137,971 results match your criteria Aneurysm Abdominal


Open Thoracoabdominal Aortic Aneurysm Repair: Contemporary Outcomes for 393 Elective Cases.

Ann Thorac Surg 2018 Dec 12. Epub 2018 Dec 12.

Kawasaki Aortic Center, Kawasaki Saiwai Hospital, Japan.

Background: The purpose of this study was to reveal the mid- and long-term mortality rates among patients with thoracoabdominal aortic aneurysm (TAAA) following open TAAA repair (TAAAR) and to clarify the impact of aneurysm type on mortality.

Methods: We retrospectively analyzed data for 393 patients (290 males; age, 63.2 ± 12. Read More

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December 2018

Middle- and long-term outcomes of hybrid technique of complicated Stanford type-B aortic dissection.

Ann Thorac Surg 2018 Dec 12. Epub 2018 Dec 12.

Department of Cardiovascular Surgery, the second Hospital of Jilin University, Changchun, Jilin, China, 130041. Electronic address:

Background: To evaluate the middle- and long- clinical outcomes of aortic implantation of stent-grafts under direct vision (hybrid surgical treatment).

Methods: From March 2009 to December 2014, 285 patients presented with type-B aortic dissection. Of these, 35 complicated patients underwent hybrid surgical treatment. Read More

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December 2018

Pediatric encephalic ultrasonography: the essentials.

J Ultrasound 2018 Dec 14. Epub 2018 Dec 14.

Radiology Department, "Santobono-Pausilipon" Children Hospital, Naples, Italy.

Nowadays, cranial ultrasonography (US) of the newborn represents the first imaging method in brain damage study and its possible outcomes. This exam is performed using the natural fontanelles, especially the anterior one. It is fast, non-invasive and does not produce any side effect. Read More

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December 2018

Arc of Bühler: the surgical significance of a rare anatomical variation.

Surg Radiol Anat 2018 Dec 14. Epub 2018 Dec 14.

Department of Anatomy and Surgical Anatomy, School of Medicine, National and Kapodistrian University of Athens, Tetrapoleos 18, 75 Mikras Asias Str, 11527, Athens, Greece.

Purpose: The arc of Bühler, an anastomotic vessel between celiac artery and superior mesenteric artery, is a rare anatomic variation. Various radiologic and surgical procedures can be affected by its existence. We aim to review all available information and identify possible clinical implications. Read More

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December 2018

[Image-based screening].

Authors:
G Layer

Radiologe 2018 Dec 14. Epub 2018 Dec 14.

Zentralinstitut für Diagnostische und Interventionelle Radiologie, Klinikum Ludwigshafen gGmbH, Bremserstraße 79, 67063, Ludwigshafen, Deutschland.

Screening is a special issue in medical questions concerning disease prevention. Preconditions for screening are clearly defined by the World Health Organization. High prevalence, effectiveness of therapy, availability of accepted test procedure and consensus concerning the economic concerns are necessary for successful implementation of a screening program. Read More

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December 2018

Safety and efficacy of cangrelor in acute stenting for the treatment of cerebrovascular pathology: preliminary experience in a single-center pilot study.

J Neurointerv Surg 2018 Dec 14. Epub 2018 Dec 14.

Lyerly Neurosurgery, Baptist Neurological Institute, Baptist Health, Jacksonville, Florida, USA.

Background: Treatment of acute cerebrovascular pathology, such as acute ischemic stroke or intracranial aneurysms, presents a challenge if an extracranial or intracranial stent is required; immediate platelet inhibition is vital. To date, there is no standardized approach for antiplatelet inhibition in an acute setting.

Objective: To report our preliminary experience and lessons learnt using cangrelor in acute neurointervention. Read More

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December 2018

Pipeline shield with single antiplatelet therapy in aneurysmal subarachnoid haemorrhage: multicentre experience.

J Neurointerv Surg 2018 Dec 14. Epub 2018 Dec 14.

Institute of Neurological Sciences, Prince of Wales Hospital, Randwick, New South Wales, Australia.

