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Int J Surg Case Rep 2021 May 26;83:106043. Epub 2021 May 26.

Department of General Surgery, Grant Government Medical College and Sir J&J Group of Hospitals, Mumbai, India.

Introduction And Importance: The origin of the mesenteric vasculature is highly variable. One such variation is the common celiaco-mesenteric trunk (CMT). To our knowledge, this is the first reported case of subacute duodenal obstruction caused by common CMT. Read More

Eur J Cardiothorac Surg 2021 Jun 12. Epub 2021 Jun 12.

Department of Vascular Surgery, Vita-Salute University, San Raffaele Scientific Institute, Milan, Italy.

A staged endovascular strategy was used to treat the aneurysmal evolution of the aortic island including intercostal arteries reimplanted in a loop-graft, following thoraco-abdominal aortic open repair in a young patient diagnosed with Marfan syndrome. First, selective coil embolization of patent intercostal arteries was performed in 2 separate sessions, to minimize the risk of spinal cord ischaemia. Then, the aneurysm was successfully excluded occluding the loop graft with 2 PTFE-membrane vascular plugs. Read More

Biomol Concepts 2021 Jun 11;12(1):55-67. Epub 2021 Jun 11.

Department of Basic Research, Institute for Atherosclerosis Research, Moscow121609, Russia.

Abdominal aortic aneurysm (AAA) is a complex degenerative vascular disease, with considerable morbidity and mortality rates among the elderly population. The mortality of AAA is related to aneurysm expansion (the enlargement of the aortic diameter up to 30 mm and above) and the subsequent rupture. The pathogenesis of AAA involves several biological processes, including aortic mural inflammation, oxidative stress, vascular smooth muscle cell apoptosis, elastin depletion, and degradation of the extracellular matrix. Read More

CVIR Endovasc 2021 Jun 11;4(1):50. Epub 2021 Jun 11.

Department of Vascular Surgery, John Hunter Hospital, Newcastle, NSW, 2305, Australia.

Background: Endoleaks after endovascular aortic aneurysm repair (EVAR) occur frequently with type 2 being the most common. Treatment of type 2 endoleaks is indicated if the aneurysmal sac increases in size.

Case Report: In this case report, we will discuss a patient who presented with aneurysmal sac size increase 11 years after undergoing EVAR for an asymptomatic abdominal aortic aneurysm which extended into the iliac arteries. Read More

Vasc Endovascular Surg 2021 Jun 11:15385744211023281. Epub 2021 Jun 11.

Department of Vascular Surgery, Medical School, 68989University of Athens, Athens, Greece.

Purpose: The aim of the present study was to investigate a potential difference on the arterial stiffness among aneurysm patients and non-aneurysm controls, as well as to explore potential changes between patients treated either with endovascular or open repair.

Materials And Methods: A 110 patients with an infrarenal AAA were prospectively enrolled in this study. Fifty-six patients received an EVAR, whereas 54 patients received an open surgical repair. Read More

Mach Learn Med Eng Cardiovasc Health Intravasc Imaging Comput Assist Stenting (2019) 2019 12;11794:167-174. Epub 2019 Oct 12.

Applied Chest Imaging Laboratory, Brigham and Women's Hospital, Harvard medical school, Boston, USA.

An abdominal aortic aneurysm (AAA) is a ballooning of the abdominal aorta, that if not treated tends to grow and rupture. Computed Tomography Angiography (CTA) is the main imaging modality for the management of AAAs, and segmenting them is essential for AAA rupture risk and disease progression assessment. Previous works have shown that Convolutional Neural Networks (CNNs) can accurately segment AAAs, but have the limitation of requiring large amounts of annotated data to train the networks. Read More

Cureus 2021 May 8;13(5):e14903. Epub 2021 May 8.

Cardiology, Kawasaki Municipal Ida Hospital, Kawasaki, JPN.

An asymptomatic 75-year-old woman was identified with a 40-mm-sized, round-shaped lesion beside the pulmonary artery on computed tomography (CT). Coronary angiography showed a coronary artery fistula (CAF) with an aneurysm branching from the left anterior descending artery toward the pulmonary artery. The CAF aneurysm (CAFA) was resected and coronary artery bypass graft surgery using the left internal thoracic artery was performed successfully. Read More

Acta Radiol 2021 Jun 9:2841851211019806. Epub 2021 Jun 9.

