1/32. Spontaneous popliteal artery dissection: a case report and review of the literature.Spontaneous arterial dissection of a peripheral artery involving an extremity is a rare event. We report a case of atraumatic, nonaneurysmal dissection of the popliteal artery that occurred in a 62-year-old man who was admitted with progressive right lower-extremity claudication. Preoperative arteriography was suggestive of arterial dissection, and surgical treatment was undertaken before irreversible ischemia developed. Intraoperatively, a dissection of the popliteal artery was observed, and the patient underwent femoral-popliteal bypass grafting with the ipsilateral, greater saphenous vein and the popliteal artery was ligated distal to the dissection. Spontaneous dissection limited to the popliteal artery has not previously been reported in the literature. Successful management depends on consideration of the diagnosis, particularly when other, more common diseases have been excluded.- - - - - - - - - - ranking = 1keywords = aneurysm (Clic here for more details about this article) |
2/32. Thromboendarterectomy of the right common iliac artery in a patient with Marfan's syndrome and restoration with a new technique.Marfan's syndrome is a rare hereditary disease of connective tissue, the surgical interest of which is in its propensity to the development of arterial aneurysms. We describe the case of a 40-year-old male who was admitted to our hospital because of thrombosis of the right common iliac artery and who was treated with a new technique: thromboendarterectomy of the right common iliac artery and covering of the artery with a synthetic graft, in order to avoid the risk of developing an aneurysm of the endarterectomised iliac artery. This is a new technique, here described for the first time in the international literature.- - - - - - - - - - ranking = 2keywords = aneurysm (Clic here for more details about this article) |
3/32. popliteal artery thrombosis secondary to exostosis of the tibia.This report describes an exceptional case of popliteal artery thrombosis secondary to exostosis of the superior extremity of the superior tibia in a young adult. Correct diagnosis was made during re-operation for recurrent thrombosis. Surgical treatment consisted of resection of the bony tumor and venous bypass to reestablish arterial continuity. Femoropopliteal vascular complications of exostosis are rare, with most cases involving arterial aneurysms or false aneurysms. Differential diagnosis in our young patient took into account the other causes of popliteal thrombosis: entrapped popliteal artery, adventitious cyst, fibrodysplasia, and juvenile arteriopathy. In patients with major functional disability, operative treatment is recommended to remove the bony abnormality and repair the arterial lesion.- - - - - - - - - - ranking = 2keywords = aneurysm (Clic here for more details about this article) |
4/32. Spontaneous infrarenal abdominal aortic dissection presenting as claudication: case report and review of the literature.Spontaneous infrarenal abdominal aortic dissection (SIAAD) is rare. patients with SIAAD may be asymptomatic or may present with abdominal pain or lower extremity ischemia. We describe a case report of a patient with SIAAD who presented with claudication. We reviewed the English literature on this disorder and specifically evaluated the differences between patients on the basis of their presenting symptoms. patients who had SIAAD and lower extremity ischemia were more likely to have the dissection process extend into the iliac or femoral artery and were less likely to have an associated abdominal aortic aneurysm. aortic rupture in the presence of SIAAD was associated with increased risk of death.- - - - - - - - - - ranking = 1keywords = aneurysm (Clic here for more details about this article) |
5/32. Surgical treatment for an atherosclerotic aneurysm of the superficial femoral artery: report of a case.We report the case of an isolated atherosclerotic aneurysm of the superficial femoral artery (SFA). The patient was a 76-year-old man who presented with intermittent claudication and muscle weakness in his right leg. angiography showed an aneurysm in the lower portion of the right SFA, but no abdominal aortic aneurysm or any other peripheral aneurysms were detected. The patient had not suffered any major complications such as rupture, thrombosis, or distal emboli by the time of presentation. Thus, we resected the aneurysm and replaced it with a Dacron graft. Pathological examination revealed typical atherosclerotic changes and no evidence of infection, previous injury, or connective tissue disorders. While isolated atherosclerotic aneurysms of the SFA are rare, with only about 30 cases documented, patients frequently present with major complications and therefore, making an early diagnosis and initiating appropriate surgical treatment are essential.- - - - - - - - - - ranking = 10keywords = aneurysm (Clic here for more details about this article) |
