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Case Reports in Vascular Medicine

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https://www.readbyqxmd.com/read/29863187/corrigendum-to-a-rare-anatomical-variation-of-the-termination-of-right-and-left-cephalic-veins
#1
Raymond Saa-Eru Maalman, Yaw Otchere Donkor, Ali M Ayamba, Jubilant Kwame Abledu
[This corrects the article DOI: 10.1155/2018/5809656.].
2018: Case Reports in Vascular Medicine
https://www.readbyqxmd.com/read/29862117/endovascular-treatment-of-thoracic-aortic-aneurysm-causing-life-threatening-hemoptysis-two-case-reports
#2
Şükrü Oğuz, Süleyman Bekirçavuşoğlu, Zerrin Pulathan
Purpose: To describe two patients presenting life-threatening hemoptysis with saccular thoracic aortic aneurysm penetrating lung parenchyma and its endovascular treatment. Case Report: We present two cases of 73- and 74-year-old men with massive hemoptysis secondary to saccular thoracic aortic aneurysm ruptured lung parenchyma who were successfully treated with endovascular approach with 3rd month's imaging follow-up. Conclusion: Thoracic aortic aneurysm is one of the rarest causes of hemoptysis and thoracic endovascular aortic repair (TEVAR) and can be used for an effective and problem-solving treatment approach...
2018: Case Reports in Vascular Medicine
https://www.readbyqxmd.com/read/29862116/sandwich-evar-occludes-celiac-and-superior-mesenteric-artery-for-infected-suprarenal-abdominal-aortic-aneurysm-treatment
#3
Supatcha Prasertcharoensuk, Narongchai Wongkonkitsin, Parichat Tunmit, Su-A-Pa Theeragul, Anucha Ahooja
Introduction . Infected aortoiliac aneurysms are rare, representing only 1% to 2% of all aortic aneurysms; we present a case of infected suprarenal aortic aneurysm with a nearly occluded celiac artery and superior mesenteric artery treated using an endovascular technique to preserve collateral in the retroperitoneal space from the inferior mesenteric artery for supplying visceral organs.
2018: Case Reports in Vascular Medicine
https://www.readbyqxmd.com/read/29854556/-bailout-endovascular-treatment-of-acute-aortic-occlusion
#4
Konstantinos Tigkiropoulos, Kyriakos Stavridis, Ioannis Lazaridis, Nikolaos Saratzis
A 37-year-old man who had a recent history of acute myocardial infarction (AMI) 3 months ago presented to the emergency department with acute ischemia of lower limbs. A CT aortography was performed, where left ventricle thrombi and acute thromboembolic occlusion of aortoiliac bifurcation were depicted. He was urgently transferred to the operation theatre, where Fogarty embolectomy was initially unsuccessful. He was managed by primary deployment of balloon expandable (BE) covered stents in the aortic bifurcation followed by thrombectomy of the left ventricle (LV) under extracorporeal circulation by cardiothoracic surgeons 2 days after initial operation...
2018: Case Reports in Vascular Medicine
https://www.readbyqxmd.com/read/29854555/intermittent-massage-as-a-therapeutic-option-for-compartment-syndrome-after-embolectomy-of-the-lower-limbs
#5
José Maria Pereira de Godoy, Maria de Fátima Guerreiro Godoy
The case of a 54-year-old cardiac patient is reported, who was admitted to hospital with a complaint of sudden pain in the legs associated with edema, paresthesia, and coldness. Arterial embolism of the lower limbs was diagnosed and the patient was submitted to bilateral embolectomy. The patient evolved with a burning sensation, hypersensitivity in the right leg, swelling, and difficulty bending and stretching the sole of the foot and the knee. A physical examination detected edema and increased tension in the anterior, lateral, and posterior compartments...
