Cases reported "Aortic Arch Syndromes"

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1/3. New device for percutaneous closure of aortopulmonary collaterals.

    A 4.5-month-old infant with tetralogy of fallot, pulmonary atresia, and multiple aortopulmonary collaterals underwent successful occlusion of the collaterals using a new device. This new plug (Amplatzer vascular plug) is a self-expandable cylindrical device made of nitinol wire mesh. The device is available in sizes from 4 to 16 mm in 2 mm increment. The device can be used in patients with aortopulmonary collaterals, pulmonary arteriovenous malformations, venovenous collaterals, shunts, coronary fistulas, and certain type of patent ductus arteriosus.
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ranking = 1
keywords = fistula
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2/3. Homemade endovascular treatment of postoperative aortobronchial fistulas.

    Successful treatments of aortobronchial fistulas were achieved in two cases using a homemade endovascular stent graft. In one, a 75-year-old man was operated on for a distal arch aneurysm 11 years previously. In the other, a 73-year-old woman was operated on for a ruptured type B aortic dissection 2 months previously. In both cases, the chief complaint was repeated hemoptysis, and the communication between the aorta and the airway tract was at the distal anastomotic site in the descending aorta. To minimize risks associated with reoperation, endovascular stent grafting was selected electively. Postoperative courses were uneventful and there were no recurrences of hemoptysis.
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ranking = 5
keywords = fistula
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3/3. Takayasu's disease with aneurysm of right common iliac artery and iliocaval fistula in a young infant: case report and review of the literature.

    Takayasu's arteritis or nonspecific arteritis is a term used to designate a primary arteries of unknown etiology involving the aorta and its major branches at any level. Generally, the lesions are obliterative; however, aneurysms and saccular dilations have also been described. The arteritis was originally believed to be limited to the aortic arch; however, involvement of the descending thoracic and abdominal aorta has been reported. In fact, the majority of cases of Takayasu's disease in children involve the descending thoracic and abdominal aorta. A case of Takayasu's disease in a 7-month-old black male infant involving the right common iliac artery with development of a large aneurysm and an iliocaval fistula is reported. This child is the youngest to be affected by the disease as reported in the literature. Although Takayasu's disease is rare, it should be considered in the differential diagnosis of children with an abdominal mass.
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ranking = 5
keywords = fistula
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