6/32. Unusual cause of intermittent claudication.Spontaneous dissection of a peripheral artery is a rare event. We report a case of a spontaneous, non-atherosclerotic and non-aneurysmal dissection limited to the external iliac artery in a 60-year-old woman who was admitted with a left calf claudication. Non-invasive examination documented signs of leg ischemia due to a floating wall dissection of the external iliac artery. After medical treatment over eight weeks the dissection membrane had been adapted to the vessel wall. A similar case of a spontaneous dissection limited to the external iliac artery, followed by a spontaneous healing has not been reported in the literature.- - - - - - - - - - ranking = 1keywords = aneurysm (Clic here for more details about this article) |
7/32. True venous aneurysms and arterial "steal" secondary to arteriovenous fistulae for dialysis.In patients requiring hemodialysis, arteriovenous fistulae may be created using autogenous vessels or prosthetic grafts. Complications of such operations include thrombosis, infection, venous hypertension, pseudoaneurysm, congestive heart failure, true venous aneurysms, and arterial "steal" syndrome. Of these the last two are the least common. On reviewing the English literature (medline search: 1969-1991) we found only 8 reported cases of true venous aneurysms secondary to creation of an arteriovenous fistulae for dialysis. Hemodynamic assessment has shown that arterial "steal" is frequently present distal to an arteriovenous fistula. However, these patients rarely have ischemic symptoms. Over the last 7 years 236 patients had arteriovenous fistulae created for hemodialysis at our institution. Three of these patients (1.2%) developed true venous aneurysms. One of these 3 patients (0.4%) also had severe hand claudication due to arterial "steal". All of these patients were treated successfully without any complications. The etiology and various therapeutic options for these rare complications are discussed.- - - - - - - - - - ranking = 8.6054338991878keywords = aneurysm, pseudoaneurysm (Clic here for more details about this article) |
8/32. popliteal artery entrapment syndrome in a young girl.popliteal artery entrapment syndrome (PAES) is well-described in adults, but is an uncommon cause of lower-limb pain in children. We present an 11.5-year-old girl with thrombosed aneurysm of the right popliteal artery, subsequently diagnosed with bilateral type I PAES. Multimodality illustration of the radiological findings is presented.- - - - - - - - - - ranking = 1keywords = aneurysm (Clic here for more details about this article) |
9/32. Surgical repair of bilateral profunda femoris artery aneurysms.True aneurysms of the profunda femoral artery are a rare arteriopathy. Few cases have been described in the literature. They are prone to spontaneous rupture and carry significant morbidity, including loss of limb. In light of this, elective repair of profunda femoris aneurysms at the time of detection is the preferred course of action. Surgical repair should include reconstruction of the profunda circulation, in addition to exclusion of the aneurysm to prevent distal ischemia. In this report, we describe the case of a gentleman in whom bilateral profunda femoris artery aneurysms were detected during angiography to investigate his intermittent claudication. Surgical repair involved both exclusion of the aneurysms and bilateral vascular reconstruction.- - - - - - - - - - ranking = 9keywords = aneurysm (Clic here for more details about this article) |
10/32. Persistent sciatic artery in a patient with extracranial internal carotid artery aneurysm and infrarenal abdominal aortic aneurysm. A case report.A rare case of a persistent sciatic artery (PSA) in a patient with aneurysms of the internal carotid artery and abdominal aorta is presented. A 70-year-old man was referred with intermittent claudication of the right lower extremity. angiography and computed tomography demonstrated that this symptom was due to occlusion of the PSA. On preoperative examinations, aneurysms of the extracranial internal carotid artery and abdominal aorta were incidentally discovered, and then surgically treated prior to the management of PSA. Systemic examinations must be performed in patients with PSA in order to scrutinize associated anomalies or vascular disease.- - - - - - - - - - ranking = 10keywords = aneurysm (Clic here for more details about this article) |
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