Case Reports in Vascular Medicine","volume":" ","pages":"4754027"},"PeriodicalIF":0.0,"publicationDate":"2022-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8808237/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39756930","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

New-Onset Ulcerative Colitis in a Young Caucasian Woman with Unclassified Arteritis. 新发溃疡性结肠炎的年轻白人妇女未分类动脉炎。

Case Reports in Vascular Medicine Pub Date : 2022-01-07 eCollection Date: 2022-01-01 DOI: 10.1155/2022/7773222

Bryan Roberts

{"title":"New-Onset Ulcerative Colitis in a Young Caucasian Woman with Unclassified Arteritis.","authors":"Bryan Roberts","doi":"10.1155/2022/7773222","DOIUrl":"https://doi.org/10.1155/2022/7773222","url":null,"abstract":"Takayasu arteritis is a rare disease mostly found in Asian populations. Cases have been reported in patients with inflammatory bowel disease, suggesting possible genetic linkage. The objective of this clinical case report is to highlight a rare finding of arteritis signs and symptoms in a 32-year-old Caucasian woman (likely early that it did not yet meet classification for official diagnosis as Takayasu arteritis) who subsequently was diagnosed with ulcerative colitis a few months later. The patient presented to the hospital with throbbing neck pain and tenderness around the area of her right carotid artery distribution, nonspecific visual changes, and bilateral upper extremity paresthesia, with significant findings of 50-69% right carotid artery stenosis on a recent outpatient carotid Doppler ultrasound. Based on additional laboratory, clinical, and advanced imaging findings at the hospital, a diagnosis of arteritis not yet classifiable as Takayasu arteritis was made, and the patient was treated with corticosteroids. Unfortunately, she developed bradycardia that was later attributed to the corticosteroid regimen and the medication was discontinued. By follow-up in the clinic, the patient's carotidynia improved, but now, she reported a three-month history of bloody stools. Colonoscopy and pathology findings were consistent with ulcerative colitis, and the patient was started on mesalamine. The association of inflammatory bowel disease and Takayasu arteritis should not be overlooked, as future treatment methods and early, continuous surveillance may be critical in improving quality of life and avoiding serious complications.","PeriodicalId":9632,"journal":{"name":"Case Reports in Vascular Medicine","volume":" ","pages":"7773222"},"PeriodicalIF":0.0,"publicationDate":"2022-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8759829/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39826080","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

Thoracic Endovascular Aortic Repair for a Ruptured Mycotic Aortic Pseudoaneurysm Secondary to Esophageal Carcinoma. 食管癌继发真菌性主动脉假性动脉瘤破裂的胸主动脉血管内修复术。

Case Reports in Vascular Medicine Pub Date : 2022-01-06 eCollection Date: 2022-01-01 DOI: 10.1155/2022/5489653

Sean-Tee J M Lim, Stephen Murphy, Said Atyani, Michael Anthony Moloney

引用次数: 0

Fourteen-Year Patency of an Anterior Tibial Artery-Saphenous Vein Fistula in an Ambulatory Patient. 14年胫骨前动脉-隐静脉瘘在门诊患者中的通畅。

Case Reports in Vascular Medicine Pub Date : 2022-01-01 DOI: 10.1155/2022/4135532

Zerrin Pulathan, Gökalp Altun

{"title":"Fourteen-Year Patency of an Anterior Tibial Artery-Saphenous Vein Fistula in an Ambulatory Patient.","authors":"Zerrin Pulathan, Gökalp Altun","doi":"10.1155/2022/4135532","DOIUrl":"https://doi.org/10.1155/2022/4135532","url":null,"abstract":"Background: Ankle arteriovenous fistulas are the rarest vascular access type among lower extremity fistulas for hemodialysis patients with end-stage renal disease. Here, we present a case of a tibial-saphenous fistula that remained open for a long time despite a recurrent anastomotic aneurysm. Case Presentation. A 43-year-old female patient who had been undergoing hemodialysis via a right femoral tunnel catheter for six months was referred for recurrent catheter infection and a 4 cm pulsatile mass in the anterior aspect of the ankle. While she had been undergoing hemodialysis through a right tibial-saphenous fistula for fourteen years, hemodialysis continued after the fistula's closure due to total occlusion of the great saphenous vein through the tunneled catheter. After balloon angioplasty to the right subclavian vein, we performed right upper extremity basilic vein transposition. Later, after starting adequate dialysis from the basilic vein fistula and removing the femoral catheter, we performed a resection of the anastomotic aneurysm in the right ankle and repaired the anterior tibial artery. Because this is the only ambulatory patient and the one with the longest patency of ankle arteriovenous fistulas in the literature and the only case in which the anterior tibial artery was used, the case is presented and discussed in light of the literature.Conclusion: Despite many complications and low patency rates reported in the literature, ankle vessels should be considered for autogenous vascular access in selected patients.","PeriodicalId":9632,"journal":{"name":"Case Reports in Vascular Medicine","volume":"2022 ","pages":"4135532"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9744600/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10712270","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

