1/16. Transperitoneal exclusion. A simple Third World solution for abdominal aortic aneurysm.We present an operation never described before for dealing with abdominal aortic aneurysms by exclusion via a midline trans-abdominal approach. This breakthrough holds many advantages over conventional aneurysmorrahphy and requires further clinical trials.- - - - - - - - - - ranking = 1keywords = aneurysm (Clic here for more details about this article) |
2/16. pituitary apoplexy caused by ruptured internal carotid artery aneurysm.BACKGROUND AND PURPOSE: We report the first case of pituitary apoplexy caused by the rupture of an intracavernous carotid artery aneurysm embedded in a pituitary adenoma. Case Description: A 46-year-old man presented with clinical and CT findings typical of pituitary apoplexy. MRI showed an unusual flow-void protrusion into the intratumoral hematoma, which, however, was not diagnosed as a ruptured aneurysm until severe intraoperative bleeding occurred. angiography after surgery revealed an intracavernous carotid artery aneurysm. CONCLUSIONS: The possible association of adenoma and aneurysmal rupture should be kept in mind when assessing any case of pituitary apoplexy.- - - - - - - - - - ranking = 1.3333333333333keywords = aneurysm (Clic here for more details about this article) |
3/16. Pseudoaneurysm of the lingual artery secondary to tonsillectomy treated with selective embolization.False aneurysm may occur from trauma to the floor of the mouth, including iatrogenic trauma from surgical procedures. This report will present a case of a pseudoaneurysm of the lingual artery following tonsillectomy. Development of lingual artery pseudoaneurysms can occur within a few hours following tonsillectomy. angiography provides the diagnosis, and endovascular intervention is an efficient alternative to surgery for treatment of such aneurysm with low morbidity. Endovascular embolization with platinum coils is an effective means of controlling bleeding and avoiding surgical intervention.- - - - - - - - - - ranking = 1.5096996462081keywords = aneurysm, pseudoaneurysm (Clic here for more details about this article) |
4/16. Successful surgical treatment of a ruptured abdominal aortic aneurysm without homologous blood transfusion in a Jehovah's Witness: report of a case.We report herein the case of a 47-year-old woman of the Jehovah's Witness faith in whom Y-grafting for a ruptured abdominal aortic aneurysm was successfully performed without a homologous blood transfusion. We used a Cell Saver (Haemonetics, Braintree, MA. USA) red cell salvaging device and an aortic occlusion balloon catheter, and performed gentle and minimal dissection during the operation. Postoperatively. the patient was kept heavily sedated and required hypothermic therapy for only 14h. We treated her severe anemia using conventional drugs, including iron and folic acid, and her hemoglobin increased smoothly. Although her hemoglobin level decreased to 2.8g/dl during the operation, her postoperative course was uneventful.- - - - - - - - - - ranking = 0.83333333333333keywords = aneurysm (Clic here for more details about this article) |
5/16. Arterial embolization of a secondary aneurysmatic bone cyst of the thoracic spine prior to surgical excision in a 15-year-old girl.We report on a 15-year-old girl with a secondary aneurysmatic bone cyst of the thoracic spine with extension into the spinal canal on the basis of an osteoblastoma. Surgical treatment was facilitated by preoperative embolization of the highly-vascular tumor. Excision of the tumor was performed without extensive intraoperative blood loss. Following excision, transpedicular-stabilization of the spinal column was achieved using a fixateur intern. We conclude that superselective embolization of benign lesions of the spinal column constitutes a feasible means of reducing intraoperative bleeding complications, thus enhancing resectability.- - - - - - - - - - ranking = 0.83333333333333keywords = aneurysm (Clic here for more details about this article) |