Background: The Pipeline Embolisation Device with Shield technology (PED-Shield) is suggested to have reduced thrombogenicity. This reduced thrombogenicity may make it possible to use safely in the acute treatment of aneurysmal subarachnoid haemorrhage (aSAH) on single antiplatelet therapy (SAPT).

Objective: To evaluate the safety and efficacy of the off-label use of PED-Shield with SAPT for the acute treatment of aSAH. Read More

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December 2018

Survival after abdominal aortic aneurysm repair is affected by socioeconomic status.

J Vasc Surg 2018 Dec 11. Epub 2018 Dec 11.

Division of Vascular Surgery, Henry Ford Hospital, Detroit, Mich. Electronic address:

Objective: The association between socioeconomic status (SES) and outcome after abdominal aortic aneurysm (AAA) repair is largely unknown. This study aimed to determine the influence of SES on postoperative survival after AAA repair.

Methods: Patients undergoing surgical treatment of AAA at a tertiary referral center between January 1993 and July 2013 were retrospectively collected. Read More

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December 2018

Predissection-derived geometric and distensibility indices reveal increased peak longitudinal stress and stiffness in patients sustaining acute type A aortic dissection: Implications for predicting dissection.

J Thorac Cardiovasc Surg 2018 Nov 3. Epub 2018 Nov 3.

Department of Cardiothoracic Surgery, University of Pittsburgh, Pittsburgh, Pa; Department of Bioengineering, University of Pittsburgh, Pittsburgh, Pa; McGowan Institute for Regenerative Medicine, University of Pittsburgh, Pittsburgh, Pa; Center for Vascular Remodeling and Regeneration, University of Pittsburgh, Pittsburgh, Pa; Center for Thoracic Aortic Disease, University of Pittsburgh, Pittsburgh, Pa. Electronic address:

Objective: To assess ascending aortic distensibility and build geometry and distensibility-based patient-specific stress distribution maps in patients sustaining type A aortic dissection (TAAD) using predissection noninvasive imaging.

Methods: Review of charts from patients undergoing surgical repair of TAAD (n = 351) led to the selection of a subset population (n = 7) with 2 or more predissection computed tomography angiography scans and echocardiograms at least 1 year before dissection. Ascending aortic wall biomechanical properties (aortic strain, distensibility, and stiffness) were compared with age- and size-matched nondissected nonaneurysmal controls. Read More

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November 2018
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Clipping of Basilar Perforator Pure Arterial Malformation Aneurysm: 2-Dimensional Operative Video.

Oper Neurosurg (Hagerstown) 2018 Dec 14. Epub 2018 Dec 14.

University of Miami, Department of Neurosurgery, Miami, Florida.

Pure arterial malformations are rarely-encountered intracranial lesions, often mistaken for arteriovenous malformations. A minority of these lesions may harbor associated aneurysms. In a recent series of 12 patients with pure arterial malformations, 3 patients had associated aneurysms. Read More

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December 2018

One-stage transmediastinal surgical approach for extensive aortic pathology.

Multimed Man Cardiothorac Surg 2018 Dec 4;2018. Epub 2018 Dec 4.

SS. Antonio e Biagio e Cesare Arrigo Hospital of Alessandria Piedmont Italy.

"One-stage" transmediastinal replacement of the thoracic aorta provides an alternative treatment to single or multiple stage hybrid procedures for patients with ascending, arch, and descending thoracic aorta aneurysm. The patient is placed on bypass and cooled. During circulatory arrest, after surgical treatment of the aortic valve and root where appropriate, the entire ascending aorta is excised and the transverse arch is opened longitudinally. Read More

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December 2018

Left brachiocephalic vein occlusion in a patient with an aortic arch aneurysm: Rare cause of obstraction for a pacemaker implantation.

J Cardiol Cases 2014 Jan 13;9(1):32-34. Epub 2013 Dec 13.

Department of Cardiology, Tokyo Women's Medical University, Tokyo, Japan.

