1/118. Calcified splenic artery aneurysm discovered during coronary arteriography.We present a case of calcified splenic artery aneurysm discovered during routine coronary angiography. Early awareness of these aneurysms is important since their rupture may cause serious complications. This case emphasizes the importance of attention to cardiac and extra-cardiac structures during coronary angiography.- - - - - - - - - - ranking = 1keywords = aneurysm (Clic here for more details about this article) |
2/118. Familial tumoral calcinosis: association with cerebral and peripheral aneurysm formation.Two siblings with histologically and radiologically proven tumoral calcinosis presented with cerebral and peripheral aneurysms. The brother died of a ruptured subclavian artery aneurysm after surgical repair of brachial, iliofemoral and coeliac axis aneurysms. Magnetic resonance and catheter angiography in the sister demonstrated marked carotid dysplasia and a left ophthalmic segment aneurysm, not amenable to treatment. We believe this is the first reported case of familial aneurysms in association with tumoral calcinosis.- - - - - - - - - - ranking = 1.5keywords = aneurysm (Clic here for more details about this article) |
3/118. Giant unruptured aneurysm of the thoracic aorta--a case report.An asymptomatic 88-year-old woman underwent a screening medical examination. The chest x-ray film showed a large mediastinal mass with calcification. Both chest computed tomography and nuclear magnetic resonance imaging revealed an unruptured aortic aneurysm, predominantly affecting the ascending aorta and the proximal part of the aortic arch. Its maximum diameter was 10.5 cm. An ascending aortic aneurysm more than 10 cm in diameter is very rare. She died of acute pulmonary embolism unrelated to the aneurysm, and autopsy indicated that the etiology of the aneurysm was atherosclerotic degeneration. Retrospectively, the natural progression of the aneurysm was able to be followed on a series of chest x-ray films obtained over 18 years.- - - - - - - - - - ranking = 1.5keywords = aneurysm (Clic here for more details about this article) |
4/118. The cervical aortic arch with aneurysm formation.An asymptomatic 59-year-old man was admitted with an initial suspicion of mediastinal tumor. He was diagnosed as having a left-sided cervical aortic arch (Haughton type D) with arch aneurysm by using contrast-enhanced CT and angiography. The arch aneurysm was surgically removed. This is the 20th reported case of cervical aortic arch with aneurysm formation.- - - - - - - - - - ranking = 1.1666666666667keywords = aneurysm (Clic here for more details about this article) |
5/118. Infantile cerebral aneurysms with visual pathway compression.Intracranial aneurysms are rare in infancy. The commonest presentation is intracranial hemorrhage, but signs of mass effect are more frequent than in adults. We report 2 infants with cerebral aneurysms, one presenting with macrocephaly and another with strabismus. Both had visual loss and optic disc pallor; MRI revealed a suprasellar mass and anterior visual pathway compression. In both cases, the preoperative diagnosis was craniopharyngioma. It is essential to recognize that, although exceedingly uncommon, cerebral aneurysms do occur in infants and have features that differ from those in adults.- - - - - - - - - - ranking = 1.1666666666667keywords = aneurysm (Clic here for more details about this article) |
6/118. A case of haemosuccus pancreaticus.Haemosuccus pancreaticus (Wirsungorrhagia or pseudohaemobilia) is a rare complication of chronic pancreatitis. We describe a 48-year-old patient with alcohol-induced chronic calcific pancreatitis and recurrent episodes of severe upper gastrointestinal bleeding but without abdominal pain. Upper gastrointestinal endoscopy revealed fresh blood oozing from the ampulla of vater. No pseudoaneurysms or pseudocysts were detected by arteriography or computerized tomography. The bleeding was attributed to pancreatic lithiasis. Following conservative treatment, there was no evidence of recurrence during a 24-month follow-up period. In conclusion, although a rare occurrence, haemosuccus pancreaticus should be considered in the differential diagnosis of all cases of obscure upper gastrointestinal bleeding in patients with chronic pancreatitis, whether or not accompanied by pain. A highly suggestive clinical history or X-ray findings and an endoscopic visualization of blood coming from the ampulla of vater may suffice for the diagnosis, thus avoiding diagnostic and therapeutic errors. When haemosuccus pancreaticus occurs in patients without pseudoaneurysms or pseudocysts, it can be treated conservatively, thus obviating the need for pancreatectomy or arteriographic embolization.- - - - - - - - - - ranking = 0.39722935874357keywords = aneurysm, pseudoaneurysm (Clic here for more details about this article) |
