1/100. Double layered autogenous vein graft patch reconstruction of the common carotid-internal jugular fistula caused by gunshot wound.Hereby we present a case with a common carotid-internal jugular fistula caused by gunshot wound. The patient was a 32-year old male who had an entrance hole of a bullet on his right anterior cervical area, at the C4 level with a hematoma surrounding it. The exit hole could be detected at the sublingual area. By palpation a thrill and on auscultation a souffle was noted. Neither crepitation, nor any neurologic deficit or any symptom of Horner's syndrome was present. The emergency digital subtraction angiography (DSA) showed a fistulisation to internal jugular vein (IJV) approximately 0.5 cm below the common carotid artery (CCA) bifurcation level. During the operation a hematoma and a false aneurysm was observed on the CCA. Also, proximally to the bifurcation, a communication of CCA with IJV was noted. The wall of the JJV was rather thinned and the size of the vessel had considerably enlarged. Following the evacuation of the hematoma and debridement, the integration of the artery was achieved by placing a double layered autogenous vein graft patch over the 0.5 x 1.5 cm defect. The 0.3 x 1.5 cm defect laterally over the IJV was primarily sutured. The patient was discharged on the fifth day. The control DSA taken on the twelfth day showed a perfect integration of the vessels. We considered the case noticeable due to its rather rare incidence and the double layered autogen vein patch graft reconstruction.- - - - - - - - - - ranking = 1keywords = aneurysm (Clic here for more details about this article) |
2/100. Transesophageal echocardiographic identification of an abdominal aortic pseudoaneurysm complemented by a transpulmonary echo contrast agent.Pseudoaneurysm of the abdominal aorta, a rare complication after traumatic injuries, represents a diagnostic challenge for which sophisticated imaging modalities are often used for its early identification. We describe a case in which transesophageal echocardiographic examination complemented by a transpulmonary echo contrast agent was useful not only in demonstrating the pseudoaneurysm, but in helping to localize the intravascular communication between the aorta and the pseudoaneurysm.- - - - - - - - - - ranking = 206.65839041184keywords = pseudoaneurysm, aneurysm (Clic here for more details about this article) |
3/100. Pseudoaneurysm of the internal carotid artery after shrapnel injury in World war II: demonstration by CT angiography with 3D MIP reconstruction.A case of pseudoaneurysm of the left internal carotid artery (ICA) after shrapnel injury is demonstrated by intra-arterial digital subtraction angiography (DSA) and computed tomography angiography (CTA) with subtraction technique. Although the pseudoaneurysm was well demonstrated by intra-arterial DSA, CTA was the only modality to demonstrate the three-dimensional shape of the perfused part of pseudoaneurysm and the aneurysmal neck, which affected the therapeutic strategy. The CTA technique is useful in the assessment of large pseudoaneurysms and for therapeutic planning.- - - - - - - - - - ranking = 142.10559360789keywords = pseudoaneurysm, aneurysm (Clic here for more details about this article) |
4/100. Traumatic pseudoaneurysm of the abdominal aorta.A traumatic pseudoaneurysm of the abdominal aorta is a rare entity, occurring as the result of a missed aortic lesion at the time of the initial injury. Therefore, clinical suspicion and careful abdominal exploration at first laparotomy is mandatory to prevent aortic pseudoaneurysm formation and its risk of delayed rupture. We present a case of successful surgical treatment of a suprarenal aortic false aneurysm, presenting 4 weeks after a life-threatening gunshot wound in a 13-year-old child.- - - - - - - - - - ranking = 206.65839041184keywords = pseudoaneurysm, aneurysm (Clic here for more details about this article) |
5/100. hemoptysis secondary to pulmonary pseudoaneurysm 30 years after a gunshot wound.A 49-year-old man presented with intermittent hemoptysis from a traumatic pulmonary artery pseudoaneurysm 30 years following a thoracic gunshot wound. The patient was asymptomatic for 28.5 years, when he began experiencing recurrent hemoptysis, chest pain, and a cough. A left lower lobe mass on chest x-ray film was investigated with contrast-enhanced computed tomography and pulmonary angiogram confirming a 1.5-cm pseudoaneurysm. Intraluminal coil embolization was attempted, but a left lower lobectomy was ultimately necessary to treat persistent hemoptysis.- - - - - - - - - - ranking = 205.65839041184keywords = pseudoaneurysm, aneurysm (Clic here for more details about this article) |