Treatment of Aortic and Iliac Artery Occlusion by Catheter Thrombolysis Combined with Catheter Thrombectomy and Aortic Bifurcation Endovascular Stent Reconstruction. 导管溶栓联合导管取栓及主动脉分叉血管内支架重建治疗主动脉、髂动脉闭塞。

Case Reports in Vascular Medicine Pub Date : 2021-11-17 eCollection Date: 2021-01-01 DOI: 10.1155/2021/6084226

Xinyu Zhao, Delang Liu, Chaowen Yu, Yong Sun, Shiyuan Chen

引用次数: 2

A Rare Case of Aortoenteric Graft Erosion Presenting as Candida glabrata Fungemia. 主动脉肠移植物糜烂1例，表现为光滑假丝酵母菌血症。

Case Reports in Vascular Medicine Pub Date : 2021-11-16 eCollection Date: 2021-01-01 DOI: 10.1155/2021/9002143

Muhammad Adeel Samad, Dhaval Patel, Martin Asplund, Diane C Shih-Della Penna, Yaseen Tomhe

{"title":"A Rare Case of Aortoenteric Graft Erosion Presenting as Candida glabrata Fungemia.","authors":"Muhammad Adeel Samad, Dhaval Patel, Martin Asplund, Diane C Shih-Della Penna, Yaseen Tomhe","doi":"10.1155/2021/9002143","DOIUrl":"https://doi.org/10.1155/2021/9002143","url":null,"abstract":"Background: An aortoenteric fistula (AEF) describes a communication of the aorta or aortic graft with an adjacent loop of the bowel. Aortic graft erosion is a rare complication of abdominal aortic aneurysm repair. We describe a case of a patient presenting with sepsis from Candida glabrata fungemia secondary to aortoenteric erosion without any symptoms or signs of gastrointestinal bleeding. This is a unique case of Candida glabrata fungemia from aortoenteric graft erosion. Case Summary. This patient is a 75-year-old male with a history of a prior aortobifemoral bypass graft in 2005. He presented with complaints of right paraspinal pain and chills. He had no symptoms of gastrointestinal bleeding or abdominal pain. His white blood cell count was 25,600/mcl (4,000-11,000/mcL) with left shift. The erythrocyte sedimentation rate was 11 mm/hr (0-38 mm/hr), and C-reactive protein was 95.5 mg/L (<=10.0 mg/L). Blood cultures were obtained and eventually grew Candida glabrata. A computed tomography angiogram (CTA) of abdomen and pelvis demonstrated inflammation surrounding the graft concerning for graft infection with additional inflammatory changes tracking down both femoral limbs. He underwent staged bilateral femoralaxillary bypass followed by the excision of aortobifemoral bypass.Conclusion: Patients with aortoenteric erosion can present with sepsis in absence of gastrointestinal bleeding. Emergent computed tomography angiogram (CTA) of abdomen and pelvis should be performed to assess for aortic graft erosion or fistula. Empiric treatment with antibiotics should include antifungal agent like micafungin until the final culture is reported. The definite management is an extra anatomic bypass, followed by graft excision.","PeriodicalId":9632,"journal":{"name":"Case Reports in Vascular Medicine","volume":"2021 ","pages":"9002143"},"PeriodicalIF":0.0,"publicationDate":"2021-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8610657/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39660478","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

Superior Mesenteric Artery Syndrome: A Community Hospital Case Series. 肠系膜上动脉综合征:社区医院病例系列

Case Reports in Vascular Medicine Pub Date : 2021-11-12 eCollection Date: 2021-01-01 DOI: 10.1155/2021/4033088

Brian Welch, Alex Schaal, Thomas F O'Shea, Roberto Cantu

引用次数: 3