Department of Imaging Sciences and Interventional Radiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, India.

Renal arteries are involved in a wide spectrum of pathologies including atherosclerosis, fibromuscular dysplasia, Takayasu arteritis, aneurysms, and aortic type B dissections extending into main renal arteries. They manifest as renovascular hypertension, renal ischemia, and cardiovascular dysfunction. The location of the renal arteries in relation to the abdominal aortic aneurysm is a critical determinant of interventional options and long-term prognosis. Read More

Rev Med Chil 2021 Jan;149(1):132-136

Departamento de Cirugía Vascular y Endovascular, Pontificia Universidad Católica de Chile, Santiago, Chile.

Primary aortoenteric fistula is the spontaneous communication between the lumen of the aorta and a portion of the digestive tract. The most common cause is the erosion of an abdominal aortic aneurysm into the 3rd or 4th portion of the duodenum. It manifests clinically as gastrointestinal bleeding, with or without abdominal pain and a pulsatile abdominal mass on physical exam. Read More

Vasc Endovascular Surg 2021 Jun 9:15385744211022654. Epub 2021 Jun 9.

Department of Cardiothoracic and Vascular Surgery, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.

Purpose: The objective of this study was to evaluate the primary and assisted secondary percutaneous and non-invasive technical success of the ProGlide device on all-comers in a consecutive case series of percutaneous endovascular aortic aneurysm repair (P-EVAR).

Method: A single-center consecutive case series where 434 elective and acute P-EVAR procedures were registered prospectively between May 2011 and July 2017. The mean age was 74. Read More

Vasc Endovascular Surg 2021 Jun 9:15385744211022603. Epub 2021 Jun 9.

Center for Intensive Care and Perioperative Medicine, Jagiellonian University Medical College, Kraków, Poland.

Objective: The aim of our study was to assess the prevalence of renal masses suspected of malignancy and adrenal incidentalomas in patients with abdominal aortic aneurysm based on the computed tomography angiography (CTA).

Methods: In the retrospective cross-sectional study, the CTA scans of patients with abdominal aortic aneurysms and thoraco-abdominal aortic aneurysms type II-IV were assessed. Patients with thoraco-abdominal aortic aneurysms type I and V and history of abdominal aortic surgery were excluded from the study. Read More

Transplant Direct 2021 Mar 11;7(3):e670. Epub 2021 Feb 11.

Department of Surgery, Duke University Hospital, Durham, NC.

Explantation of native viscera in multivisceral transplant candidates, particularly in those with extensive portomesenteric thrombosis (PMT), carries considerable morbidity due to extensive vascularized adhesions. Preemptive visceral angioembolization has been previously described as a technique to minimize excessive blood loss during mobilization of the native viscera but is not well described specifically in patients with extensive PMT.

Methods: In a series of 5 patients who underwent mutivisceral transplant for PMT from June 2015 to November 2018, we performed preoperative superior mesenteric, splenic, and hepatic artery embolization to reduce blood loss during explanation and evaluated the blood loss and blood product utilization, as well as 30-day rates of infectious complications. Read More

J Cardiothorac Surg 2021 Jun 9;16(1):168. Epub 2021 Jun 9.

Cardiology Department, Barzilai Medical Center Campus, Barzilai University Medical Center, Ben-Gurion University, Ashkelon, Israel.

BMC Pediatr 2021 06 8;21(1):267. Epub 2021 Jun 8.

Sidra Medicine, PO BOX 26999, Doha, Qatar.

Background: Multisystem Inflammatory Syndrome in Children (MIS-C) is a severe complication of coronavirus disease 2019 (COVID-19) in children, which is increasingly being reported worldwide. Here we report the first case series of 7 children diagnosed with MIS-C in Qatar.

Methods: Clinical features and outcomes of COVID-19 positive patients admitted to Sidra Medicine, Qatar from June to October 2020, who met the WHO case definition for MIS-C were reviewed. Read More

Expert Rev Cardiovasc Ther 2021 Jun 9. Epub 2021 Jun 9.

Aortic Institute at Yale-New Haven Hospital, Yale University School of Medicine, New Haven, CT, USA.

