Chronic dissection of the abdominal aorta as a rare complication of Takayasu disease

Patent foramen ovale (PFO) is a common heart condition in adults. Closure with a septal occluder device is a safe, well-established treatment option with excellent clinical outcomes. One rare complication of percutaneous PFO closure is embolization of the device to the heart chambers or distal vasculature. Most device migrations are recognized during or shortly after implantation. While many endovascular retrievals of migrated devices are successful, there are still a high percentage of surgical interventions performed. We report a case of a septal occluder device that embolized to the abdominal aorta and was discovered 7 days after implantation. Endovascular techniques with a snare and endobronchial forceps were used to retrieve the device safely.

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Neurofibromatosis type 1 associated with coarctation of the abdominal aorta

Dermatology Reports ◽

10.4081/dr.2021.9367 ◽

2021 ◽

Author(s):

Reema Al Essa ◽

Mohammed Al Jasser

Keyword(s):

Abdominal Aorta ◽

Neurofibromatosis Type 1 ◽

Arteriovenous Malformations ◽

Autosomal Dominant ◽

Rare Complication ◽

Genetic Disorders ◽

Neurofibromatosis Type ◽

Arterial Stenosis

Neurofibromatosis type 1 (NF1) is one of the most autosomal dominant genetic disorders. NF1 vasculopathy is a rare complication of NF1 with prevalence up to 6% including aneurysms, arterial stenosis, aorta coarctation and arteriovenous malformations [...]

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Endovascular Stenting as Treatment for Occult Perforated Abdominal Aorta Caused by Acute Necrotizing Pancreatitis as Rare Complication after Heart Transplantation

Annals of Vascular Surgery ◽

10.1016/j.avsg.2014.03.030 ◽

2014 ◽

Vol 28 (7) ◽

pp. 1794.e9-1794.e11 ◽

Cited By ~ 1

Author(s):

Udo Boeken ◽

Edward Ansari ◽

Artur Lichtenberg

Keyword(s):

Heart Transplantation ◽

Abdominal Aorta ◽

Rare Complication ◽

Necrotizing Pancreatitis ◽

Acute Necrotizing Pancreatitis ◽

Endovascular Stenting ◽

Acute Necrotizing

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Posterior “nutcracker” phenomenon: hemodynamic relevant aorto‐retroaortal renal vein fistula leading to fatal right heart failure

Acta Radiologica ◽

10.1080/02841850510020923 ◽

2005 ◽

Vol 46 (2) ◽

pp. 193-195 ◽

Cited By ~ 4

Author(s):

C. Breitwieser ◽

P. Asbach ◽

M. Sachs ◽

P. Rogalla ◽

J. Rodenwaldt

Keyword(s):

Abdominal Aorta ◽

Renal Vein ◽

Clinical Presentation ◽

Clinical Symptoms ◽

Rare Complication ◽

Left Renal Vein ◽

Right Heart Failure ◽

Ureteral Calculus ◽

Nutcracker Phenomenon ◽

Rare Differential Diagnosis

A rare complication of an aneurysm of the abdominal aorta is the so‐called “posterior nutcracker phenomenon”, which describes compression of a retroaortal renal vein between the abdominal aorta and the vertebral column. The clinical presentation is flank pain and hematuria, which are usually caused by a renal (respectively ureteral) calculus or neoplasia. Another rare differential diagnosis for these very common clinical symptoms is an aorto‐left renal vein fistula (ALRVF), which is a spontaneous vascular fistula, usually also associated with an aortic aneurysm, infrequently a result of abdominal trauma.