Venous occlusions or anatomic variants are unexpectedly encountered during transvenous pacing lead implantation procedures. A 78-year-old man, who had been medically treated for a thoracic and abdominal dissecting aortic aneurysm was referred to our hospital for treatment of congestive heart failure due to complete atrioventricular block with bradycardia. At the time of the pacemaker implantation, the guidewire for inserting the introducer sheath could not be advanced into the left brachiocephalic vein. Read More

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January 2014

Saccular aneurysm and stenosis of the left anterior descending artery presenting with acute coronary syndrome. What is the best treatment: CABG or PCI?

J Cardiol Cases 2013 Oct 31;8(4):129-130. Epub 2013 Aug 31.

Department of Medicine, Division of Cardiovascular Diseases, University of Tennessee Health Science Center, 6283 Common Oaks Crt # 106, Memphis, TN 38120, USA.

Treatment of coronary artery aneurysms (CAAs) can either take the way of a close regular follow up with antiplatelet and anticoagulation therapy, percutaneous coronary intervention with possible stenting, or reach the extent of doing coronary artery bypass grafting. The severity of coexistent coronary artery stenosis, symptomatology, embolization to distal coronary beds, and increasing measurements over time are key players to decide whether to proceed with surgery in patients with CAAs. < (i) Coronary artery aneurysms (CAAs) are defined as luminal dilation 50% larger than that of the adjacent reference segment. Read More

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October 2013

New coronary aneurysm formation and malapposition after zotarolimus-eluting stent implantation in Kawasaki disease.

J Cardiol Cases 2013 Sep 7;8(3):118-120. Epub 2013 Aug 7.

Department of Cardiology and Nephrology, Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie 514-8507, Japan.

Coronary artery involvement is the most important complication of Kawasaki disease. Coronary artery bypass surgery has been performed for ischemic heart disease caused by Kawasaki disease, however, long-term coronary graft patency is not satisfactory. Therefore, percutaneous coronary intervention (PCI) has its role in Kawasaki disease-related coronary artery disease. Read More

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September 2013

A case of paroxysmal pheochromocytoma concurrent with coronary artery aneurysm presenting as acute coronary syndrome.

J Cardiol Cases 2013 Aug 25;8(2):e72-e76. Epub 2013 Jun 25.

Department of Cardiology, Hiroshima Red Cross Hospital & Atomic-bomb Survivors Hospital, 1-9-6 Senda-machi, Naka-ku, Hiroshima 730-8619 Japan.

A 51-year-old man recently diagnosed with preclinical Cushing's syndrome complained of chest oppression concomitant with back pain. Following contrast-enhanced computed tomography (CT) to rule out acute aortic dissection, he developed chest symptoms accompanied by elevation of blood pressure to 240/120 mmHg and ischemic electrocardiographic change. Urgent coronary angiography revealed a coronary artery aneurysm (15 mm × 6 mm) in the distal portion of the left anterior descending artery concomitant with coronary flow delay. Read More

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Stenting for huge coronary artery aneurysm and stenosis in a patient with Behçet's disease presenting with non-ST segment elevation myocardial infarction.

J Cardiol Cases 2013 Jul 6;8(1):e3-e6. Epub 2013 Apr 6.

Adult Cardiology Department, Prince Salman Heart Center, King Fahad Medical City, Riyadh 11525, P.O. Box 59046, Saudi Arabia.

Coronary artery aneurysms in patients with Behçet's disease are rare and associated with fatal complications. Covered stents have been used in the management of coronary aneurysms but not in patients with Behçet's disease. We are reporting a rare case of Behçet's disease, admitted with non-ST segment elevation myocardial infarction, whose coronary angiogram revealed huge aneurysm involving proximal left anterior descending artery followed by severe stenosis. Read More

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Aortic prosthetic graft infection accompanied with esophagomediastinal fistulas: A case report.

J Cardiol Cases 2012 Aug 6;6(2):e51-e54. Epub 2012 Jun 6.

Tenri Shirakawa Branch Hospital, Nara, Japan.

Prosthetic graft infection is difficult to diagnose early, and hence, is associated with high mortality and morbidity rates. A 63-year-old man who had undergone surgical prosthetic replacement for an inflammatory thoracic aortic aneurysm 10 months previously visited our emergency room, complaining of chills, shivering, frequent vomiting, and back pain. He was diagnosed with severe sepsis, and a blood culture detected and . Read More

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Aortic valve endocarditis and cerebral mycotic aneurysm due to brucellosis.