7/118. Coil embolization of an incidental posterior cerebral artery aneurysm after initial OA-PCA bypass surgery.Aneurysms of the posterior cerebral artery (PCA) are rare and imply a variety of treatment modalities. We present a case of an incidental, nonruptured posterior cerebral artery aneurysm, which was successfully occluded by coil embolization after a bypass between the occipital artery and the distal posterior cerebral artery was created. MR imaging in a neurologically normal 26-year-old man, performed in the course of a work-up for nonrelated symptoms, incidentally revealed a partially thrombosed and calcified aneurysm of the left posterior cerebral artery (P2 segment). This was confirmed by angiography. Due to aneurysm configuration and localization in the asymptomatic patient, primary clipping or endovascular occlusion was considered to be too hazardous. Four weeks after successful microvascular connection of the left occipital artery to the distal posterior cerebral artery, the PCA was occluded at the level of the aneurysm with a detachable coil. The patient remained asymptomatic, without visual field defects. The above presented combined microvascular (bypass) and endovascular (coil embolization) treatment with excellent result should be considered as alternative in patients with nonruptured, asymptomatic P2 aneurysms, which are high risk for primary clipping or endovascular occlusion.- - - - - - - - - - ranking = 1.5keywords = aneurysm (Clic here for more details about this article) |
8/118. Postpartum follow-up of hepatic calcification detected by prenatal ultrasound.The causes of parenchymal hepatic calcification are mostly transplacental infection of TORCH complex, ischaemic necrosis, or tumours of foetal liver including haemangioma, hamartoma, teratoma, hepatoma, and hemangioendothelioma. Vascular pathologies like hepatic artery aneurysm, haematoma, calcified thromboemboli of portal vein and hepatic veins can also cause hepatic calcification. We present a case of hepatic calcification which was first diagnosed by prenatal ultrasound. In the postpartum follow-up, we observed that the calcifications had decreased in number and size. The causes and results of hepatic calcification or underlying disease are discussed with analysis of the literature.- - - - - - - - - - ranking = 0.16666666666667keywords = aneurysm (Clic here for more details about this article) |
9/118. The carotid artery as alternative access for endoluminal aortic aneurysm repair.Endograft treatment of aortic aneurysms has become a common procedure in many centers. However, not all patients are candidates for this new technology, because of their vascular anatomy and device limitations. One common problem is iliofemoral occlusive disease, which when present, even in a moderate degree, may preclude introduction of the large-diameter delivery devices currently in use. We present a case of a high-risk male patient with a thoracic aortic aneurysm and severe occlusive disease of the iliac arteries. An alternative approach for device delivery through the carotid artery was used and the procedure was successful with no neurologic complications. We recommend this technique for highly selected patients with an aneurysm who can undergo tube endograft repair without feasible access through the iliac or femoral arteries.- - - - - - - - - - ranking = 1.1666666666667keywords = aneurysm (Clic here for more details about this article) |
10/118. Calcified aneurysms in coronary arteries of a 48-year-old patient.This is a case report of a 48-year-old female patient with a compatible history of Kawasaki disease during childhood, who was admitted to the emergency coronary unit with unstable angina pectoris. coronary angiography identified two coronary aneurysms, one causing right coronary occlusion and the other causing severe obstruction of the left anterior descending coronary artery. coronary artery bypass surgery was indicated.- - - - - - - - - - ranking = 0.83333333333333keywords = aneurysm (Clic here for more details about this article) |
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