1/41. A large false aneurysm of the right ventricle within a giant epicardial lipoma.Lipomas, which account for approximately 10% of all neoplasms of the heart, may be detected in asymptomatic patients by chance during echocardiography, CT scan, or MRI scan. Occasionally, lipomas are complicated by arrhythmias. We describe a patient who presented with severe cardiomegaly and paroxysmal supraventricular tachycardia. An MRI scan showed a large intrapericardial lipoma with two large cavities inside communicating with each other and with the right ventricular chamber through a defect of the right ventricular wall. The mass was partially removed, and the right ventricle was patched. Surgery combined with antiarrhythmic therapy resulted in a good short-term result.- - - - - - - - - - ranking = 1keywords = giant (Clic here for more details about this article) |
2/41. Pigmented villonodular synovitis secondary to laceration of the perforating branch of the peroneal artery.A case of peroneal artery injury subsequently developed into a lesion resembling an extra-articular tenosynovial giant cell tumor, which is a type of pigmented villonodular synovitis (PVNS). This case supports the hypothesis that accident trauma, such as a vascular injury, can be the etiology of PVNS.- - - - - - - - - - ranking = 0.25keywords = giant (Clic here for more details about this article) |
3/41. Giant coronary artery bypass graft pseudoaneurysm presenting as a haemothorax.coronary artery bypass graft pseudoaneurysms are rare. A case of a giant coronary artery pseudoaneurysm with probable intrapleural leakage and resulting haemothorax 14 years after coronary artery bypass surgery (CABG) is presented. The computed tomography (CT) and angiographic appearances are described. To our knowledge, this clinical presentation of a CABG pseudoaneurysm has not been described. Walsh, G. (2001). Clinical Radiology56, 74-75.- - - - - - - - - - ranking = 0.25keywords = giant (Clic here for more details about this article) |
4/41. mitral valve replacement and endocavitary patch repair for a giant left ventricular pseudoaneurysm.We present a case of a giant inferior left ventricular (LV) wall pseudoaneurysm. The patient had new york Heart association class IV heart failure due to severe mitral valve regurgitation and poor LV function. Our operative approach included right thoracotomy, excision of the mitral valve, and patch repair of the pseudoaneurysm neck from inside of the dilated LV cavity followed by mitral valve replacement. Surgery was performed without aortic cross-clamping on a normothermic perfused beating heart. The patient had an uncomplicated cardiac recovery and is doing well 15 months after surgery.- - - - - - - - - - ranking = 1.25keywords = giant (Clic here for more details about this article) |
5/41. Giant pseudoaneurysm of posterior division of renal artery: a rare complication of pyelolithotomy.Giant renal artery pseudoaneurysm after pyelolithotomy is an uncommon but important disorder. A case of giant pseudoaneurysm arising from the posterior division of right renal artery following pyelolithotomy is presented. The patient presented with a flank mass six months after pyelolithotomy. CT-scan as well as selective renal angiography revealed a giant pseudoaneurysm arising from the posterior division of renal artery. nephrectomy was necessitated as selective embolization was not possible due to its extraordinarily large size.- - - - - - - - - - ranking = 0.5keywords = giant (Clic here for more details about this article) |
6/41. Aortic root pseudoaneurysm following surgery for aortic valve endocarditis.Prosthetic aortic valve replacement for aortic valve endocarditis remains a primary practice of most cardiac surgeons. Usually it cures endocarditis and restores cardiac function. However, in advanced aortic valve endocarditis with complex annular destruction, complications following prosthetic aortic valve replacement do occur and present a formidable challenge for reoperation. Herein, we describe a case of an adult man who was operated on initially for advanced aortic valve endocarditis with a large periannular abscess cavity and who developed congestive heart failure 3 months later. Furthermore, he was diagnosed with a giant pseudoaneurysm around the aortic root without evidence of recurrent infection or aortic prosthetic incompetence. During his reoperation, a cryopreserved aortic homograft as a root replacement that included reimplantation of bilateral coronary artery buttons was used to exteriorize this pseudoaneurysm and reconstruct a left ventricular outflow tract. The postoperative course was unremarkable, and the patient, during a follow-up of 2 years, remained in new york Heart association functional class I. Aortic root pseudoaneurysm following prosthetic aortic valve replacement for infective endocarditis is rare in clinical practice and can cause rapid hemodynamic deterioration which requires imminent reoperation. Homograft aortic root replacement has proven to be a versatile treatment option of this complex disease.- - - - - - - - - - ranking = 0.25keywords = giant (Clic here for more details about this article) |