J Cardiol Cases 2011 Dec 27;4(3):e179-e182. Epub 2011 Aug 27.

Hacettepe University Faculty of Medicine Radiology Department, Ankara, Turkey.

Brucellosis is an infectious disease caused by Gram-negative coccobacilli. Direct contact with the infected tissue or blood, consumption of infected dairy products, and inhalation of infectious aeresol particles can transmit the disease. Brucella endocarditis is rare but the most fatal complication of brucellosis. Read More

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December 2011

Percutaneous closure of aortic pseudoaneurysm in a young female with atrial septal occluder.

J Cardiol Cases 2017 Feb 18;15(2):39-42. Epub 2016 Nov 18.

Godbole Hospital, Thane, Maharashtra, India.

This case report represents a novel technique for the treatment of a pseudoaneurysm of the aorta. Pseudoaneurysm of the aorta has been reported in patients post heart surgery. This case report is about a patient who had a pseudoaneurysm most probably following tuberculosis. Read More

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February 2017
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A case of coronary artery aneurysm after sirolimus-eluting stent implantation presenting with unstable angina due to progression of stent thrombosis: Concerns over sirolimus-eluting stents remain.

J Cardiol Cases 2016 Dec 3;14(6):168-170. Epub 2016 Sep 3.

Department of Cardiology, Uwajima City Hospital, Uwajima, Ehime, Japan.

A 44-year-old man was implanted with a sirolimus-eluting stent in the proximal left anterior descending artery 8 years previously. Six years later, multi-slice computed tomography and angiography confirmed the formation of a coronary artery aneurysm around the stent. Optical coherence tomography revealed organized thrombi within the stent. Read More

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December 2016

Progressive coronary aneurysms in Behçet disease, a journey through surgical and percutaneous treatment: A case report.

J Cardiol Cases 2016 Jul 14;14(1):32-34. Epub 2016 Apr 14.

Heart Center, King Faisal Hospital and Research Center, Riyadh, Saudi Arabia.

Behçet disease is a systemic autoimmune disease that causes inflammation within the vascular tree. Coronary arteries are rarely involved with stenosis, arteritis or aneurysm formation. Treatment is mainly directed to reduce the burden of inflammation systemically with steroid and immunosuppressive medications. Read More

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An isolated spontaneous dissecting celiac artery aneurysm with successful endovascular treatment using stenting and coil embolization.

J Cardiol Cases 2016 May 2;13(5):155-157. Epub 2016 Mar 2.

Tokyo Metropolitan Health and Medical Treatment Corporation Ohkubo Hospital, Tokyo, Japan.

Isolated spontaneous dissecting celiac artery aneurysm (DCAA) is a rare event. We report the case of a 50-year-old Japanese man with sudden post-prandial epigastric pain. He was diagnosed as having an isolated DCAA based on the results of contrast-enhanced multi-slice computed tomography (CT). Read More

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Rivaroxaban for treatment of intraventricular thrombus in Chagas disease.

J Cardiol Cases 2016 Mar 8;13(3):75-77. Epub 2015 Dec 8.

Neurologists of Instituto de Neurologia de Goiânia, Goiânia, GO, Brazil.

Chagas disease leads to congestive heart failure, apical aneurysm, and may cause stroke or systemic embolism for intraventricular thrombus. We present a case of a 61-year-old man admitted for stroke 5 months after a renal embolism. An intraventricular thrombus was observed, probably the source of the cerebral and renal embolisms. Read More

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Giant unruptured sinus of Valsalva aneurysm with complete heart block.

J Cardiol Cases 2016 Jan 21;13(1):17-20. Epub 2015 Oct 21.

Nizam's Institute of Medical Sciences, Hyderabad, India.

In this rare case report of giant unruptured sinus of Valsalva aneurysm (SOVA), a 17-year-old male presented with sudden onset syncope due to complete heart block (CHB). An emergency evaluation was done with the help of transthoracic echocardiography, transesophageal echocardiography, and cardiac catheterization with support of temporary pacemaker. The obvious distorting effects of a giant SOVA dissecting into interventricular septum were CHB, significant regurgitation of tricuspid and mitral valve, mild regurgitation aortic valve and biventricular dysfunction. Read More

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January 2016

Transcatheter closure of ruptured sinus of Valsalva aneurysm in a pregnant woman.

