Traumatic pericallosal artery aneurysm: a rare complication of transcallosal surgery

2007 ◽  
Vol 106 (2) ◽  
pp. 153-157 ◽  
Author(s):  
Ian F. Dunn ◽  
Graeme F. Woodworth ◽  
Adnan H. Siddiqui ◽  
Edward R. Smith ◽  
G. Edward Vates ◽  
...  
Keyword(s):  
Rare Complication ◽  
Artery Aneurysm ◽  
Pericallosal Artery

Giant brachial artery aneurysm as a rare complication of a dialysis shunt

2019 ◽  
Vol 21 (5) ◽  
pp. 799-802 ◽  
Author(s):  
Elisa Maria Schilling ◽  
Malte Weinrich ◽  
Thomas Heller ◽  
Sebastian Koball ◽  
Andreas Neumann
Keyword(s):  
Brachial Artery ◽  
Rare Complication ◽  
Artery Aneurysm ◽  
Giant Aneurysm ◽  
Magnetic Resonance Imaging Scan ◽  
Dialysis Access ◽  
Large Tumor ◽  
Arteriovenous Fistulas ◽  
Arteriovenous Shunts ◽  
Ongoing Care

Our patient exhibited a large tumor on his right upper arm where his former dialysis access site had been. X-ray, Doppler ultrasound, and magnetic resonance imaging scan could not fully reveal the nature of that tumor. Eventually, a surgical approach showed a giant aneurysm of the inflowing brachial artery to a partially obliterated arteriovenous fistula. This case highlights the importance of ongoing care for patients with arteriovenous shunts. Even arteriovenous fistulas, that are obliterated or no longer in use, can, especially when immunosuppressant therapy and other vascular risk factors are added to the overall cardiovascular risk, transform and endanger the health of our patients.

scholarly journals Ruptured Bilateral Pericallosal Artery Aneurysm in Mirror Position: Case Report

2018 ◽  
Vol 37 (03) ◽  
pp. 263-266
Author(s):  
Lucas Meguins ◽  
Linoel Valsechi ◽  
Ronaldo Fernandes ◽  
Dionei Morais ◽  
Antonio Spotti
Keyword(s):  
Case Report ◽  
Subarachnoid Hemorrhage ◽  
External Ventricular Drain ◽  
Artery Aneurysm ◽  
Operative Management ◽  
Neurological Deficits ◽  
Pericallosal Artery ◽  
Digital Subtraction Arteriography ◽  
The Many ◽  
The Right

Introduction Pericallosal artery (PA) aneurysms represent 2 to 9% of all intracranial aneurysms, and their management remains difficult. Objective The aim of the present study is to describe the case of an adult woman with subarachnoid hemorrhage and bilateral PA aneurysm in mirror position. Case Report A 46-year-old woman was referred to our institution 20 days after a sudden severe headache. She informed that she was treating her arterial hypertension irregularly, and consumed ∼ 20 cigarettes/day. The patient was neurologically intact at admission. A non-contrast computed tomography (CT) on the first day of the onset of the symptoms revealed hydrocephaly and subarachnoid hemorrhage (Fisher III). An angio-CT/digital subtraction arteriography showed bilateral PA aneurysms in mirror position. The patient was successfully treated with surgery via the right interhemispheric approach (because the surgeon is right-handed); the surgeon performed the proximal control with temporary clipping, and introduced an external ventricular drain at the end of the surgery. The patient was discharged on the fourth postoperative day without any additional neurological deficits or ventricular shunts. Conclusion Ruptured PA aneurysm is a surgically challenging aneurysm due to the many anatomical nuances and risk of rebleeding. However, the operative management of ruptured bilateral PA aneurysms is feasible and effective.

scholarly journals Surgical management of a giant left distal pulmonary artery aneurysm caused by Behcet’s disease

2020 ◽  
Vol 30 (6) ◽  
pp. 943-944
Author(s):  
Xiaobing Li ◽  
Xian Fan ◽  
Li Shen ◽  
Rufang Zhang
Keyword(s):  
Pulmonary Artery ◽  
Behçet’S Disease ◽  
Behcet’S Disease ◽  
Behçet's Disease ◽  
Rare Complication ◽  
Median Sternotomy ◽  
Artery Aneurysm ◽  
Pulmonary Artery Aneurysm ◽  
Behcet's Disease

Abstract Pulmonary artery (PA) aneurysm is a very rare complication of Behcet’s disease. We report on a 14-year-old boy with a giant left distal PA aneurysm caused by Behcet’s disease. A left thoracotomy was first performed to separate the aneurysm, but it was interrupted due to continuous and massive tracheorrhagia. We immediately converted to a median sternotomy and established cardiopulmonary bypass (CPB). The patient’s condition was stable; aneurysmectomy and left-down lobectomy were successfully performed. Results of the 2-year follow-up were favourable. Based on our experience, we recommend selecting CPB when performing surgery on patients with PAA, especially those with Behcet’s disease.

