Percutaneous treatment of a Right Axillary Pseudoaneurysm

2021 ◽  
Author(s):  
Maksim Llambro
Keyword(s):  
Axillary Artery ◽  
Artery Bypass ◽  
Percutaneous Treatment ◽  
Uneventful Recovery ◽  
Lateral Part ◽  
Femoral Access ◽  
The Past ◽  
Pulsatile Mass ◽  
The Right

We present a very rare case of a 62-year-old male who was presented to our department with a large pulsatile mass on the upper lateral part of the right hemi thorax. He had undergone multiple vascular surgeries in the past months, last one including right axillary-femoral artery bypass grafting (AFBG). Last few days a large, growing pulsatile mass was identified. Contrast computed tomography identified 6x8 cm pseudoaneurysm of the right axillary artery. An open surgical repair was unsuccessful. He underwent an endovascular treatment using a stent graft via left femoral access. The patient had an uneventful recovery and remained well on follow-up.

scholarly journals Bilateral angiomyolipoma of the kidney in patient with tuberous sclerosis

2005 ◽  
Vol 133 (9-10) ◽  
pp. 433-437
Author(s):  
Radoje Colovic ◽  
Natasa Colovic ◽  
Nikica Grubor ◽  
Vladimir Radak ◽  
Marijan Micev ◽  
...  
Keyword(s):  
Tuberous Sclerosis ◽  
Complete Loss ◽  
Hla Typing ◽  
Uneventful Recovery ◽  
Loss Of Function ◽  
Kidney Tumors ◽  
Benign Nature ◽  
The Right ◽  
Slow Growing

Angiomyolipomas are relatively frequent tumors of the kidney. It is believed that about 10 million people worldwide have such a tumor. About 1/10 of these 10 million are patients who suffer from tuberous sclerosis. The tumors are frequently bilateral, slow growing, and usually a symptomatic, as well as being rare in children. Due to the benign nature of angiomyolipomas, surgical treatment and embolisation of the tumors are generally not recommended, unless renal function is endangered, the symptoms are severe, or the kidney in question becomes completely dysfunctional. This is particularly the case in patients with tuberous sclerosis in whom these tumors are either already bilateral or may become so. We present a 24-year-old woman with tuberous sclerosis in whom bilateral kidney tumors were diagnosed 7 years earlier and in whom we carried out a left nephrectomy of a 5300 gram angiomyolipoma, which caused pain and complete loss of function. Although timorous, the right kidney was functional, so it was left untouched. After an uneventful recovery, a close follow-up was recommended, as well as HLA typing, as it is highly probable that the right kidney will gradually become inadequate or completely dysfunctional, so that haemodialysis and/or kidney transplantation along with nephrectomy will become necessary.

scholarly journals Symptomatic attachment of appendix vermiformis following a plug inguinal hernia repair

2019 ◽  
Vol 12 (9) ◽  
pp. e220408
Author(s):  
Willem AR Zwaans ◽  
Marc RM Scheltinga ◽  
Rudi MH Roumen
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Groin Pain ◽  
Abdominal Discomfort ◽  
Uneventful Recovery ◽  
Appendix Vermiformis ◽  
The Right ◽  
Plug Repair ◽  
Groin Exploration

We describe a case of attachment of an appendix vermiformis following an inguinal hernia plug repair according to Rutkow and Robbins. A 62-year-old man presented at our outpatient clinic with a progressive sensation of tightness in the right groin area, painful urge of miction and long-lasting nausea with abdominal discomfort. During an open groin exploration, the appendix was found attached to an intraperitoneally located plug. The appendix and plug were removed with an uneventful recovery. During follow-up, the patient was free of groin pain and miction had normalised. Surprisingly, his long-lasting nausea and abdominal discomfort had disappeared as well.