6/16. The use of recombinant factor viia in controlling surgical bleeding in non-haemophiliac patients.Recombinant factor viia (rFVIIa, NovoSeven) is effective and appears safe in the management of bleeding episodes and provision of surgical cover in haemophilia patients with inhibitors. Additionally, rFVIIa has been considered as a universal haemostatic agent, prompting its use in the management of severe uncontrolled surgical bleeding in patients without pre-existing coagulopathies. Recombinant FVIIa has been used in 5 patients (aged 2.5 to 73.0 years; median 48 years) with uncontrolled bleeding during or after open-heart surgery. Satisfactory haemostasis was achieved with a single dose or rFVIIa 30 microg/kg, that resulted in reduction of blood loss from a mean of 4,170 ml (650-8,000 ml) to 262.5 ml (220-334 ml). No significant adverse events were reported. Recombinant FVIIa was also successfully used in controlling post-surgical bleeding in two patients with Crohn's disease, one patient with bleeding duodenal ulcer and another with false thoracic aneurysm. It was also effective in controlling bleeding post-splenectomy in a patient with chronic myeloid leukaemia, and following anterior exenteration in a patient with cervical carcinoma. A randomised study comparing the efficacy of a single perioperative dose of rFVIIa with placebo in patients undergoing transabdominal prostatectomy was conducted by Levi and colleagues [6]. An interim analysis showed a significant reduction in mean blood loss from 2,450 /- 350 ml to 1,400 /- 190 ml between placebo and rFVIIa groups respectively (p = 0.007). Among trauma patients, Kenet et al. reported success in treating uncontrolled bleeding from a gun-shot wound to the inferior vena cava, using two doses of rFVIIa 60 microg/kg [7]. This treatment has subsequently been used in 6 surgical patients with uncontrolled bleeding and in 7 cases of traumatic bleeding, with remarkable results. In conclusion, rFVIIa appears to be effective and safe in the management of uncontrolled surgical and traumatic haemorrhage in patients not known to have inherited coagulopathy.- - - - - - - - - - ranking = 0.16666666666667keywords = aneurysm (Clic here for more details about this article) |
7/16. The use of recombinant activated factor VII to control bleeding during repair of a suprarenal abdominal aortic aneurysm.Recombinant activated factor VII (rFVIIa) was first used to control bleeding in haemophilia patients. More recently, it has been used to prevent severe bleeding in patients without pre-existing coagulopathy. We report a case where rFVIIa was used to successfully control postoperative bleeding in a patient undergoing suprarenal abdominal aortic aneurysm (AAA) repair.- - - - - - - - - - ranking = 0.83333333333333keywords = aneurysm (Clic here for more details about this article) |
8/16. Leaking false aneurysm of right coronary saphenous vein graft; successful treatment by percutaneous coil embolisation.An unusual complication after aortocoronary bypass grafting (CABG) is described in which a false aneurysm of the saphenous vein graft to the right coronary artery (RCA) developed and caused profuse intermittent bleeding through the sternotomy wound. The aetiology of this condition is uncertain but it could occur whenever a suture line is present especially in the presence of infection. The diagnosis was made non-invasively by a contrast enhanced computed tomogram and was subsequently confirmed by selective coronary bypass angiography. The pseudoaneurysm was successfully obliterated by coil embolisation of the right coronary graft, which stopped the bleeding immediately and was followed by rapid wound healing.- - - - - - - - - - ranking = 1.0881831564374keywords = aneurysm, pseudoaneurysm (Clic here for more details about this article) |
9/16. Selective arterial embolization in the treatment of an aneurysmal bone cyst of the pelvis.This case report deals with an aggressive aneurysmal bone cyst of the pelvis in a 20-year-old man causing considerable destruction of the left ilium and the anterior column of the acetabulum, with extension into the pelvis. The treatment of large pelvic aneurysmal bone cysts is challenging because of local destruction of adjacent structures and because of the risk of severe intraoperative bleeding. Therefore selective preoperative embolization may be a valuable tool in the management of aneurysmal bone cysts.- - - - - - - - - - ranking = 1.1666666666667keywords = aneurysm (Clic here for more details about this article) |
10/16. Undiagnosed aorto-caval fistula during total laparoscopic abdominal aortic aneurysm repair: a cause of conversion.Total laparoscopic aortic repair is evolving and is now the technique of choice for the treatment of infrarenal abdominal aortic aneurysms (AAA) in our department. With growing experience, surgeons will be confronted with the same peroperative situations than open surgery. We report a case of total laparoscopic AAA repair with peroperative diagnosis of aorto-caval fistula (ACF).- - - - - - - - - - ranking = 0.83333333333333keywords = aneurysm (Clic here for more details about this article) |
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