J Cardiol Cases 2015 Dec 20;12(6):183-187. Epub 2015 Aug 20.

Department of Pediatric Cardiology, Apollo Health City, Jubilee Hills, Hyderabad, India.

Sinus of Valsalva aneurysm (SVA) is a rare cardiac anomaly that is usually congenital, but may be acquired. They are usually asymptomatic unless they compress adjacent structures, develop thrombosis, or rupture. A ruptured SVA (RSVA) can lead to rapid hemodynamic deterioration and often needs to be addressed emergently. Read More

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December 2015

Endovascular treatment of ruptured subclavian artery aneurysm presented with hemoptysis.

J Cardiol Cases 2015 May 23;11(5):129-131. Epub 2015 Feb 23.

Cardiology Division, Department of Internal Medicine, Gil Medical Center, Gachon University, Incheon, Republic of Korea.

Ruptured subclavian artery aneurysm (SAA) is extremely rare and it can cause a life-threatening condition. We described an elderly patient with ruptured SAA who underwent endovascular treatment successfully. Our case showed that endovascular repair may be one of the options for the treatment of ruptured SAA when surgical repair is impossible or not indicated for its difficulty. Read More

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Aortic valve aneurysm responsible for acute congestive heart failure and histological findings: A case report.

J Cardiol Cases 2014 Sep 25;10(3):100-103. Epub 2014 Jun 25.

Department of Cardiology, Hakodate Goryokaku Hospital, Hakodate, Hokkaido, Japan.

We experienced a case of acute congestive heart failure in a 73-year-old man who had been followed up due to mild-to-moderate aortic stenosis and moderate-to-severe aortic regurgitation. A huge aortic valve aneurysm was found to extend from his right coronary cusp to a left ventricular outflow tract, resulting in moderate subaortic obstruction and severe aortic regurgitation. Surgical repair was performed and a perforated aneurysm of right aortic cusp was identified. Read More

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September 2014

Left ventricular apical aneurysm in chronic Chagas cardiomyopathy-A case report.

J Cardiol Cases 2014 Sep 14;10(3):88-90. Epub 2014 Jul 14.

Department of Cardiology, Jackson Memorial Hospital, Miami, FL, USA.

A 56-year-old female, who immigrated to the USA from Honduras, presented with worsening shortness of breath, orthopnea, paroxysmal nocturnal dyspnea, and decreased exercise tolerance over the previous 2 months. She was diagnosed 1 year previously with non-ischemic dilated cardiomyopathy and non-sustained monomorphic ventricular tachycardia. An implantable cardioverter defibrillator was placed. Read More

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September 2014

A case of acute heart failure due to abrupt rupture of aortic aneurysm into pulmonary artery.

J Cardiol Cases 2011 Oct 5;4(2):e90-e92. Epub 2011 Jul 5.

Department of Cardiology, Pulmonology, and Nephrology, Yamagata University School of Medicine, 2-2-2 Iida-Nishi, Yamagata 990-9585, Japan.

Aorto-pulmonary fistula caused by ruptured aortic aneurysm is rare and sometimes difficult to diagnose, resulting in progression of heart failure. We report a case of acute heart failure due to abrupt rupture of aortic aneurysm into the pulmonary artery. Although it is difficult to make an early diagnosis of aorto-pulmonary shunt, multi-detector computed tomography (MDCT) clearly detected this extracardiac shunt. Read More

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October 2011

Spontaneous rupture of a giant coronary artery aneurysm causing cardiac tamponade: A case report.

J Cardiol Cases 2011 Jun 23;3(3):e119-e122. Epub 2011 Feb 23.

Department of Cardiovascular Surgery, Nagano Red Cross Hospital, Nagano, Japan.

