1/13. Surgical repair of a post-traumatic arteriovenous fistula complicated by stent-graft misplacement.An arteriovenous fistula (AVF) is an abnormal connection between an artery and a vein which may result from a traumatic injury or occur as a congenital abnormality. It may be asymptomatic or may present with a variety of symptoms. Surgical or endovascular treatment can be preferred. We present a case of unsuccessful percutaneous treatment of a femoral AVF due to misplacement of the stent-grafts, necessitating surgical correction.- - - - - - - - - - ranking = 1keywords = post-traumatic (Clic here for more details about this article) |
2/13. Chest stab wound-related coronary artery pseudoaneurysm sealed with a polytetrafluoroethylene-covered stent.We describe a case in which a polytetrafluoroethylene (PTFE)-covered stent was implanted to treat impending rupture of a coronary artery pseudoaneurysm related to a chest stab wound. In this case, transthoracic echocardiography was used to verify the characteristics of the pseudoaneurysm, and we concluded that a PTFE-covered stent may prevent rupture in post-traumatic pseudoaneurysm.- - - - - - - - - - ranking = 0.25keywords = post-traumatic (Clic here for more details about this article) |
3/13. diagnosis and management of traumatic ventricular septal defect.Four cases of ventricular septal defect secondary to stab wounds of the heart are presented. One of three patients arriving at the Emergency Department in shock and who were resuscitated required an emergency thoracotomy. These patients had immediate repair of their external cardiac wounds in the Operating Room. Cases 1 and 3 developed heart failure and loud systolic murmur postoperatively. Case 4 was treated with chest tube for a left hemothorax and developed heart failure after discharge. In Cases 1, 2, and 3, 2-D echocardiography detected and located a VSD. In Case 3 Doppler measurement showed elevated RV pressure (45 mm Hg) and decreased peak tricuspid to mitral flow ratio (0.36, normal = 0.6). All patients underwent cardiac catheterization. In Case 4 there was associated mitral regurgitation. Cases 1 and 3 had pulmonary to systemic flow ratios greater than 3:1. Cases 1, 3, and 4 underwent operative repair. In Case 1 the VSD was closed with a dacron patch, and in Cases 3 and 4 it was sutured with Teflon pledgets. In Case 4 a puncture wound of the mitral valve annulus was simultaneously repaired. All patients are alive but in Case 1 postoperative 2-D echocardiography demonstrated partial dehiscence of the patch which has not required reoperation and in Case 3 post-repair 2-D echocardiography and Doppler flow studies have shown an intact VSD repair. This series of post-traumatic VSD demonstrates its varying clinical presentation and the diagnostic and followup benefits offered by 2-D echocardiography, especially when combined with Doppler flow measures.(ABSTRACT TRUNCATED AT 250 WORDS)- - - - - - - - - - ranking = 0.25keywords = post-traumatic (Clic here for more details about this article) |
4/13. Use of giant steel coils in the therapeutic embolization of a superior mesenteric artery-portal vein fistula.The use of a series of giant steel coils is described for the therapeutic embolization of a post-traumatic arteriovenous fistula between the superior mesenteric artery and the portal vein.- - - - - - - - - - ranking = 0.25keywords = post-traumatic (Clic here for more details about this article) |
5/13. Percutaneous transcatheter steel-coil embolization of a large proximal post-traumatic superior mesenteric arteriovenous fistula.Arteriovenous fistulae affecting the proximal portions of the superior mesenteric vessels are extremely rare. We are reporting one such fistula which occurred in a young male as a sequel to a stab in the epigastrium. The arteriovenous fistula was successfully treated by percutaneous steel coil embolization.- - - - - - - - - - ranking = 1keywords = post-traumatic (Clic here for more details about this article) |
6/13. air tamponade. A case report.A 29-year-old man with post-traumatic cardiac tamponade resulting from the development of a tension pneumopericardium is described. To our knowledge this is the first such case reported in the literature.- - - - - - - - - - ranking = 0.25keywords = post-traumatic (Clic here for more details about this article) |
7/13. The significance of delayed post-traumatic renal hemorrhage.An impression is presented pertaining to the significance of delayed recurrent post-traumatic renal hematuria, documented by 3 case reports and an appraisal of relevant data selected from prior reports. Adjunctive features may include prolonged initial hematuria despite acceptable radiographic features, a preponderant relationship to penetrating (knife and low velocity missile) wounds and a tendency to respond temporarily to conservative management.- - - - - - - - - - ranking = 1.25keywords = post-traumatic (Clic here for more details about this article) |
8/13. Post-traumatic intrahepatic arteriovenous fistula.A case is reported where, after multiple stab-wounds in the liver, a large intrahepatic arteriovenous fistula producing portal hypertension, a non-obstructive portal thrombus and chronic cholecystitis have developed. The fistula was closed by catheter embolization with surgical access to the left hepatic artery. Occlusion of the arterial flow at some distance from the fistula was rendered ineffectual by the collateral circulation. Deposition of a tufted steel coil exactly on the site of the fistula resulted in obliteration. The portal thrombus, supposedly developed from haemodynamic alterations, appeared to be resolved in a postoperative angiogram. angiography and, to some degree, ultrasound B-scanning are indispensable for a timely detection of post-traumatic vascular malformations of the liver.- - - - - - - - - - ranking = 0.25keywords = post-traumatic (Clic here for more details about this article) |
9/13. Lumbar artery pseudoaneurysm: CT demonstration.A psoas mass in a patient with a history of penetrating trauma to the area was demonstrated by computed tomography (CT) to represent a lumbar artery pseudoaneurysm surrounded by hematoma. This report emphasizes the importance of recognizing the anatomic position of the lumbar arteries on CT images and considering the possibility of pseudoaneurysm in the differential diagnosis of post-traumatic psoas masses.- - - - - - - - - - ranking = 0.25keywords = post-traumatic (Clic here for more details about this article) |
10/13. Delayed post-traumatic pneumopericardium producing acute cardiac tamponade.cardiac tamponade is a well-known result of fluid collection within the pericardial sac. That air in the pericardial sac can produce a similar clinical picture is not so well known. The author describes the case of a 38-year-old patient with acute cardiac tamponade produced by air within the pericardial sac after trauma.- - - - - - - - - - ranking = 1keywords = post-traumatic (Clic here for more details about this article) |
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