PHAEOCHROMOCYTOMA OF URINARY BLADDER

1962 ◽  
Vol 39 (1) ◽  
pp. 1-12 ◽  
Author(s):  
R. Mićić ◽  
M. Kičić ◽  
S. Adanja
Keyword(s):  
Blood Pressure ◽  
Urinary Bladder ◽  
Arterial Hypertension ◽  
Bladder Wall ◽  
Short Review ◽  
Uneventful Recovery ◽  
Urinary Bladder Wall ◽  
The Right ◽  
Catecholamines In Urine

ABSTRACT A case of phaeochromocytoma localized in the urinary bladder wall above the right ureter in a 19 years old male is described. The patient had a sustained arterial hypertension between 170/120 and 260/170, without haematuria, with regular headache and palpitations immediately after urination. Catecholamines in urine 409 and 340 micrograms per day. A partial resection of the urinary bladder wall was performed with extirpation of a tumour weighing 40 g. Size of the tumour 80 × 60 × 60 mm. The tumour contained 1.5 mg adrenaline and 0.03 mg noradrenaline per g of tissue. Postoperatively blood pressure 140/90, catecholamines in the urine normal, and the patient made an uneventful recovery. The last follow-up ten months after operation. A short review of previously published cases is given.

scholarly journals Case Report: Trans-axillary Artery Access for Rescue Stent Implantation in an Infant With Retrograde Non-passable Aortic Coarctation

2021 ◽  
Vol 9 ◽  
Author(s):  
Julia Moosmann ◽  
Ariawan Purbojo ◽  
Susanne Eder ◽  
Sven Dittrich
Keyword(s):  
Stent Implantation ◽  
Aortic Coarctation ◽  
Surgical Repair ◽  
Axillary Artery ◽  
Coarctation Of The Aorta ◽  
Bridge To Surgery ◽  
Retrograde Approach ◽  
Traditional Treatment ◽  
Femoral Access ◽  
The Right

Primary surgical repair remains the traditional treatment for patients with critical duct-dependent coarctation of the aorta (CoA). Initial surgical repair might not be possible or associated with higher risks if additional comorbidities arise in small infants and neonates. Balloon angioplasty (BA) has been described as a rescue strategy for these children. We describe the feasibility of a palliative BA and rescue stent implantation via an alternative antegrade right-axillary artery approach in an initially inoperable infant with pneumonia and respiratory failure and severe CoA, where the stenosis was not passable by traditional retrograde femoral access. This case adds new aspects to the therapy of critical CoA: Stent implantation provides a bridge to surgery in critically ill infants and does not preclude successful surgical repair. Further, if the classic retrograde approach is not possible, the right axillary artery access should be considered as an alternative to pass the stenosis.

scholarly journals Radiation Therapy-Induced Cardiovascular Disease Treated by a Percutaneous Approach

2015 ◽  
Vol 2015 ◽  
pp. 1-4
Author(s):  
Luigi Fiocca ◽  
Micol Coccato ◽  
Vasile Sirbu ◽  
Angelina Vassileva ◽  
Giulio Guagliumi ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Severe Aortic Stenosis ◽  
Percutaneous Treatment ◽  
Functional Class ◽  
Transcatheter Aortic Valve ◽  
Edwards Sapien ◽  
Drug Eluting ◽  
Artery Disease ◽  
The Right

We report the case of a 51-year-old woman, treated with radiotherapy at the age of two years, for a pulmonary sarcoma. Subsequently she developed severe aortic stenosis and bilateral ostial coronary artery disease, symptomatic for dyspnea (NYHA III functional class). Due to the prohibitive surgical risk, she underwent successful stenting in the right coronary artery and left main ostia with drug eluting stents and, afterwards, transcatheter aortic valve replacement with transfemoral implantation of a 23 mm Edwards SAPIEN XT valve. The percutaneous treatment was successful without complications and the patient is in NYHA II functional class at 2 years’ follow-up, fully carrying out normal daily activities.

Coronary Revascularization in Children at a Mexican Cardiac Center: Thirteen-Year Outcomes

2017 ◽  
Vol 8 (5) ◽  
pp. 600-604 ◽  
Author(s):  
Samuel E. Ramírez-Marroquín ◽  
Alejandra Iturriaga-Hernández ◽  
Juan Calderón-Colmenero ◽  
Antonio Benita-Bordes ◽  
Jorge L. Cervantes-Salazar
Keyword(s):  
Coronary Artery ◽  
Kawasaki Disease ◽  
Right Coronary Artery ◽  
Internal Thoracic Artery ◽  
Coronary Revascularization ◽  
Artery Bypass ◽  
Diagnostic Study ◽  
Bilateral Internal Thoracic Artery ◽  
The Right

