Treatment of middle aortic syndrome with thoraco-abdominal aortic bypass grafting assisted by endoscope in adult

Perfusion ◽  
2021 ◽  
pp. 026765912098677
Author(s):  
Chuntian Li ◽  
Xin Mao ◽  
Xu Zhao ◽  
Guiqing Liu ◽  
Gang Xu ◽  
...  
Keyword(s):  
Case Report ◽  
Effective Treatment ◽  
Rare Disease ◽  
Abdominal Aorta ◽  
Surgical Approach ◽  
Endoscopic Technique ◽  
Bypass Grafting ◽  
Middle Aortic Syndrome ◽  
Aortic Bypass ◽  
Abdominal Aortic

Middle aortic syndrome (MAS) is a rare disease characterized by distal thoracic aorta or abdominal aorta coarctation, and thoraco-abdominal aortic bypass grafting is an effective treatment for this condition. However, significant trauma is associated with the conventional surgical approach. We report a 26-year-old woman with MAS who presented with hypertension and needed thoraco-abdominal bypass grafting. In this operation, we adopted the endoscopic technique to improve the conventional surgical approach (reduce the incision). This case report shows that it is safe and feasible to use an endoscopic technique to reduce the trauma during this kind of operation, and provides a reference for similar treatments.

scholarly journals Ascending-to-Abdominal Aortic Bypass Grafting in a Case of Middle Aortic Syndrome

2021 ◽  
Vol 50 (2) ◽  
pp. 137-141
Author(s):  
Daisuke Iwahashi ◽  
Yuki Ikegaya ◽  
Nao Kume ◽  
Shoichi Tsuda ◽  
Tatsuya Nakao
Keyword(s):  
Bypass Grafting ◽  
Middle Aortic Syndrome ◽  
Aortic Bypass ◽  
Abdominal Aortic

scholarly journals Midaortic syndrome and hypertension in childhood revealed by enuresis: a case report

10.3823/2577 ◽  
2018 ◽  
Vol 11 ◽  
Author(s):  
Meriem Boumaaz ◽  
Iliyasse Asfalou ◽  
Maha Raissouni ◽  
Aatif Benyass ◽  
El Mehdi Zbir
Keyword(s):  
Case Report ◽  
Lower Extremity ◽  
Abdominal Aorta ◽  
Mesenteric Ischemia ◽  
Medical Literature ◽  
Renal Arteries ◽  
Pediatric Case ◽  
Midaortic Syndrome ◽  
Middle Aortic Syndrome

        Middle aortic syndrome (MAS) results from a diffuse narrowing of the distal thoracic or abdominal aorta commonly involving both the visceral and renal arteries. Congenital, acquired, inflammatory, and infectious etiologies have been described. Symptoms occur within the first three decades of life. Revelation modes are dominated by hypertension, lower extremity claudication, and mesenteric ischemia. We herein report a pediatric case of MAS with an original revelation mode that has never been described before in medical literature.

scholarly journals A Case Report of Middle Aortic Syndrome: A Rare Vascular Disorder

2013 ◽  
Vol 6 (1) ◽  
pp. 60-62
Author(s):  
Naresh Chandra Mandal ◽  
MF Hossain ◽  
AA Mamun ◽  
NK Dey ◽  
MN Sabah ◽  
...  
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Life Expectancy ◽  
Abdominal Aorta ◽  
Lower Limb ◽  
Aortic Coarctation ◽  
Uncontrolled Hypertension ◽  
Vascular Disorder ◽  
Descending Thoracic Aorta ◽  
Middle Aortic Syndrome

The middle aortic syndrome (MAS) is rare (about 0.5-2% of all the cases of aortic coarctation) vascular disorder characterized by severe narrowing in the descending thoracic aorta, abdominal aorta, or both. It can be congenital or acquired due to several conditions.MAS may present clinically as uncontrolled hypertension, abdominal angina or lower limb claudication. Surgical treatment is effective in controlling symptom and improves life expectancy. Cardiovascular Journal Volume 6, No. 1, 2013, Page 60-62 DOI: http://dx.doi.org/10.3329/cardio.v6i1.16117

scholarly journals Post-Endovascular Abdominal Aortic Aneurysm Repair Abdominal Pain: A Learning Experience

2019 ◽  
Vol 7 ◽  
pp. 232470961986557
Author(s):  
Asim Kichloo ◽  
M. Zatmar Khan ◽  
El-Amir Zain ◽  
Navya Sree Vipparla ◽  
Farah Wani
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Abdominal Aortic Aneurysm ◽  
Case Report ◽  
Aortic Aneurysm ◽  
Abdominal Aorta ◽  
Abdominal Aortic Aneurysm Repair ◽  
Abdominal Aortic ◽  
Aneurysm Repair ◽  
Aortic Aneurysm Repair

Abdominal aortic aneurysm (AAA) is one of the important pathologies involving the abdominal aorta, as it can have adverse consequences if it goes unnoticed or untreated. AAA is defined as an abnormal dilation of the abdominal aorta 3 cm or greater. Endovascular abdominal aortic aneurysm repair (EVAR) has recently emerged as a treatment modality for AAA. It does have a few inherent complications that include endoleak, endograft migration, bleeding, ischemia, and compartment syndrome. This case report discusses a patient who came in with abdominal pain and a pulsatile mass, which raised concerns regarding endoleak. The patient had a 9.9-cm AAA, which was repaired in the past, as was made evident by computed tomography findings of the stent graft in the aneurysmal segment. This case stands out because it highlights the importance of comparing the size of the AAA at the time of the EVAR to the current scenario where the patient presents with abdominal pain of unknown etiology. Also, this case report highlights the importance of computed tomography and other imaging forms in following-up with patients who have EVAR for AAAs.