A 62-year-old woman with a history of dyslipidemia and hypothyroidism was referred to our institution with syncope. Cardiac tamponade due to spontaneous rupture of a 50-mm aneurysm of the coronary artery was diagnosed by transthoracic echocardiography, enhanced computed tomography, and coronary angiography. Emergency surgery was performed, and despite developing postoperative complications such as acute renal insufficiency, the patient was discharged from hospital without sequelae 89 days later. Read More

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An autopsy case of the rupture of a giant aneurysm in a saphenous vein graft: 18 years after CABG.

J Cardiol Cases 2010 Oct 28;2(2):e88-e91. Epub 2010 Apr 28.

Division of Cardiology, Saiseikai Kumamoto Hospital, Cardiovascular Center, 5-3-1 Chikami, Kumamoto, Japan.

The saphenous vein is a widely used blood vessel for arterial bypass procedures. Failures of saphenous vein aortocoronary bypass grafts are predominantly the result of subsequent vein graft atherosclerotic disease. Rarely saphenous vein grafts undergo aneurysmal degeneration. Read More

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October 2010

A case of left ventricular diverticulum: Change of characteristics after myocardial infarction and usefulness of cardiac computed tomography.

J Cardiol Cases 2010 Aug 19;2(1):e32-e36. Epub 2010 Feb 19.

Division of Cardiovascular Medicine, Kanazawa University Graduate School of Medicine, Kanazawa, Ishikawa, Japan.

A 72-year-old man with an old myocardial infarction was admitted to our hospital for cardiac reexamination. He had suffered from an inferior myocardial infarction when he was 60-year-old. The left ventriculogram had then shown a small contractile diverticulum at the apical portion of the left ventricle. Read More

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Combination of drug-coated balloon angioplasty and excimer laser coronary angioplasty ablation for coronary restenosis of Kawasaki disease: A case report.

J Cardiol Cases 2017 Jan 6;15(1):18-21. Epub 2016 Oct 6.

Tokyo Metropolitan Health and Medical Treatment Corporation Ohkubo Hospital, Tokyo, Japan.

Coronary aneurysm is a well-known sequela of Kawasaki disease. Although ischemic heart disease often becomes problematic due to coronary aneurysm and severe calcification, there is no consensus on how to treat ischemic lesions in those with Kawasaki disease. We describe a case of successful percutaneous coronary intervention of the restenosis lesion within a coronary artery aneurysm accompanied by Kawasaki disease by using an excimer laser coronary angioplasty ablation technique followed by drug-coated balloon angioplasty. Read More

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January 2017

Case of fibromuscular dysplasia with multiple aneurysms in a young woman.

J Cardiol Cases 2015 Sep 12;12(3):79-82. Epub 2015 Jun 12.

Department of Cardiovascular Medicine, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan.

We report a case of fibromuscular dysplasia (FMD). The patient was a 22-year-old female who had received treatment for hypertension for two years. She had also presented with hemorrhage caused by an annular ulcer in the small intestine. Read More

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September 2015
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Efficiency and complications of Woven EndoBridge (WEB) devices for treatment of larger, complex intracranial aneurysms-a single-center experience.

Acta Neurochir (Wien) 2018 Dec 13. Epub 2018 Dec 13.

Institute of Clinical Medicine, University in Oslo, Problemveien 17, 0315, Oslo, Norway.

Background: Several recently published multicenter studies have reported high treatment feasibility, high safety, and good 6-month to 1-year efficiency when treating smaller intracranial aneurysms (IA) with WEB deployment. The purpose of the study was to evaluate the long-term efficiency and complications related to WEB treatment of larger, complex intracranial aneurysms in a small single-center cohort.

Methods: Patients with ruptured and unruptured IA were treated with WEB devices; data were collected prospectively and analyzed retrospectively. Read More

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December 2018
2 Reads

Segmental replacement to treat abdominal aortic aneurysm with bilateral accessory renal artery.

J Vasc Surg Cases Innov Tech 2018 Dec 4;4(4):305-306. Epub 2018 Dec 4.

Department of Cardiovascular Surgery, Hokkaido Prefectural Kitami Hospital, Kitami, Hokkaido, Japan.

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December 2018

A novel all-retrograde approach for t-Branch implantation in ruptured thoracoabdominal aneurysm.