Background: The indications for pediatric coronary revascularization are diverse. There are a large proportion of patients with sequelae of severe inflammatory diseases such as Kawasaki disease, and other less common causes. Methods: Retrospective review of ten pediatric patients undergoing coronary artery bypass surgery from January 2004 to December 2016. Results: Ten children and adolescents ranging in age from 2 to 17 (median, 6) years at operation were followed up for as long as 13 years with a median follow-up of 2 years. The surgical indications include ischemia symptoms and/or coronary stenosis angiographically documented. Diagnoses include Kawasaki disease, anomalous origin of the left coronary artery from the pulmonary artery, and iatrogenic lesion of the right coronary artery. All the surgical procedures were performed with cardiopulmonary bypass with crystalloid cardioplegic arrest. The number of distal anastomoses was 1.6 per patient, and the left internal thoracic artery was used in one patient, the right internal thoracic artery in four patients, bilateral internal thoracic artery in four patients, and bilateral internal thoracic artery plus left radial artery in one patient, most frequently for right coronary artery revascularization. The patients underwent noninvasive diagnostic study during follow-up to evaluate their coronary status. The ten patients had no symptoms, and there was no mortality. Conclusions: Although survival was excellent after pediatric coronary bypass in our center, we need to continue the follow-up. Coronary revascularization by means of arterial grafting is a safe and reliable surgical modality for coronary disease in children.

scholarly journals The Image of Sultanate of Oman in the Contemporary Algerian Arabic Press

2018 ◽  
Vol 9 (2) ◽  
pp. 43
Author(s):  
Mohammed Ahmed Djehlane
Keyword(s):  
Systematic Approach ◽  
Second Century ◽  
Sultanate Of Oman ◽  
Huge Amount ◽  
The Past ◽  
Modern Age ◽  
The Press ◽  
The Subject ◽  
The Right

This study tried to dive in the archives relating to Oman in the Algerian contemporary press, (1986-2016), and its goal is to look for the Oman presence in the Algerian press, and its role in consolidating of Algeria's Oman relations in the past and present. Based on the above, we have attempted in this study to analyze the subject - after a systematic approach- in the following topics: 1. Introduction to the interesting of Algerian journalists about Oman in modern-day. 2. Algerian press and the contemporary cultural scene in Oman. 3. Algerian press and document the views of the Algerian and Omani on topical issues. Among the findings of the research is the extrapolation of the huge amount of Algerian press material covered by the period of study. That the reasons of Omani-Algerian relationship extend in the depths of history, back to the second century AH, and she has stimulated the efforts of the press pioneers in Algeria and Zanzibar this relation and contributed to its consolidation in this modern age. The study also concluded that the image of the Sultanate of Oman in this press embodies a mosaic of high cultural characteristics. The first is: Oman's adherence to its religious and Arab identity. The second is: his struggle for his freedom and his struggle against colonialism throughout history. The third is: the wrapping of the Omani people around their political leadership and their pride in their scientists. The fourth: the sense of citizenship and co-existence and the entrenchment of the right to difference. The fifth: focus in the renaissance on the humans before the structures, and finally, the image of the Sultanate of Oman in short is: "Is the originality of history, the renaissance of the future, and a worthy example to study and follow-up".

scholarly journals Brachial Mycotic Pseudoaneurysms Due to Prosthetic Valve Infective Endocarditis: A Case Report and Review of the Literature

2020 ◽  
Vol 23 (5) ◽  
pp. E617-E620
Author(s):  
Ovidiu Stiru ◽  
Roxana Carmen Geana ◽  
Liana Valeanu ◽  
Adrian Tulin ◽  
Laura Raducu ◽  
...  
Keyword(s):  
Infective Endocarditis ◽  
Prosthetic Valve ◽  
Axillary Artery ◽  
Rare Complication ◽  
Clinical Signs ◽  
Prosthetic Valve Endocarditis ◽  
Sudden Onset ◽  
Normal Function ◽  
Pulsatile Mass ◽  
The Right