scholarly journals IMPROVEMENT OF THE METHODS OF SURGICAL TREATMENT IN PATIENTS WITH INFRALENAL ANEURYSM OF THE ABDOMINAL AORTA

2019 ◽  
Vol 72 (4) ◽  
pp. 627-630
Author(s):  
Oleksandr V. Liksunov ◽  
Nataliya R. Prysyazhna ◽  
Andriy V. Ratushnyuk ◽  
Pavlo I. Nikulnikov
Keyword(s):  
Blood Loss ◽  
Abdominal Aorta ◽  
Cardiac Complications ◽  
Control Group ◽  
Aortic Bypass ◽  
Combined Operations ◽  
Abdominal Aortic ◽  
Number Of Patients ◽  
Complications And Mortality ◽  
Analyze Data

Introduction: Nowadays, there is an increase number of patients with abdominal aortic aneurysm. The disease has a constantly progressive nature, the result of which is the rupture of aneurysms and a high mortality rate. However, the technologies of operations are still controversial. Unidentified factors of complications and mortality remain with this pathology. The aim: to determine the risk factors of complications in patients with the aneurysm of the abdominal aorta Materials and methods: Analyze data of the examination and treatment results of 117 patients with aneurysm of the abdominal aorta. 58 patients were examined and treated according to advanced methods in a treatment group. The control group consisted of 59 patients who were examined and operated according to standard, generally - accepted methods. Results: According to our observations after the planned operations, the most common were cardiac complications. Analyzing the frequency of complications depending on the type of surgical intervention, we have not established statistically significant differences. More significant volume of blood loss was observed when performing combined operations and aorto-bifem bypass in comparison with aortic bypass and aorto-biiliac bypass. Conclusions: Combined operations result in a significantly higher blood loss compared to linear prosthetics.The level of intraoperative blood loss in patients with «large» aneurysms is significantly higher than in patients with «small» and «average» aneurysms.

scholarly journals Yellow Nail Syndrome With Dramatic Improvement of Nail Manifestations After Endoscopic Sinus Surgery

2017 ◽  
Vol 10 ◽  
pp. 117955061771818 ◽  
Author(s):  
Yu Hosokawa ◽  
Akihito Kuboki ◽  
Aya Mori ◽  
Hiroaki Kanaya ◽  
Tsuguhisa Nakayama ◽  
...  
Keyword(s):  
Case Report ◽  
Rare Disease ◽  
Chronic Rhinosinusitis ◽  
Surgical Approach ◽  
Endoscopic Sinus Surgery ◽  
Sinus Surgery ◽  
Dramatic Improvement ◽  
Aggressive Treatment ◽  
Yellow Nail Syndrome ◽  
Middle Meatal Antrostomy

Objectives: Yellow nail syndrome (YNS) is a rare disease of unknown cause characterized by the triad of yellow nails, respiratory manifestations, and lymphedema. Although several therapies for YNS have been reported, there is no common consensus in the treatment. In this case report, we present a case of 56-year-old woman with YNS, whose nail manifestation was dramatically improved after endoscopic sinus surgery for the treatment of chronic rhinosinusitis. Methods: Endoscopic sinus surgery involving middle meatal antrostomy was performed for the case of YNS with chronic rhinosinusitis and bronchiectasis resistant to antibacterial drugs. Results: A month after the surgery, the patient’s nails eventually showed dramatic improvement. Conclusions: Otorhinolaryngologists should recognize that chronic rhinosinusitis can be a symptom of YNS, and that the aggressive treatment including surgical approach for chronic rhinosinusitis may be a useful in the control of nail manifestation in YNS.

scholarly journals Molecular Characteristics of Genes and the Immune Microenvironment of a Rare Chest Malignant Tumor (Pulmonary Clear Cell Sarcoma): A Case Report

2021 ◽  
Vol 11 ◽  
Author(s):  
Xiaoling Xu ◽  
Ding Wang ◽  
Wei Wu ◽  
Hongyang Lu
Keyword(s):  
Case Report ◽  
Malignant Melanoma ◽  
Effective Treatment ◽  
Rare Disease ◽  
Malignant Tumor ◽  
Clear Cell ◽  
Clear Cell Sarcoma ◽  
Molecular Characteristics ◽  
Immune Microenvironment ◽  
Cell Sarcoma

Pulmonary clear cell sarcoma is a rare malignant tumor that has rarely been reported and is challenging to diagnose, especially when differentiating from malignant melanoma. Currently, EWSR1-ATF1 is the key marker for distinguishing clear cell sarcoma from melanoma, but IHC has diagnostic limitations. We report a patient diagnosed with pulmonary clear cell sarcoma, in which an NGS was used to help with the pathological diagnosis. The exposure to the immune microenvironment in pulmonary clear cell sarcoma suggests that TIGIT-related drugs may be a new and effective treatment for this rare disease. Immune microenvironment-related markers, including PD-L1, CD8, TIM3, LAG3, and CD163, were negatively expressed in pulmonary clear cell sarcoma.

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