2018: Case Reports in Vascular Medicine
https://www.readbyqxmd.com/read/29854554/endovascular-repair-for-a-ruptured-aaa-due-to-a-combined-type-iiib-and-ia-endoleak
#6
Konstantinos Ioannis Avgerinos, Nikolaos Melas, Athanasios Saratzis, Marianthi V Tympanidou, Nikolaos Saratzis, Ioannis Lazaridis
We report a case of a ruptured abdominal aortic aneurysm (AAA) caused by a combined type IIIb and Ia endoleak. Also, we propose the mechanism that resulted in this combined endoleak. Specifically, a 71-year old-man, with a previous history of endovascular aneurysm repair (EVAR) for an AAA, was diagnosed with a contained rupture. CT scan depicted a type Ia endoleak and a migrated Talent endograft. A proximal aortic cuff sealed the endoleak, but intraoperative angiography revealed that a type IIIb endoleak coexisted due to fabric tear close to the Talent bifurcation...
2018: Case Reports in Vascular Medicine
https://www.readbyqxmd.com/read/29850368/a-case-of-atrioventricular-block-potentially-associated-with-right-coronary-artery-lesion-and-ticagrelor-therapy-mediated-by-the-increasing-adenosine-plasma-concentration
#7
Xiaoye Li, Ying Xue, Hongyi Wu
Purpose: To report a case of atrioventricular block (AVB) which might be associated with the right coronary artery lesion and the novel oral antithrombotic drug ticagrelor mediated by the increasing adenosine plasma concentration (APC). Case Report: A 65-year-old man was given loading dose of ticagrelor (180 mg) before coronary angiography with total thrombotic occlusion of right coronary artery and one stent was implanted. On second day after successful percutaneous coronary intervention, ECG monitoring showed second-degree (Mobitz type I) AVB with prolonged PR interval (299 ms)...
2018: Case Reports in Vascular Medicine
https://www.readbyqxmd.com/read/29686924/anomalous-right-subclavian-artery-esophageal-fistulae
#8
Courtney Brooke Shires, Michael J Rohrer
An aberrant right subclavian artery (ARSA) is the most common aortic arch anomaly, but only 19 previous cases of ARSA-esophageal fistula have been reported. Six patients have survived their bleeding episode. We describe the case of a 44-year-old woman who developed massive hemoptysis. Laryngoscopy, bronchoscopy, head and neck angiogram, and median sternotomy did not reveal what was presumed initially to be a tracheoinnominate fistula. Contrasted CT showed an anomalous subclavian artery posterior to the esophagus...
2018: Case Reports in Vascular Medicine
https://www.readbyqxmd.com/read/29682393/a-rare-anatomical-variation-of-the-termination-of-right-and-left-cephalic-veins
#9
Raymond Saa-Eru Maalman, Yaw Otchere Donkor, Ali M Ayamba, Jubilant Kwame Abledu
Clinically, the cephalic vein is preferred for haemodialysis in patients with chronic renal failure (CRF), to remove waste products from blood. The cut-down of cephalic vein in the deltopectoral groove is preferred when superior vena caval infusion is necessary. However, cephalic veins exhibit a wide array of developmental variations in terms of formation, course, and termination. In this report, we describe a case of an anomalous cephalic vein with a bifid course of terminations on both left and right upper limbs which has not been described by previous literature...
2018: Case Reports in Vascular Medicine
https://www.readbyqxmd.com/read/29435381/a-rare-case-of-intermittent-claudication-associated-with-impaired-arterial-vasodilation
#10
J J Posthuma, K D Reesink, M Schütten, C Ghossein, M E Spaanderman, H Ten Cate, G Schep
Exercise-related intermittent claudication is marked by reduced blood flow to extremities caused by either stenosis or impaired vascular function. Although intermittent claudication is common in the elderly, it rarely occurs in the young and middle-aged individuals. Here, we report a case of exercise-related claudication in a 41-year-old woman, in the absence of overt vascular pathology. Using a series of imaging and functional tests, we established that her complaints were due to impaired arterial vasodilation, possibly due to a defect in nitrous oxide-mediated dilation...