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Abdominal aortic rupture after extracorporeal shockwave lithotripsy: A rare case report and literature review

Journal of International Medical Research ◽

10.1177/0300060520931608 ◽

2020 ◽

Vol 48 (6) ◽

pp. 030006052093160

Author(s):

Xin Wang ◽

Bowen Zhang ◽

Yunfeng Zhu ◽

Hongwei Ge

Keyword(s):

Computed Tomography ◽

Abdominal Aorta ◽

Aortic Rupture ◽

Rare Complication ◽

Chinese Patient ◽

Extracorporeal Shockwave Lithotripsy ◽

Ureteral Calculi ◽

Shockwave Lithotripsy ◽

Extracorporeal Shockwave ◽

Enhanced Computed Tomography

Extracorporeal shockwave lithotripsy (ESWL) is a common and effective treatment method for most renal and upper ureteral calculi. Aortic rupture after ESWL is an extremely rare complication. Seven cases of aortic rupture have been reported to date, and only one case involved the rupture of a calcified abdominal aorta. We herein describe a Chinese patient who was hospitalized for rupture of the abdominal aorta 5 days after ESWL for right ureteral calculi. The patient was transferred to the Department of Vascular Surgery and underwent emergency endovascular aortic repair. The patient’s recovery was unremarkable. One week after the operation, enhanced computed tomography showed that the size of the hematoma around the periaortic area was constant, and repeat enhanced computed tomography 1 month later showed that the hematoma had been significantly absorbed. ESWL may cause rupture of a heavily calcified abdominal aorta. We suggest that all patients with atherosclerosis being considered for ESWL should be evaluated by imaging examinations both preoperatively and during follow-up.

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Tuberculous Pseudoaneurysm of Descending Abdominal Aorta in Association with Tuberculosis of Spine: A Rare Complication

Journal of Vascular Medicine & Surgery ◽

10.4172/2329-6925.1000279 ◽

2016 ◽

Vol 04 (04) ◽

Author(s):

Tongning Wang ◽

Nan Zhang

Keyword(s):

Abdominal Aorta ◽

Rare Complication ◽

Tuberculosis Of Spine

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CT Imaging Manifestations of Tubercular Aortic Aneurysm

10.21203/rs.3.rs-853799/v1 ◽

2021 ◽

Author(s):

Xiaona Xing ◽

Zhonghua Sun ◽

Li Chen ◽

Zhishan Zhu ◽

Nan Zhang ◽

...

Keyword(s):

Aortic Aneurysm ◽

Abdominal Aorta ◽

Psoas Abscess ◽

Rare Complication ◽

Clinical Manifestations ◽

Ct Imaging ◽

Lumbosacral Spine ◽

Imaging Data ◽

Thoracic And Abdominal ◽

Very High

Abstract Tubercular aortic aneurysm is a rare complication of tuberculosis but associated with very high mortality. Early diagnosis is critical, however, it is challenging due to nonspecific symptoms. This study summarized the CT features of tubercular aortic aneurysm in order to assist timely clinical diagnosis. Seventeen patients with confirmed tubercular aortic aneurysm between 2016 and 2020 were included in this study. The clinical manifestations, past medical history, laboratory and imaging examinations, treatments and other data were collected. CT angiography was routinely performed in all patients. Clinical and CT imaging data was collected and analyzed. All tuberculous aneurysms were pseudoaneurysms, which were located in the thoracic aorta, abdominal aorta, junction of thoracic and abdominal aorta or iliac aorta. The shapes of aneurysms were saccular or lobular. The diameter of aneurysm ranged from 30 to 120 mm. Thirteen patients had atherosclerosis. Mural thrombus was shown in 14 patients. Twelve patients showed enlarged lymph nodes which were found closely related to the aneurysm. Nine patients had tuberculous spondylitis including tuberculosis of thoracic lumbar and lumbosacral spine. Psoas abscess was showed in four patients and iliopsoas abscess was in one patient. Compared with other infectious aneurysms, tuberculous aneurysms typically show more cystic and lobulated shapes on CT scan, which are imaged as poured and unstressed. Another point of differential diagnosis is that the surrounding tissues and adjacent organs of tubercular aneurysms are usually infected with tuberculosis and most of them are accompanied by other sites of tuberculosis.

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