7/41. Endovascular repair of thoracic aortic aneurysm and intramural hematoma in giant cell arteritis.An 80-year-old woman with established giant cell arteritis presented at the authors' institution with a 6.5-cm false aneurysm of the descending thoracic aorta complicated by focal dissection and intramural hematoma after a 1-week history of acute-onset chest pain. The patient underwent uncomplicated endovascular aortic repair with a 32-mm x 15-cm TagExcluder stent-graft. After the procedure, the intramural hematoma resolved and the patient's corticosteroid and immunosuppressive therapy was repeatedly adjusted. However, the giant cell arteritis activity relapsed after 8 months with development of a similar 1.5-cm false aneurysm below the thoracic stent-graft, complicated by focal intramural hematoma. Repeat uncomplicated thoracic stent-graft implantation was performed and CT follow-up displayed resorption of the intramural hematomas with no evidence of endoleak or any new aortic pathology. This report discusses the difficult management of patients with relapsing active aortic giant cell arteritis and the potential role for endovascular thoracic aortic repair.- - - - - - - - - - ranking = 1.75keywords = giant (Clic here for more details about this article) |
8/41. Bilateral subclavian arterial aneurysm and ruptured abdominal aorta pseudoaneurysm in Behcet's disease.Behcet's disease is characterized by recurrent ulcers of the mouth and genitalia and relapsing iritis. It is recognized as a chronic multisystem disease affecting the skin, mucous membranes, eye, joints, central nervous system, and blood vessels. About 8% of the patients with Behcet's disease have severe vascular complications such as arterial aneurysm and occlusion. In our patient, there was a massive, painful, pulsatile mass on the clavicle on the right side of neck. A left subclavian artery aneurysm mass was observed on the left apex on a chest X-ray. Through angiography, a lobular giant saccular aneurysm on the proximal side of the right subclavian artery, giant aneurysm on the left subclavian artery, and occlusion on the left subclavian-axillary artery were observed. We treated first the right and then the left subclavian arterial aneurysm with a two-stage operation. The aneurysms were resected and polytetrafluoroethylene (PTFE) graft interposition was performed. Control angiography was performed 6 months postoperatively. Both grafts were open and there was no anastomotic aneurysm. The patient was reoperated on for a ruptured abdominal aorta pseudoaneurysm 13 months after the first operation. The aortic defect was repaired using a Dacron patch.- - - - - - - - - - ranking = 0.5keywords = giant (Clic here for more details about this article) |
9/41. airway obstruction associated with transesophageal echocardiography in a patient with a giant aortic pseudoaneurysm.IMPLICATIONS: Airway compression from insertion of a transesophageal echocardiography (TEE) probe has been mostly limited to pediatric patients. We present a case of TEE-associated airway obstruction in an adult patient undergoing surgery for repair of a giant ascending aortic pseudoaneurysm.- - - - - - - - - - ranking = 1.25keywords = giant (Clic here for more details about this article) |
10/41. Interventional treatment of giant pseudoaneurysm with subsequent decompression of internal mammaria bypass.We present a case of a 38-year-old patient with angina after direct current (DC) cardioversion. The patient's medical history included documented coronary heart disease with interventional treatment of the LAD and RCA followed by emergency CABG 6 months ago. On recent admission, the coronary angiography revealed a giant pseudoaneurysm of the left descending coronary artery complicated by compression of LIMA. The pseudoaneurysm was successfully treated with three stent grafts.- - - - - - - - - - ranking = 1.25keywords = giant (Clic here for more details about this article) |
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