J Vasc Surg Cases Innov Tech 2018 Dec 4;4(4):301-304. Epub 2018 Dec 4.

Aortic Center, Hôpital Marie Lannelongue, Université Paris Sud, Le Plessis-Robinson, France.

The off-the-shelf t-Branch device (Cook Medical, Bloomington, Ind) significantly advanced the endovascular treatment of ruptured thoracoabdominal aortic aneurysms. Improved techniques for expeditious implantation of the t-Branch may improve clinical outcomes for this emergent procedure. Currently, implantation is described using axillary and femoral access. Read More

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December 2018

Aortic treatment of native infection by reconstruction with the Omniflow II biologic prosthesis.

J Vasc Surg Cases Innov Tech 2018 Dec 4;4(4):296-300. Epub 2018 Dec 4.

Department of Thoracic and Cardiovascular Surgery, Trousseau University Hospital, Tours, France.

Aortic infection is a challenging condition. Fortunately, surgical revision of infected aorta with in situ reconstruction can provide long-term cure. The material for aortic repair remains an area of debate. Read More

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December 2018

Repair of a symptomatic true radial artery aneurysm at the anatomic snuff box with interposition great saphenous vein graft.

J Vasc Surg Cases Innov Tech 2018 Dec 4;4(4):292-295. Epub 2018 Dec 4.

Division of Vascular Surgery, Department of Surgery, University of Utah School of Medicine, Salt Lake City, Utah.

Radial artery aneurysms are exceedingly rare, with only a few reported cases of surgical revascularization. We describe a 25-year-old man who presented with severe ischemia of the right hand secondary to an idiopathic true radial artery aneurysm at the anatomic snuff box. The patient had embolic occlusions in his hand and fingers that were treated with catheter-directed thrombolysis. Read More

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December 2018

Aneurysmal degeneration and rupture of deep vein conduit with formation of an arterial-vaginal fistula 13 years after creation of a femoral-femoral bypass.

J Vasc Surg Cases Innov Tech 2018 Dec 4;4(4):287-291. Epub 2018 Dec 4.

Department of Surgery, UT Southwestern Medical Center, Dallas, Tex.

The autologous deep vein is a suitable alternative to prosthetic or cadaveric grafts as a bypass conduit because of its superior durability and lower risk of complications. Aneurysmal degeneration of deep vein grafts is rarely seen but can potentially be fatal when it does occur. We describe the case of an 87-year-old woman who presented with acute vaginal bleeding due to the rupture of an aneurysmal femorofemoral bypass vein graft into the vagina. Read More

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December 2018

Customized endovascular repair of common iliac artery aneurysms.

J Vasc Surg Cases Innov Tech 2018 Dec 4;4(4):278-282. Epub 2018 Dec 4.

Division of Vascular Surgery, Inova Fairfax Hospital, Falls Church, Va.

Open technique for elective repair of iliac artery aneurysms can be safely performed with good outcomes but not inconsequential morbidity. An endovascular approach has been shown to have both periprocedural and postoperative advantages with equivalent outcomes. Endovascular repair of common iliac arteries (CIAs) without sacrificing the hypogastric artery using an iliac branch device is a complex endovascular technique requiring a proximal seal zone that may be absent in larger CIA aneurysms. Read More

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December 2018

Aortic endograft explantation in the setting of prior heterotopic renal allograft.

J Vasc Surg Cases Innov Tech 2018 Dec 4;4(4):275-277. Epub 2018 Dec 4.

Division of Vascular Surgery, University of Rochester, Rochester, NY.

It is rare to require explantation of an aortic endograft placed for endovascular aneurysm repair (EVAR). Sustained aneurysm growth in the setting of prior endovascular repair, despite secondary interventions and use of adjuncts, is the most common cause of EVAR explantation. An infected endograft and aneurysm rupture after EVAR represent more urgent or emergent indications for explantation and have a significantly greater associated morbidity and mortality. Read More

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December 2018

Successful treatment of disseminated intravascular coagulation associated with aortic dissection.