2017: Case Reports in Vascular Medicine
https://www.readbyqxmd.com/read/29359062/uterine-arteriovenous-fistula-with-concomitant-pelvic-varicocele-endovascular-embolization-with-onyx-18%C3%A2
#11
Francesco Giurazza, Fabio Corvino, Andrea Paladini, Antonio Borzelli, Domenico Scognamiglio, Giulia Frauenfelder, Giuseppe Albano, Fabio Sirimarco, Raffaella Niola
Uterine arteriovenous fistulas are rare and acquired causes of life-threatening vaginal bleeding. They usually present with intermittent menometrorrhagia in young patients in childbearing age with history of gynecological procedures on uterus. Traditional management is hysterectomy; endovascular embolization represents nowadays an alternative strategy for patients wishing to preserve fertility. Here, the endovascular approach to a 29-year-old woman affected by severe menometrorrhagia caused by a uterine arteriovenous fistula with a concomitant pelvic varicocele is reported; a bilateral uterine arteries embolization with Onyx-18 (ev3, Irvine, CA, USA) has successfully resolved the fistula with clinical success...
2017: Case Reports in Vascular Medicine
https://www.readbyqxmd.com/read/29279784/endovascular-repair-of-aortobronchial-fistula-due-to-saccular-aneurysm-of-thoracic-aorta
#12
Konstantinos Tigkiropoulos, Kyriakos Stavridis, Ioannis Lazaridis, Nikolaos Saratzis
Aortobronchial fistula (ABF) is a rare condition which can be lethal if left untreated. Open surgical treatment carries high morbidity and mortality. Recent advances in endovascular technology have made thoracic endovascular aortic repair (TEVAR) the treatment of choice. We present a successful endovascular repair of aortobronchial fistula due to a saccular aneurysm of descending thoracic aorta.
2017: Case Reports in Vascular Medicine
https://www.readbyqxmd.com/read/29230344/cystic-adventitial-disease-of-popliteal-artery-with-venous-aneurysm-of-popliteal-vein-two-year-follow-up-after-surgery
#13
Koki Takizawa, Hiroshi Osawa, Atsuo Kojima, Samuel J K Abraham, Shigeru Hosaka
We report a rare case of cystic adventitial disease of popliteal artery with venous aneurysm of popliteal vein. A 46-year-old woman had sudden-onset intermittent claudication and coldness in her right leg. The right-sided ankle-brachial pressure index (ABI) was 1.01, but peripheral arterial pulsation was decreased at knee venting position. Computed tomography revealed simple cystic lesion of the popliteal artery and stenosis of the arterial lumen in this lesion. The patient was treated by complete resection of the cystic adventitial layer of popliteal artery...
2017: Case Reports in Vascular Medicine
https://www.readbyqxmd.com/read/29201488/left-brachiocephalic-vein-stenosis-due-to-the-insertion-of-a-temporal-right-subclavian-hemodialysis-catheter
#14
Eleni I Skandalou, Fani D Apostolidou-Kiouti, Ilias D Minasidis, Ioannis K Skandalos
Central vein stenosis/occlusion is a common well-described sequel to the placement of hemodialysis catheters in the central venous system. The precise mechanisms by which central vein stenosis occurs are not well known. Current concepts in central vein stenosis pathophysiology focus on the response to vessel injury model, emphasizing the process of trauma. A case of left brachiocephalic vein stenosis due to the insertion and function of a temporary right subclavian hemodialysis catheter is presented. The purpose of the manuscript is to emphasize that, with the introduction of a temporary subclavian hemodialysis catheter via the right subclavian vein apart from causing concurrent stenosis/infarction of the right subclavian and right brachiocephalic vein, it is also possible to cause stenosis of the left brachiocephalic vein (close to its contribution to the superior vena cava) although the catheter tip is placed in the correct anatomical position in the superior vena cava...
2017: Case Reports in Vascular Medicine
https://www.readbyqxmd.com/read/29181220/angio-seal%C3%A2-embolization-a-rare-etiology-of-an-acute-distal-limb-ischemia
#15
Glenmore Lasam, Joshua Brad Oaks, Jeffrey Brensilver
We herein report a serious vascular complication of diagnostic cardiac catheterization due to an embolization of an Angio-Seal closure device causing acute lower limb ischemia. The Angio-Seal was deployed via the right femoral artery following the catheterization which embolized several hours later to the right popliteal artery. Fogarty embolectomy restored perfusion to the right lower limb; however, compartment syndrome subsequently developed which required evacuation of a hematoma and repair of right popliteal artery...
