1/42. Traumatic intracranial aneurysms following penetrating stab wounds to the head: two unusual cases and review of the literature.Two patients with rare complications of traumatic intracranial aneurysms following penetrating cranial stab wounds are described. One patient had a good outcome despite a secondary rupture of a traumatic proximal middle cerebral artery aneurysm, while the second patient had a traumatic basilar bifurcation artery aneurysm. To our knowledge neither the survival from a secondary rupture of a traumatic intracranial aneurysm, nor the development of a basilar bifurcation aneurysm secondary to a transcranial stab wound has been described previously. Furthermore, this is the first report of the technique of deep hypothermic cardiac arrest utilized to treat a traumatic false aneurysm. Traumatic intracranial aneurysms are a rare clinical entity, most often diagnosed after rupture and often resulting in fatal haemorrhage. A high index of suspicion needs to be maintained when managing patients with transcranial stab wounds. Early surgical intervention improves outcome by preventing initial aneurysmal rupture or rebleeding.- - - - - - - - - - ranking = 1keywords = aneurysm (Clic here for more details about this article) |
2/42. Traumatic coronary-pulmonary artery fistula, 23 years after a stab wound.We describe a 50-year-old man with onset of severe hemoptysis and anemia. Twenty-three years earlier, he had undergone a surgical procedure for a left thoracic wound as a result of a knife injury. Current diagnosis of aneurysm of the left ventricle and coronary-pulmonary artery fistula was made after coronary arteriography. The patient underwent resection of the aneurysm and repair of the fistula.- - - - - - - - - - ranking = 0.16666666666667keywords = aneurysm (Clic here for more details about this article) |
3/42. Traumatic pseudoaneurysm of the thyrocervical trunk.A case of a pseudoaneurysm of the thyrocervical trunk after a pocketknife stab wound to zone I of the neck is reported. The patient was evaluated and treated in an emergency department with irrigation of the wound, bandage, and oral antibiotics. A large pseudoaneurysm slowly developed over the next 2 months. When the patient arrived at our hospital, he was immediately admitted and arteriograms were obtained. Arteriograms revealed an active leak of blood into a pseudoaneurysm from the thyrocervical trunk. Surgical treatment consisted of proximal and distal ligation of the thyrocervical trunk. This is the first case of a pseudoaneurysm developing only from the thyrocervical trunk due to a stab wound to zone I of the neck. This case and its complication serve to illustrate and emphasize the rationale for routinely imaging the great vessels after all penetrating trauma to zone I of the neck.- - - - - - - - - - ranking = 13.788274091273keywords = pseudoaneurysm, aneurysm (Clic here for more details about this article) |
4/42. Internal carotid artery pseudoaneurysm masquerading as a peritonsillar abscess.Blunt carotid arterial injuries are uncommon. Motor vehicle crashes are the most frequent cause, but this type of vascular injury can be secondary to any direct blow to the neck, intraoral trauma, or strangulation. Types of vascular injuries include dissection, pseudoaneurysm, thrombosis, rupture, and arteriovenous fistula formation. patients with pseudoaneurysm of the internal carotid artery will usually present with neurologic complaints, ranging from the minor to complete stroke. On physical examination, neck hematoma, bruits, pulsatile neck mass, or a palpable thrill may be found. However, in 50% of cases, no external signs of neck trauma are observed. Onset of symptoms may occur within a few hours to several months after the initial injury. angiography is considered the gold standard for diagnosis, but carotid Doppler ultrasound recently has been shown to be very sensitive in detecting these types of injuries. Treatment of pseudoaneurysm is often surgical, with endovascular stenting.- - - - - - - - - - ranking = 12.064739829864keywords = pseudoaneurysm, aneurysm (Clic here for more details about this article) |
5/42. Matchet cut injury at the wrist as a cause of traumatic radial artery aneurysm: a case report.A sixty year old Yoruba farmer presented at Ela Memorial Medical Centre, Ilorin with recurrent spontaneous bleeding from traumatic left radial artery aneurysm. This was due to a clash between a Fulani cattle rearer and the Yoruba farmer. This sort of situation is rampant across nigeria. It has led to unnecessary death and bodily damage in several cases. The sixty year old man was cut on the left wrist with a matchet. This was poorly treated and this resulted into a saccular radial aneurysm which was complicated with recurrent bleeding. Careless treatment of vascular damage could result into aneurysm formation. Medical personnel treating injuries should be aware of vascular injuries and refer the patient promptly for appropriate management. Communal disputes should be settled quickly before they lead to communital clashes which could lead to vascular injuries for which surgeons who could cope with such injuries are far-in-between in nigeria.- - - - - - - - - - ranking = 0.58333333333333keywords = aneurysm (Clic here for more details about this article) |