J Vasc Surg Cases Innov Tech 2018 Dec 4;4(4):268-271. Epub 2018 Dec 4.

Division of Cardiovascular Surgery, Narita Red Cross Hospital, Chiba, Japan.

Disseminated intravascular coagulation (DIC) is an infrequent aortic dissection complication, and its optimal treatment remains controversial. A 55-year-old woman developed DIC associated with Stanford type B aortic dissection, which improved by administration of low-molecular-weight heparin combined with tranexamic acid, but the dissecting aneurysm of the descending aorta was dilated. After thoracic endovascular aortic repair for occlusion of entry tears detected by transesophageal echocardiography, DIC improved without anticoagulant therapy. Read More

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December 2018
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Coexisting hypogastric aneurysms worsen the outcomes of endovascular treatment by the iliac branch devices within the pELVIS Registry.

J Vasc Surg 2018 Dec 10. Epub 2018 Dec 10.

New York University, New York, NY.

Objective: Hypogastric aneurysms (HAs) frequently coexist with aortoiliac aneurysms (AIAs). However, the presence of an HA is a contraindication to endovascular aneurysm treatment by iliac branch devices (IBDs) because of the risk of distal sealing-related endoleaks. No robust evidence exists in the published literature, and therefore we sought to evaluate the performance of IBDs in the presence of HAs within a multicenter registry of nine vascular centers. Read More

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December 2018

Diverse roles of macrophage polarization in aortic aneurysm: destruction and repair.

J Transl Med 2018 Dec 13;16(1):354. Epub 2018 Dec 13.

Department of Cardiovascular Surgery, The Second Xiang-ya Hospital, Central South University, Changsha, Hunan, People's Republic of China.

Aortic aneurysm (AA) is defined as an enlargement of the aorta greater than 1.5 times its normal size. Early diagnosis of AA is challenging and mortality of AA is high. Read More

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December 2018

Risk Factors for Abdominal Aortic Aneurysm in Population-Based Studies: A Systematic Review and Meta-Analysis.

Int J Environ Res Public Health 2018 Dec 10;15(12). Epub 2018 Dec 10.

Manager of Local Health Unit 4, 64100 Teramo, Italy.

Abdominal aortic aneurysm (AAA) represents an important public health problem with a prevalence between 1.3% and 12.5%. Read More

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December 2018

Thoracic endovascular repair technique for the treatment of patent ductus arteriosus in an elderly patient: A case report.

Medicine (Baltimore) 2018 Dec;97(49):e13558

Department of Thoracic and Cardiovascular surgery, College of Medicine, Yeungnam University, Daegu, Korea.

Rationale: Patent ductus arteriosus (PDA) ligation by open surgery is more difficult and dangerous in elderly patients than in infants. Nowadays, simple and safe interventional catheterization technology is used for the closure of uncomplicated isolated PDAs. Therefore, an alternative less invasive therapeutic option must be developed to treat complicated PDA. Read More

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December 2018
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Endovascular management of ruptured distal posterior inferior cerebellar artery aneurysms: A retrospective cohort study.

Medicine (Baltimore) 2018 Dec;97(49):e13300

Department of Neurosurgery, Second Affiliated Hospital, School of Medicine.

Distal posterior inferior cerebellar artery (PICA) aneurysm is a kind of rare intracranial aneurysm with controversial evidence in managements. The main purposes of this research are to study the safety and effectiveness of parent artery occlusion (PAO) compared with selective aneurysm coiling (SAC) as well as figure out factors that affect the outcomes.All characteristics of patients that diagnosed with ruptured distal PICA aneurysm and treated with endovascular management in our hospital from July 2009 to February 2016 were retrospectively collected. Read More

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December 2018

Aneurysm rebleeding before therapy: a predictable disaster?

Authors:

J Neurosurg 2018 Nov 1:1-8. Epub 2018 Nov 1.

OBJECTIVECurrent guidelines for subarachnoid hemorrhage (SAH) include early aneurysm treatment within 72 hours after ictus. However, aneurysm rebleeding remains a crucial complication of SAH. The aim of this study was to identify independent predictors allowing early stratification of SAH patients for rebleeding risk. Read More

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November 2018