Brachial mycotic pseudoaneurysms (BMPA) are a rare complication of infective endocarditis (IE), but potentially could be a limb-threatening condition. We present the case of a 38-year-old male referred to our department, complaining of the sudden onset of a painful pulsatile mass 5 x 10 cm in the right antecubital fossa that slowly progressed over time. Two years before this, he underwent aortic and mitral valve replacement with mechanical prosthetic valves and tricuspid annuloplasty for IE with methicillin-susceptible Staphylococcus aureus after a six-week course of intravenous antibiotherapy with oxacillin. Clinical examination of the right upper limb revealed a pulsatile and compressible mass with a normal temperature and without other clinical signs of inflammation. Pulse of the axillary artery, brachial and radial arteries were palpable. He was diagnosed by Doppler ultrasonography and digital subtraction angiography with BMPA. Furthermore, transesophageal echocardiography (TEE) revealed normal function of the aortic and mitral prosthetic valve with no signs of prosthetic valve endocarditis and no feature of congestive heart failure. Considering these clinical findings, surgical treatment was planned. He underwent re-section of the brachial pseudoaneurysm and arterial reconstruction. One year after the pseudoaneurysm resection, evolution was excellent. This manuscript presents this rare, uncommon complication after IE and also reviews the available surgical management strategies for this pathology.

Abstract 16023: Network Meta-analysis of Randomized Controlled Trials for Graft Patency of a Second Conduit for Coronary Artery Bypass Surgery

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Yujiro Yokoyama ◽  
Hisato Takagi ◽  
Toshiki Kuno
Keyword(s):  
Coronary Artery ◽  
Graft Failure ◽  
Internal Thoracic Artery ◽  
Meta Analysis ◽  
Artery Bypass ◽  
Graft Patency ◽  
Controlled Trials ◽  
Randomized Controlled ◽  
The Right

Background: It has been well documented that the use of the left internal thoracic artery (LITA) to graft the left anterior descending (LAD) artery has a significant benefit in coronary artery bypass graft (CABG) surgery. However, what graft is the best as a second conduit to complement LITA-LAD anastomosis remains uncertain. We thus conducted a network meta-analysis of RCTs to compare graft patency of the radial artery (RA), the right internal thoracic artery (RITA), the right gastroepiploic artery (RGEA), and saphenous vein (SVG) as a second conduit in CABG. Methods: MEDLINE and EMBASE were searched through February 8th, 2020 to identify randomized controlled trials (RCTs) that investigated graft patency of a second conduit in CABG. From each study, we extracted the incidence rate ratios (IRR) of the outcome. Results: A total of 11 RCTs were identified, including 3,434 patients and 2,171 angiographic results. There was no significant difference of IRR in graft failure among the 4 groups (vs. SVG: RA, IRR [95%CI] =0.66 [0.41-1.07]; RGEA, IRR [95% CI] =2.12 [0.54-8.38]; RITA, IRR [95% CI] =0.71 [0.32-1.60]). (Figure) Sensitivity analyses restricting trials with ≥3 years angiographic follow-up time or ≥5 years angiographic follow-up time showed no significant differences of IRR in graft failure among the four groups in both analyses. Conclusion: In a network meta-analysis of the updated outcomes from RCTs, no significant differences were observed in graft patency with the use of RA, RITA, RGEA or SVG as a second conduit in CABG.

scholarly journals Giant renal artery aneurysm: A case report

2015 ◽  
Vol 87 (2) ◽  
pp. 169 ◽  
Author(s):  
Luca Cindolo ◽  
Manuela Ingrosso ◽  
Piergustavo De Francesco ◽  
Pietro Castellan ◽  
Francesco Berardinelli ◽  
...  
Keyword(s):  
Renal Artery ◽  
Three Dimensional ◽  
Artery Aneurysm ◽  
Uneventful Recovery ◽  
Renal Artery Aneurysm ◽  
Renal Arteriovenous Malformation ◽  
The Right ◽  
Midline Approach ◽  
Safe Approach

A case of a 12 cm giant renal artery aneurysm (RAA) in an 59-year-old woman is reported. The patient was referred to our hospital for flank pain and spot hematuria. Ultrasonography (US) revealed some wide lacunar areas in her right kidney and a thin cortex. Three-dimensional computed tomography (3D-CT) revealed a giant right renal arteriovenous malformation (AVM). AngioCT scan showed a pervious right renal artery. The cavities of the right kidney were dilated and the parenchyma was markedly reduced. Two months later the patient underwent an open resection of the aneurysm and a right nephrectomy. She had an uneventful recovery and a healthy status (last follow-up: 9 month). In this particular case, a safe approach is the transabdominal approach since the aneurysm was very large, friable, and located on the right side. This report confirms the opportunity of a planned nephrectomy once there is adequate renal reserve in the opposite kidney using a midline approach.

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