1/231. "True" mycotic aneurysm of a renal artery allograft.A 60-year-old white man sustained a rupture of the renal artery 6 weeks after a cadaveric kidney transplantation. The bleeding site was repaired, and culture of the hematoma showed an isolated growth of candida albicans. blood and urine cultures were negative. Systemic antifungal therapy was initiated. Bleeding from the renal artery recurred, eventually requiring removal of the transplanted kidney. Histopathology of the resected specimen showed budding yeast in the wall of the renal artery, but no evidence of fungal invasion of the kidney. The patient received 6 weeks of amphotericin b therapy and currently remains on hemodialysis therapy.- - - - - - - - - - ranking = 1keywords = aneurysm (Clic here for more details about this article) |
2/231. Successful treatment of a pseudoaneurysm of the cystic artery with microcoil embolization.Pseudoaneurysms of visceral arteries are uncommon but well-characterized vascular abnormalities, usually provoked by intraabdominal inflammatory processes such as pancreatitis or cholecystitis, or by surgical trauma. However, pseudoaneurysms of the cystic artery are rare. They complicate cholecystitis or cholecystectomy, and manifest as hemobilia as they rupture into the biliary tree. The advent of transcatheter embolization techniques has begun to allow minimally invasive treatment of these life-threatening complications. Transcatheter embolization can be performed using several types of material, such as synthetic occlusive emulsions, gelatin sponges or other particles, or metallic microcoils. Microcoils are small metallic helical particles, made of stainless-steel, platinum, or tungsten. Super-selective catheterization of an artery and release of microcoils causes the vessel to thrombose and allows control of bleeding.- - - - - - - - - - ranking = 6.430441330208keywords = pseudoaneurysm, aneurysm (Clic here for more details about this article) |
3/231. Spontaneous retroperitoneal hematoma from rupture of an aneurysm of the ovarian artery following delivery.We describe a case involving spontaneous retroperitoneal hematoma caused by rupture of an aneurysm of the right ovarian artery 4 days after delivery in a multiparous woman. diagnosis was achieved by arteriography. Bleeding was stopped by embolization via selective arteriography. hematoma was drained by lomboscopy. The pathophysiological mechanisms underlying development and treatment of these aneurysms are discussed.- - - - - - - - - - ranking = 1.5keywords = aneurysm (Clic here for more details about this article) |
4/231. Persistent sciatic artery: report of an original aneurysm-associated case.Persistent sciatic artery (PSA) is a rare embryologic abnormality and can sometimes be bilateral. It may be discovered because of a gluteal aneurysm or ischemic or embolic complications in the lower limb. The case we report was a unilateral type III aneurysm-associated PSA. Since the abnormal artery may be the only source of blood supply to the lower limb, a thorough knowledge of the artery and its embryologic origins is essential.- - - - - - - - - - ranking = 1.5keywords = aneurysm (Clic here for more details about this article) |
5/231. Endovascular management of axillary artery trauma.A 17-year-old man was seen with an expanding false aneurysm of the right axillary artery. This was treated by an intraluminal covered-stent introduced through the brachial artery via an 11F sheath. The covered-stent was constructed from a segment of great saphenous vein anchored in the axillary artery by a 29 mm Palmaz stent. Postoperative arteriography and duplex scanning confirmed normal flow through the axillary artery with complete exclusion of the aneurysm. Postoperative recovery was uneventful.- - - - - - - - - - ranking = 0.5keywords = aneurysm (Clic here for more details about this article) |
6/231. Dealing with a hemophilia-A patient undergoing cerebral aneurysm surgery.In this article anesthesiologic and hematologic aspects of a patient with Hemophilia-A, who underwent craniotomy for a right middle cerebral artery aneurysm, are discussed.- - - - - - - - - - ranking = 1.25keywords = aneurysm (Clic here for more details about this article) |
7/231. Traumatic ileocolic pseudoaneurysm: diagnosis and transcatheter treatment.Injuries to branches of the superior mesenteric artery are unusual and often difficult to diagnose, yet require prompt recognition and treatment to prevent exsanguinating hemorrhage or bowel ischemia. This report describes a unique case of an ileocolic artery pseudoaneurysm diagnosed using delayed CT imaging and definitively treated by transcatheter embolization. Cathet. Cardiovasc. Intervent. 48:217-219, 1999.- - - - - - - - - - ranking = 6.180441330208keywords = pseudoaneurysm, aneurysm (Clic here for more details about this article) |
8/231. Very late-onset symptomatic cerebral vasospasm caused by a large residual aneurysmal subarachnoid hematoma--case report.A 70-year-old female developed delayed ischemic neurological deficits at 35 days after subarachnoid hemorrhage (Hunt and Kosnik grade III, Fisher group 4) caused by a ruptured aneurysm of the left middle cerebral artery. angiography indicated late-onset cerebral vasospasm probably due to the mass effect of a large hematoma remaining in the sylvian fissure and an intracerebral hematoma after surgery. patients with a large subarachnoid hematoma after subarachnoid hemorrhage should receive therapy to prevent cerebral vasospasm until the mass effect of the hematoma has diminished.- - - - - - - - - - ranking = 1.25keywords = aneurysm (Clic here for more details about this article) |
9/231. Evolution toward dissection of an intramural hematoma of the ascending aorta.Intramural hematoma of the aorta is a condition increasingly observed in clinical practice. uncertainty exists whether such lesions represent a different pathology or simply the precursors of classic dissecting aneurysm. The patient was a 76-year-old woman with intramural hematoma of the ascending aorta. Clinical course, progression of the lesion to type A aortic dissection, and surgical treatment are described. Although natural history of intramural hematoma of the ascending aorta is not clearly elucidated, the case presented confirms that the evolution toward intimal flap formation is possible and that we cannot foresee the stabilization of these lesions. We stress that intramural hematoma of the ascending aorta has to be managed as an aortic type A dissection and that aggressive treatment is advisable.- - - - - - - - - - ranking = 0.25keywords = aneurysm (Clic here for more details about this article) |
10/231. Hepatic subcapsular hematoma after extracorporeal shock wave lithotripsy (ESWL) for pancreatic stones.We present a patient with complication of huge hepatic subcapsular hematoma after extracorporeal shock wave lithotripsy (ESWL) for pancreatic lithotripsy. The hematoma measured 78-110mm. angiography showed a subcapsular hematoma, rather than a hematoma in the liver. In the arterial phase, the distal end of the small vessel showed spotty opacification similar to microaneurysma, suggesting that it was an injury caused by separation of the liver and its capsule, caused by the shock waves. The portal vein and hepatic vein were normal. After 8 weeks of conservative therapy, the hematoma was gradually absorbed and the patient was discharged. Eight months after the accident, the hematoma had decreased to 40mm in size. After 20 months, it was completely absorbed. The reported rate of renal subcapsular hematoma after ESWL for renal or ureter stones is 0.1%-0.7%. To date, however, only five cases of hepatic subcapsular hematoma after right renal stone disintegration have been reported. This is the first report of hepatic subcapsular hematoma after ESWL for pancreatic stones.- - - - - - - - - - ranking = 0.25keywords = aneurysm (Clic here for more details about this article) |
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