6/42. Development of intracranial complications following transoral stab wounds in children. Report of two cases.Sharp penetrating trauma to the skull and brain is uncommon in children. The related pediatric literature consists mainly of cases involving penetrating stab wounds to the face or scalp resulting from assaults or accidents. Herein, we present two cases of perioral intracranial penetration. The first case was a 2-year-old boy who presented with septic complications and developed a brain abscess. The second case was a 2-year-old girl who presented with a subarachnoid hemorrhage and developed a traumatic pericallosal artery aneurysm. After craniotomy and clipping, both patients made a satisfactory recovery. A high index of suspicion, liberal use of neuroimaging and early operative intervention are important points in the successful management of such cases.- - - - - - - - - - ranking = 0.083333333333333keywords = aneurysm (Clic here for more details about this article) |
7/42. Covered stent-graft repair of the brachiocephalic arteries: technical note.OBJECTIVE: The use of a covered stent-graft to repair disruptions of the cervical carotid and vertebral arteries is described. This device maintains vessel patency while effectively excluding pseudoaneurysms, arteriovenous fistulae, and other breaches in the integrity of the arterial wall. methods: Patient 1 bled from a large rent in the proximal common carotid artery as a result of tumor invasion. Patient 2 developed a vertebral arteriovenous fistula after a stab injury to the neck. Patient 3 developed cerebral infarction and an enlarging pseudoaneurysm of the internal carotid artery, also after a stab wound to the neck. RESULTS: All three patients were treated with the Wallgraft endoprosthesis (boston Scientific, Watertown, MA). In each case, the vessel wall defect was repaired while antegrade flow through the artery was preserved or restored. No neurological complications occurred as a result of stent-graft deployment. CONCLUSION: Covered stent-grafts offer an alternative to endovascular occlusion of the parent vessel, thereby expanding the therapeutic options for patients with extracranial cerebrovascular disease. These three cases highlight the usefulness and versatility of these devices for endoluminal reconstruction of the brachiocephalic vasculature.- - - - - - - - - - ranking = 3.4470685228182keywords = pseudoaneurysm, aneurysm (Clic here for more details about this article) |
8/42. Traumatic pseudoaneurysm and high flow arteriovenous fistula involving internal jugular vein and common carotid artery. Treatment with covered stent and embolization.We describe the case of a 36-year-old man who presented following penetrating trauma to the neck. angiography demonstrated a high-flow arteriovenous fistula and large false aneurysm of the common carotid artery that also had contributions from branches of the external carotid artery and the thyrocervical trunk. This was treated with a combination of a covered endovascular stent placed in the common carotid artery and coil embolization of other small feeding vessels.- - - - - - - - - - ranking = 6.9774703789698keywords = pseudoaneurysm, aneurysm (Clic here for more details about this article) |
9/42. Delayed presentation of left ventricular outflow tract aneurysm after penetrating cardiac trauma.We report a case of posttraumatic left ventricular outflow tract aneurysm in a patient who had a stab injury to the chest requiring emergency operation 40 years previously. After apparent decades without symptoms, the patient presented with exertional dyspnea. Clinical and echocardiographic assessment revealed aortic regurgitation and left ventricular outflow tract aneurysm. Injuries to the chest wall that penetrate the heart and great vessels are life-threatening and require emergency operative intervention. However, these injuries rarely, as in this case, result in chronic cardiac aneurysm and aortic valvular incompetence.- - - - - - - - - - ranking = 0.58333333333333keywords = aneurysm (Clic here for more details about this article) |
10/42. Traumatic vertebral artery pseudoaneurysm: a case report.A case of traumatic vertebral artery pseudoaneurysm in a 16-year-old Nigerian male following a stab wound is described. Successful surgical treatment by proximal subclavian artery control and excision of the lesion was achieved. The value of Doppler ultrasonography in the diagnosis is highlighted. This case illustrates and re-emphasises that this rare lesion should be considered in patients with neck mass following penetrating posteriorly located neck injuries.- - - - - - - - - - ranking = 8.6176713070456keywords = pseudoaneurysm, aneurysm (Clic here for more details about this article) |
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