Introduction: While size thresholds exist to determine when aortic aneurysms warrant surgical intervention, there is no consensus on how best to treat this disease before aneurysms reach the threshold for intervention. Since a landmark study in 1994 first suggested ß-blockers may be useful in preventing aortic aneurysm growth, there has been a surge in research investigating different pharmacologic therapies for aortic aneurysms-with very mixed results.

Areas Covered: We have reviewed the existing literature on medical therapies used for thoracic and abdominal aortic aneurysms in humans. Read More

Zhonghua Wai Ke Za Zhi 2021 Jun;59(6):525-529

Department of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha 410078, China.

To examine the outcome of endovascular treatment in patients of isolated abdominal aortic dissection. From February 2012 to June 2020, 61 patients (44 males, 17 females) with an age of (60.2±11. Read More

Zhonghua Wai Ke Za Zhi 2021 Jun;59(6):443-446

Department of Cardiothoracic Surgery, General Hospital of Eastern Theater Command, Nanjing 210002, China.

In recent years, the endovascular procedures has considerably evolved in concepts, technologies, materials and devices on cardiovascular surgery, and influenced the development and the future direction of cardiovascular surgery technology. Endovascular aorta repair is well recognized as the optimal therapy for patients presenting with acute or chronic pathology of distal aortic arch, descending aorta and thoraco-abdominal aorta. The use of catheter-based endovascular repair in the ascending aorta pathology including aneurysms, pseudoaneurysms, penetrating aortic ulcers and acute or chronic Stanford type A aortic dissection has been concerned and reported. Read More

Ultrasonics 2021 May 29;116:106484. Epub 2021 May 29.

Copenhagen Academy for Medical Education and Simulation (CAMES), Teilum, Blegdamsvej 9, 2100 Copenhagen, Denmark; Department of Vascular Surgery, Rigshospitalet, Blegdamsvej 9, 2100 Copenhagen, Denmark; Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Blegdamsvej 3B, 2200 Copenhagen, Denmark.

The study investigated ultrasound (US) transducer push, tantamount to applied transducer pressure, during abdominal aortic aneurysm (AAA) US scanning in a simulated non-clinical setup. During an assessment of maximal AAA diameter on a three-dimensional print-based AAA phantom, US transducer push varied as much as 2000% (range: 0.52-12. Read More

Rev Med Inst Mex Seguro Soc 2020 ;58(2):216-220

Centro Médico Dalinde, Torre Médica Gineco-Pediátrica, Área de Cirugía Cardiovascular, Ciudad de México, México.

Background: An iliac artery aneurysm is a permanent and focal dilation of the artery that measures more than 50% of the normal diameter of the vessel. Isolated iliac artery aneurysms are infrequent, mostly as an association with an abdominal aortic aneurysm. The objective of this article is mainly to focus on urological symptoms as the manifestations of iliac artery aneurysm, to propitiate an early diagnosis. Read More

Gen Thorac Cardiovasc Surg 2021 Jun 8. Epub 2021 Jun 8.

Cardiovascular Surgery Department, Nagoya Tokushukai General Hospital, 2-52 Kozoji-cho kita, Kasugai City, Aichi, 487-0016, Japan.

A 62-year-old man was diagnosed with a giant coronary artery aneurysm associated with immunoglobulin G4 (IgG4)-related disease. He had previously undergone two thoracic operations with sternotomies and abdominal aortic aneurysm repair for IgG4-related aortopathy. We opted for hybrid open and endovascular repair to reduce risk and avoid complications of a resternotomy and extracorporeal circulation. Read More

Surg Case Rep 2021 Jun 8;7(1):139. Epub 2021 Jun 8.

Department of Diagnostic and Interventional Radiology, Hokkaido University Hospital, Kita-15 Nishi-7, kita-ku, Sapporo, 060-8638, Japan.

Background: Simultaneous pancreas and kidney transplantation (SPK) is a treatment option for patients with end-stage renal disease due to type 1 diabetes mellitus. We report a patient with a refractory fistula due to leakage from the duodenal stump of the pancreas graft after an SPK with bladder drainage who was successfully treated with a percutaneous direct injection of N-butyl-2-cyanoacrylate (NBCA).

Case Presentation: A 60-year-old female with a 33-year history of type 1 diabetes mellitus and a 10-year history of renal replacement therapy underwent an SPK in 2015. Read More

Anatol J Cardiol 2021 Jun;25(6):456-457

Department of Cardiology, Faculty of Medicine, Gaziantep University; Gaziantep-Turkey.