2017: Case Reports in Vascular Medicine
https://www.readbyqxmd.com/read/29181219/idiopathic-giant-hepatic-artery-pseudoaneurysm
#16
Ahmed Abdelbaki, Neeraj Bhatt, Nishant Gupta, Shuo Li, Shady Abdelbaki, Yogesh Kumar
Hepatic artery pseudoaneurysm (HAP) incidence is rising due to more common use of endoscopic and percutaneous hepatic interventions. HAP is potentially fatal, as it could lead to sudden life-threatening hemorrhage. HAP can be intrahepatic or extrahepatic. On computed tomography angiogram (CTA) and magnetic resonance angiogram (MRA), HAP follows blood pool on multiphasic examination, with brisk arterial enhancement that washes out, similar to the abdominal aorta on later phases. We present a case of idiopathic giant HAP in an 82-year-old male...
2017: Case Reports in Vascular Medicine
https://www.readbyqxmd.com/read/29085700/endovascular-management-of-right-subclavian-artery-pseudoaneurysm-due-to-war-injury-in-adolescent-patient
#17
Onur Saydam, Deniz Şerefli, Mehmet Atay, Cengiz Sert
Today there is a widespread use of endovascular treatment (EVT) for traumatic vascular injuries in adults, but there is lack of evidence of its use in adolescent patients with vascular injuries. With this case, we present successful EVT of 14-year-old adolescent with a right subclavian artery pseudoaneurysm (SAP) due to war injury. SAP was successfully excluded with deployment of 6 × 50 mm flexible, self-expanding covered nitinol stent graft (The GORE® VIABAHN® Endoprosthesis (W.L. Gore & Associates, Flagstaff, AZ))...
2017: Case Reports in Vascular Medicine
https://www.readbyqxmd.com/read/29075546/a-rare-report-of-infectious-emphysematous-aortitis-secondary-to-clostridium-septicum-without-prior-vascular-intervention
#18
Ciel Harris, Joseph Geffen, Keyrillos Rizg, Stuart Shah, Aaron Richardson, Cherisse Baldeo, Avinash Ramdass
The term "mycotic aneurysm" was first used by Osler in 1882 to describe a mushroom-shaped aneurysm in subacute bacterial endocarditis. Mycotic aneurysms account for only 2.6% of all aneurysms of the aorta. Rarer still are anaerobic infections secondary to organisms such as Clostridium septicum , which results in emphysematous aortitis. The vast majority of emphysematous aortic infections occur as a result of instrumentation; however, in this case we present an infection de novo. A 75-year-old male presented with a 2-week history of progressive fatigue and chest pain that then developed into constitutional symptoms...
2017: Case Reports in Vascular Medicine
https://www.readbyqxmd.com/read/28951796/iatrogenic-ivc-perforation-after-successful-catheter-directed-thrombolysis
#19
Ata Firoozi, Jamal Moosavi, Omid Shafe, Parham Sadeghipour
Central vein perforation as a rare complication of venous interventions is considered a nightmare if occurring in thoracic cage but behaves benignly in abdominal or pelvic region. This is not a rule, as we unfortunately encountered during the procedure of venous intervention in our patient. Although mechanical control of iatrogenic perforation or rupture is the first and most critical step during interventional procedures, the importance of anticoagulant and thrombolytic agents reversal should not be overlooked...
2017: Case Reports in Vascular Medicine
https://www.readbyqxmd.com/read/28913000/lipolymphedema-associated-with-idiopathic-cyclic-edema-a-therapeutic-approach
#20
Jose Maria Pereira de Godoy, Henrique Jose Pereira de Godoy, Aline Aparecida de Sene Souza, Ricardo Budtinger Filho, Maria de Fatima Guerreiro Godoy
Idiopathic cyclic edema is a type of generalized edema that mainly affects women. Diagnosis is made by the patient's clinical history and an evaluation of the accumulation of weight during the day. The objective of this study is to report the clinical control of lymphedema associated with idiopathic cyclic edema using calcium dobesilate. A 55-year-old female patient reported generalized edema for years in that she woke up in the morning with her legs swollen and the edema worsened during the day. The physical examination revealed generalized edema...
2017: Case Reports in Vascular Medicine
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