6/100. Traumatic arteriovenous fistula of the kidney; an unusual cause of hypertensive encephalopathy.A patient with a traumatic arteriovenous fistula of the kidney developed encephalopathy with seizures and was unconscious for 48 hours before undergoing a left nephrectomy, excision of a false aneurysm of the left renal artery, and colostomy closure. He has remained in good health for two years following the final operative intervention.- - - - - - - - - - ranking = 1keywords = aneurysm (Clic here for more details about this article) |
7/100. Traumatic false aneurysm of the subclavian artery treated by insertion of Memotherm stent.Traumatic aneurysms of the left subclavian artery and transverse cervical artery, subsequent to penetrating gunshot wound were diagnosed by angiography in 35-year-old patient. subclavian artery aneurysm was treated by insertion of the Memotherm bare stent, whereas the false aneurysm of the transverse cervical artery was embolized with Gianturco's coils. The follow up examinations at 6 and 12 months showed good patency of subclavian artery.- - - - - - - - - - ranking = 7keywords = aneurysm (Clic here for more details about this article) |
8/100. Pseudoaneurysm of the proximal facial artery presenting as oropharyngeal hemorrhage.BACKGROUND: Penetrating trauma to the neck traversing zones II and III may cause considerable damage to soft tissues and neurovascular structures. Delayed sequelae of vascular injuries, such as pseudoaneurysm (PA), may present weeks to months after the initial injury. methods: We report an unusual case of a traumatic PA of the proximal facial artery that ruptured into the oropharynx. RESULTS: A 30-year-old man presented with oropharyngeal hemorrhage one month after a gunshot wound to the neck. angiography revealed a PA of the proximal facial artery, which was treated with embolization. The arterial injury leading to the pseudoaneurysm had not been detected by arteriography at the time. CONCLUSIONS: PAs are rare complications of penetrating neck trauma. To our knowledge, this is only the second report of PA involving the proximal facial artery, and the first of a facial PA rupture into the pharynx.- - - - - - - - - - ranking = 72.552796803947keywords = pseudoaneurysm, aneurysm (Clic here for more details about this article) |
9/100. Experiences with intraluminal occlusion with the Fogarty catheter in the treatment of carotid-cavernous sinus fistulas and other lesions at the base of the skull.Indications for the occlusion of the extradural portions of the carotid and vertebral arteries with the Fogarty catheter are demonstrated in 5 cases of traumatic carotid-cavernous sinus fistulas, in 1 case of an extradural carotid aneurysm originating from the anterior portion of the carotid siphon, in 1 case of traumatic carotid-jugular vein fistula and vertebral artery aneurysm with a-v shunt at the level of the atlas, and in 2 cases of large tumours of the base of the skull extending into the cavernous sinus. The limitation of the method is shown in one case where the catheter could not be passed through a "high" kink of the carotid artery. "Low" kinking, at the typical site above the bifurcation, can be overcome by mobilization and stretching of the vessel while introducing the catheter.- - - - - - - - - - ranking = 2keywords = aneurysm (Clic here for more details about this article) |
10/100. hepatic artery-portal vein fistula detected on hepatic flow study: case report.A man with a history of gunshot wounds presented with jaundice and a bruit over the upper abdomen. The radionuclide flow sequence revealed simultaneous perfusion of the liver with transit of the activity down the aorta. The was considered compatible with a fistula between the hepatic artery artery and portal vein (confirmed angiographically and at autopsy). An expanding aneurysm of the hepatic artery produced an enlarging focal parenchymal defect.- - - - - - - - - - ranking = 1keywords = aneurysm (Clic here for more details about this article) |
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