BMJ Case Rep 2021 Jun 7;14(6). Epub 2021 Jun 7.

Vascular Surgery, Toronto General Hospital, Toronto, Ontario, Canada.

An 85-year-old man with a known history of abdominal aortic aneurysm (AAA) presented to a vascular surgery clinic with a severely swollen, tender and erythematous left leg. An urgent CT angiogram demonstrated a left-sided, proximal deep vein thrombosis, and a permanent, Bird's Nest inferior vena cava (IVC) filter (Cook, Inc., Bloomington, Ind. Read More

J Biomed Mater Res A 2021 Jun 7. Epub 2021 Jun 7.

School of Materials Science and Engineering, Beijing Institute of Technology, Beijing, China.

Long-term in vivo observation in large animal model is critical for evaluating the potential of small diameter tissue engineering vascular graft (SDTEVG) in clinical application, but is rarely reported. In this study, a SDTEVG is fabricated by the electrospinning of poly(ε-caprolactone) and subsequent heparin modification. SDTEVG is implanted into canine's abdominal aorta for 511 days in order to investigate its clinical feasibility. Read More

J Vasc Surg Cases Innov Tech 2021 Jun 20;7(2):350-353. Epub 2021 Apr 20.

Department of Vascular Surgery, The Chaim Sheba Medical Center, Tel Hashomer, Sackler School of Medicine, Tel Aviv, Israel.

We report the case of a 69-year-old woman with Marfan syndrome and a history of multiple thoracic aortic surgeries and a coexisting dissection of her abdominal aorta. She had presented with a ruptured para-anastomotic thoracic aortic aneurysm due to an infected graft. She was treated with two parallel Nellix endografts that were placed in the true and false lumens. Read More

Cureus 2021 May 3;13(5):e14821. Epub 2021 May 3.

Vascular Surgery, Bedfordshire-Milton Keynes Vascular Centre, Bedford, GBR.

Background Incisional hernia (IH) is a common, late complication of open repair of an abdominal aortic aneurysm (AAA), with a variable high incidence. A cohort study was conducted to investigate the role of a lightweight titanized mesh placed in the pre-peritoneal space after AAA repair. The primary endpoint was to determine the incidence of IH at eight weeks and 12 months. Read More

Cureus 2021 May 1;13(5):e14789. Epub 2021 May 1.

General Medicine, Rehman Medical Institute, Peshawar, PAK.

Visceral artery aneurysms, which could be either true or pseudo, are abnormal focal dilations of vessels supplying the abdominal organs. True aneurysms, by definition, suggest dilation of the vessel in response to increased blood flow, ultimately causing a blood-filled sac to form. Pseudoaneurysm, however, is the pooling of blood in surrounding tissues secondary to trauma or rupture. Read More

Clin Case Rep 2021 May 30;9(5):e04087. Epub 2021 Mar 30.

Division of Cardiovascular Surgery Funabashi Municipal Medical Center Heart and Vascular Institute Funabashi Japan.

Total debranching thoracic endovascular aortic repair is useful for avoiding neurological complications in cases where cardiopulmonary bypass is difficult and for devising an intraoperative cervical branch reconstruction method. Read More

J Vasc Bras 2021 Apr 5;20:e20200174. Epub 2021 Apr 5.

Universidade Estadual de Campinas - UNICAMP, Campinas, SP, Brasil.

Ruptured abdominal aortic aneurysms (RAAA) evolving aortocaval fistula (AF) can have catastrophic hemodynamic effects. Surgical repair is imperative, but the optimal technical approach is still under debate. Our objective is to present 3 cases treated with endovascular repair (EVAR) at a University Hospital. Read More

J Vasc Bras 2021 Mar 15;20:e20200120. Epub 2021 Mar 15.

Fundação Bahiana de Cardiologia - FBC, Salvador, BA, Brasil.

Rupture of an abdominal aortic aneurysm is an event with a high mortality rate and treatment is a medical emergency. Endovascular treatment of these aneurysms has become established as a minimally invasive alternative to classical open surgery and is now the first-choice option. However, 20 to 50% of patients with abdominal aortic aneurysms do not have anatomy favorable for endovascular treatment because of a short aneurysm neck or because visceral branches are involved by the aneurysm. Read More