Atherosclerotic Aneurysm

Author(s):  
Howard R. Champion ◽  
Nova L. Panebianco ◽  
Jan J. De Waele ◽  
Lewis J. Kaplan ◽  
Manu L. N. G. Malbrain ◽  
...  
2007 ◽  
Vol 46 (3) ◽  
pp. 572-573
Author(s):  
Sven Seifert ◽  
Axel Denz ◽  
Dag-Daniel D. Dittert ◽  
Hans D. Saeger

2012 ◽  
Vol 140 (1-2) ◽  
pp. 91-93
Author(s):  
Srdjan Babic ◽  
Djordje Radak ◽  
Predrag Matic ◽  
Vladimir Kovacevic ◽  
Dario Jocic

Introduction. The natural course of abdominal aneurysms is progressive expansion, rupture, embolisation, thrombosis and compression of the visceral organs. The majority of papers report that inflammatory aortic and iliac aneurysms are associated with perianeurysmal and retroperitoneal fibrosis that ultimately results in the structural compromise of the urinary tract. Ureteral obstruction occurs in 20% to 71% of cases and approximately one half of these patients will present with obstructive uropathy. Most patients with inflammatory aneurysm are symptomatic, with elevated serum inflammatory markers, and characteristic multislice CT findings including a thickened aortic wall and a mass of periaortic inflammatory tissue. Case Outline. A 70-year-old man was admitted at the Vascular Surgery Clinic ?Dedinje?, Belgrade, because of ultrasonically verified asymptomatic aortoiliac aneurysm. Multisclice CT findings showed left urethral dilatation and hydronephrosis secondary to extrinsic ureteral obstruction due to aortoiliac aneurysm. CT findings, laboratory tests and finally, histopathologic examination showed atherosclerotic aneurysm without inflammation and retroperitoneal fibrosis. The patient was successfully treated with surgical resection of the aneurysm and aortobiiliac reconstruction with ?Y? prosthesis. Conclusion. We present a rare case of ureteral obstruction secondary to atherosclerotic aneurysm which, to our knowledge, has not been previously described in the domestic literature. A successful operative repair was performed. Postoperative course was uneventful and the patient was discharged on the seventh day after the surgery with normal vascular status and renal function.


Author(s):  
Masanori Nishimura ◽  
Atsushi Yamashita ◽  
Yunosuke Matsuura ◽  
Junichi Okutsu ◽  
Aiko Fukahori ◽  
...  

Vascular ◽  
2006 ◽  
Vol 14 (3) ◽  
pp. 173-176 ◽  
Author(s):  
Andras Bikk ◽  
Martin D. Rosenthal ◽  
Eric D. Wellons ◽  
Susan M. Hancock ◽  
David Rosenthal

Saphenous vein is the most widely used conduit for arterial bypass procedures and aneurysms of the vein graft are rare. We report a true aneurysm of a reversed femoropopliteal saphenous vein graft implanted nine years earlier. Duplex ultrasonography identified an aneurysm of the saphenous vein graft and arteriography confirmed this finding. A consideration for endovascular coiling of the aneurysm was entertained, but no proximal “neck” on the aneurysm was present. The patient, therefore, underwent an uneventful resection of the aneurysm with end-to-end anastomosis. Histopathologic examination of the aneurysm demonstrated atherosclerotic degeneration with endothelial disruption, medial necrosis, and fibrous proliferation. The cause of a saphenous vein graft aneurysm is rare and unknown. The management of vein graft aneurysms, however, should be subject to the same criteria that apply to other aneurysms because once vein graft dilation occurs, it is followed by a rapid increase in size, which may lead to possible rupture.


Surgery Today ◽  
2004 ◽  
Vol 34 (2) ◽  
pp. 188-189 ◽  
Author(s):  
Osami Honjo ◽  
Yukio Yamada ◽  
Tsutomu Mima ◽  
Yoshio Kushida

2019 ◽  
Vol 80 (05) ◽  
pp. 391-395
Author(s):  
Yeongu Chung ◽  
Wonhyoung Park ◽  
Jung Cheol Park ◽  
Jaewoo Chung ◽  
Jae Sung Ahn

AbstractIschemic complications including silent or symptomatic events are known to occur during the clipping of intracranial aneurysms, although at a relatively lower rate than during endovascular treatment. An atherosclerotic or calcified neck is one of the major contributors to postoperative ischemic sequelae from a surgically treated aneurysm. Atherosclerotic changes in intracranial vessels or within an aneurysm wall or neck area are often seen during surgery. However, we were not previously able to detect any showering of atheromatous emboli during temporary or permanent clipping procedures. We describe a case of an intra-aneurysmal rupture of a squeezed atheroma observed after permanent clipping of an atherosclerotic large middle cerebral artery aneurysm. After tentative clipping to treat the severe atherosclerotic aneurysm in this patient, we applied supplementary clipping to the atherosclerotic area of the aneurysmal sac. The resulting squeezing of the intra-aneurysmal atheroma caused a leakage into the subadventitial layer of the aneurysmal sac. We also discuss the potential ischemic complications of aneurysmal clipping surgery. We conclude that the surgical techniques used to treat these specific aneurysms require circumspect planning through a review of preoperative images.


1994 ◽  
Vol 107 (6) ◽  
pp. 1535-1536 ◽  
Author(s):  
Stephen Wildhirt ◽  
Lothar Eckel ◽  
Friedhelm Beyersdorf ◽  
Peter Satter

2003 ◽  
Vol 126 (3) ◽  
pp. 888-890 ◽  
Author(s):  
Nawwar Al Attar ◽  
Jean-Louis Sablayrolles ◽  
Patrick Nataf

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