scholarly journals A Case of Ruptured Splenic Artery Aneurysm in Pregnancy

2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
Elizabeth K. Corey ◽  
Scott A. Harvey ◽  
Lynnae M. Sauvage ◽  
Justin C. Bohrer
Keyword(s):  
Splenic Artery ◽  
Rare Complication ◽  
Artery Aneurysm ◽  
Altered Mental Status ◽  
Splenic Artery Aneurysm ◽  
Fetal Mortality ◽  
Surgical Team ◽  
Third Trimester ◽  
Neurologic Impairment ◽  
Multiparous Female

Background. Rupture of a splenic artery aneurysm is rare complication of pregnancy that is associated with a significant maternal and fetal mortality.Case. A multiparous female presented in the third trimester with hypotension, tachycardia, and altered mental status. A ruptured splenic artery aneurysm was discovered at the time of laparotomy and cesarean delivery. The patient made a full recovery following resection of the aneurysm. The neonate survived but suffered severe neurologic impairment.Conclusion. The diagnosis of ruptured splenic artery aneurysm should be considered in a pregnant woman presenting with signs of intra-abdominal hemorrhage. Early intervention by a multidisciplinary surgical team is key to preserving the life of the mother and fetus.

scholarly journals Gastroduodenal artery aneurysm – A rare complication of traumatic pancreatic injury

2016 ◽  
Vol 19 (6) ◽  
pp. 368-370 ◽  
Author(s):  
Annu Babu ◽  
Amulya Rattan ◽  
Maneesh Singhal ◽  
Amit Gupta ◽  
Subodh Kumar
Keyword(s):  
Rare Complication ◽  
Artery Aneurysm ◽  
Pancreatic Injury ◽  
Gastroduodenal Artery ◽  
Gastroduodenal Artery Aneurysm

scholarly journals Giant pericallosal artery aneurysm – Literature review and report of a rare case

2013 ◽  
Vol 32 (03) ◽  
pp. 195-199
Author(s):  
José Fernando Guedes Corrêa ◽  
Ari Boulanger Sucussel Junior ◽  
Rogério Martins Pires Amorim ◽  
Lucas Santos Loiola ◽  
Maristella Reis ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Cerebral Arteries ◽  
Clinical Status ◽  
Artery Aneurysm ◽  
Mass Effect ◽  
Imaging Studies ◽  
Falx Cerebri ◽  
Aneurysm Neck ◽  
Pericallosal Artery ◽  
Medial Surfaces

AbstractGiant pericallosal artery aneurysms are extremely rare. Aneurismatic lesions involving this artery are usually small, tend to early bleeding and might be associated with other lesions. Differential diagnosis of giant aneurysms are not easy and includes tumoral, infectious and vascular mass effect lesions. We report a case of a giant and partially thrombosed left pericallosal artery aneurysm. A 58-year-old man, presented with progressive headaches, seizures and speech alterations initially misdiagnosed as a falx cerebri meningioma. As clinical status continue to worsen, magnetic resonance imaging and digital cerebral angiography were performed and a vascular etiology was considered. The patient was then referred to our hospital for surgical treatment. The peculiarity of this case concerns the difficulty of surgical treatment once the surgeon was not able to obtain control of the afferent artery and the aneurysm neck could not be visualized. Also, the aneurysm adhered to the medial surfaces of the frontal lobes and covered the anterior cerebral arteries. Treatment by means of microsurgical thrombectomy, clipping and resection of the lesion was successfully performed. Microsurgical treatment may provide good results when carefully planned with the help of imaging studies of the lesion. It is essential to keep in mind that flexible approach is of great importance when dealing with giant aneurysmatic lesions of pericallosal artery due to its variety of intraoperative presentation.

scholarly journals Fatal Tension Hemothorax Combined With Exanguination: A Rare Complication of Neurofibromatosis

2019 ◽  
Vol 3 (4) ◽  
pp. 364-368
Author(s):  
Roz Bidad ◽  
Caroline Hall ◽  
Eike Blohm
Keyword(s):  
Rare Complication ◽  
Vascular Complications ◽  
Artery Aneurysm ◽  
Aneurysm Rupture ◽  
Autosomal Dominant Disorder ◽  
Typically Develop ◽  
Café Au Lait Spots ◽  
Arterial Ectasia

Neurofibromatosis (NF) is a common autosomal dominant disorder that can be subdivided into type 1, type 2, and schwannomatosis. Patients with NF1 typically develop café-au-lait spots, scoliosis, and benign neurofibromas. In addition, NF1 predisposes to vascular complications including stenosis, arterial ectasia, and aneurysms. Here, we report the case of an otherwise healthy 32-year-old man who developed a fatal tension hemothorax due to vertebral artery aneurysm rupture. Based on the available literature, we discuss the presentation, workup, and available therapeutic approaches to this complication of neurofibromatosis.

De novo giant posterior cerebral artery aneurysm developing 25 years after basilar bifurcation aneurysm treatment using a Drake tourniquet: case report and implications for aneurysm follow-up

2018 ◽  
Vol 128 (4) ◽  
pp. 1028-1031
Author(s):  
Rafael Martinez-Perez ◽  
David M. Pelz ◽  
Stephen P. Lownie
Keyword(s):  
Cerebral Artery ◽  
De Novo ◽  
Posterior Cerebral Artery ◽  
Rare Complication ◽  
Young Patients ◽  
Artery Aneurysm ◽  
First Case ◽  
Bifurcation Aneurysm ◽  
De Novo Aneurysm

The objective of this paper was to report a rare complication of basilar artery (BA) tourniquet treatment of a giant basilar tip aneurysm, and to discuss possible causes for the formation of a de novo giant posterior cerebral artery (PCA) aneurysm. A 34-year-old woman underwent satisfactory treatment of a ruptured giant basilar bifurcation aneurysm by BA ligation (Drake tourniquet) in 1985. She presented 25 years later with a new aneurysm in the left PCA, successfully treated by coil embolization. To the authors’ knowledge, this is the first case of de novo aneurysm formation on a PCA, and the first de novo aneurysm reported as a complication of BA ligation therapy by Drake tourniquet. Long-term follow-up is necessary in patients with treated cerebral aneurysms, particularly those occurring in young patients, those with multiple aneurysms, those with complex posterior circulation aneurysms, and those undergoing flow diversion or flow-altering therapies.

scholarly journals Bilateral Spontaneous Perirenal Hemorrhage in an Acquired Cystic Kidney Disease Hemodialysis Patient

2012 ◽  
Vol 2012 ◽  
pp. 1-4
Author(s):  
Daigoro Hirohama ◽  
Hiroshi Miyakawa
Keyword(s):  
Kidney Disease ◽  
Renal Artery ◽  
Rare Complication ◽  
Artery Aneurysm ◽  
Arterial Embolization ◽  
Aneurysm Rupture ◽  
Cystic Kidney Disease ◽  
Cystic Kidney ◽  
Acquired Cystic Kidney Disease ◽  
Perirenal Hemorrhage

Acquired cystic kidney disease (ACKD) is a well-known late stage complication of chronic kidney disease. Cysts tend to grow with time on dialysis and could lead to malignant transformation, and intra- or perirenal hemorrhage is a rare complication of ACKD. Here we describe one case of bilateral spontaneous perirenal hemorrhage of ACKD in a 44-year-old man, on hemodialysis for 15 years. One was due to cyst rupture, and the other was due to aneurism rupture, both were controlled with transcatheter arterial embolization. In renal arteriography at the second rupture, we demonstrated extravasation from an aneurysm being present at the periphery of right renal artery. Several spontaneous perirenal hemorrhage cases were reported but its clinical information is limited, moreover, bilateral cases were extremely rare. Furthermore, to our knowledge, this is the first report of spontaneous perirenal hemorrhage caused by intraparenchymal renal artery aneurysm rupture in ACKD patients. We report this case because of its rarity and significance with respect to the complication of dialysis patients, review reported bilateral cases, and discuss some clinical characteristics.

De novo formation and rupture of an azygos pericallosal artery aneurysm

2000 ◽  
Vol 93 (6) ◽  
pp. 1062-1064 ◽  
Author(s):  
Wolfgang Dietrich ◽  
Andrea Reinprecht ◽  
Andreas Gruber ◽  
Thomas Czech
Keyword(s):  
De Novo ◽  
Artery Aneurysm ◽  
Vascular Anomaly ◽  
Content Type ◽  
Pericallosal Artery ◽  
Bifurcation Aneurysm ◽  
Anterior Cerebral Artery Aneurysm ◽  
Cerebral Artery Aneurysm ◽  
Familial Aneurysms

✓ An azygos pericallosal artery (APCA) aneurysm is a rare anomaly that is closely associated with saccular aneurysms. This is the earliest report to document de novo formation and rupture of an aneurysm at the bifurcation of an unpaired pericallosal trunk. The authors report the case of a woman who presented at the age of 52 years with subarachnoid hemorrhage (SAH) from the rupture of a newly formed APCA bifurcation aneurysm, 7 years after she had undergone surgery to clip a ruptured anterior cerebral artery aneurysm. De novo formation of aneurysms after SAH rarely occurs and certain risk factors like multiple and familial aneurysms, arterial hypertension, or smoking have been postulated. Late follow-up examination with angiography to detect de novo aneurysms should be considered in patients with this vascular anomaly after SAH.

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