137,743 results match your criteria Aneurysm Thoracic


Clostridium septicum: A usual suspect? Aortic rupture following right hemicolectomy: A case report.

Int J Surg Case Rep 2018 Nov 22;54:51-54. Epub 2018 Nov 22.

Department of Surgery, Epworth Health, Melbourne Australia; Gastrointestinal Clinical Institute, Epworth HealthCare, Melbourne Australia.

Introduction: There is a known association between Clostridium Septicum, mycotic aneurysm and colon neoplasm.

Case Presentation: We report the case of a 90 year old female admitted with abdominal pain to the general surgery unit. Admission CT scan demonstrated a thick walled caecum and pericaecal inflammation suspicious for a perforated carcinoma. Read More

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November 2018
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Transient Q-waves in an infant with asymptomatic myocardial infarction due to Kawasaki disease.

Cardiol Young 2018 Dec 6:1-4. Epub 2018 Dec 6.

Department of Pediatrics,Shinshu University School of Medicine,Asahi 3-1-1, Matsumoto,Japan.

Giant coronary artery aneurysms are a complication of Kawasaki disease and can be fatal if associated with thrombosis. We describe the clinical outcome of a boy with Kawasaki disease who exhibited "supergiant" coronary artery aneurysms at the age of 14 months and, despite treatment with anticoagulant and antiplatelet medication, developed a left coronary artery thrombosis and presented following a myocardial infarction at 2 years old. Although his symptoms were minimal, the myocardial infarction was identified by abnormal Q-waves and giant negative T-waves in precordial leads of routine electrocardiography. Read More

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December 2018

A literature review concerning contralateral approaches to paraclinoid internal carotid artery aneurysms.

Neurosurg Rev 2018 Dec 6. Epub 2018 Dec 6.

Department of Neurosurgery, Mainz University Hospital, Langenbeckstraße 1, 55131, Mainz, Germany.

Ipsilateral approaches remain the standard technique for clipping paraclinoid aneurysms. Surgeons must however be prepared to deal with bony and neural structures restricting accessibility. The application of a contralateral approach has been proposed claiming that some structures in the region can be better exposed from this side. Read More

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December 2018
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Targeted Delivery of Bioactive Molecules for Vascular Intervention and Tissue Engineering.

Front Pharmacol 2018 21;9:1329. Epub 2018 Nov 21.

Department of Biomedical Engineering, Worcester Polytechnic Institute, Worcester, MA, United States.

Cardiovascular diseases are the leading cause of death in the United States. Treatment often requires surgical interventions to re-open occluded vessels, bypass severe occlusions, or stabilize aneurysms. Despite the short-term success of such interventions, many ultimately fail due to thrombosis or restenosis (following stent placement), or incomplete healing (such as after aneurysm coil placement). Read More

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November 2018

Spatiotemporal clustering of cases of Kawasaki disease and associated coronary artery aneurysms in Canada.

Sci Rep 2018 Dec 5;8(1):17682. Epub 2018 Dec 5.

Ted Rogers Centre for Heart Research, Peter Munk Cardiac Centre, University Health Network, University of Toronto, Ontario, Canada.

Detailed epidemiologic examination of the distribution of Kawasaki disease (KD) cases could help elucidate the etiology and pathogenesis of this puzzling condition. Location of residence at KD admission was obtained for patients diagnosed in Canada (excluding Quebec) between March 2004 and March 2015. We identified 4,839 patients, 164 of whom (3. Read More

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December 2018

Nanotherapy for abdominal aortic aneurysm.

Authors:
Gregory B Lim

Nat Rev Cardiol 2018 Dec 5. Epub 2018 Dec 5.

Nature Reviews Cardiology, .

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December 2018

A clinical update on the mid-term clinical performance of the Ovation endograft.

Expert Rev Med Devices 2018 Dec 6. Epub 2018 Dec 6.

a Department of Vascular Surgery , "Democritus" University of Thrace, University Hospital of Alexandroupolis , Greece.

Introduction: The Ovation stent-graft uncouples the steps of fixation and sealing via a pair of polymer-filled inflatable rings. Apart from the well-documented early results, newer data emerged for mid-term results of Ovation and are presented in this review. Areas covered: Aim of this article was to report all current studies with the mid-term results of the particular endograft, the incidence of complications and failure and discuss their management. Read More

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December 2018

Clazosentan for aneurysmal subarachnoid hemorrhage: An updated meta-analysis with trial sequential analysis.

World Neurosurg 2018 Nov 30. Epub 2018 Nov 30.

Institute of New Frontier Research, Hallym University College of Medicine, Chuncheon, Korea; Department of Neurosurgery, Hallym University College of Medicine, Chuncheon, Korea. Electronic address:

Object: Clazosentan, an endothelin-receptor-antagonist, reduced vasospasm and delayed-ischemic-neurological-deficit (DIND) but did not improve outcome following subarachnoid hemorrhage (SAH) in clinical trials. However, a lack of dose-dependent analysis and potential overestimation of clazosentan's effect are concerning. We employ stratified analysis and trial-sequential-analysis (TSA) of existing data to investigate the effects of clazosentan on SAH outcome. Read More

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November 2018
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Preliminary Clinical Microneurosurgical Experience With the 4K3-Dimensional Microvideoscope (ORBEYE) System for Microneurological Surgery: Observation Study.

Oper Neurosurg (Hagerstown) 2018 Dec 3. Epub 2018 Dec 3.

Department of Neurological Surgery, Nippon Medical School, Tokyo, Japan.

Background: The exoscope has been reported as a novel neurosurgical instrumentation in clinical practice.

Objective: To investigate the possibility that ORBEYE (OE), a novel instrument that excludes eyepiece lenses and allows for microsurgery by observation of the 4K3D monitor, could replace microscopes.

Methods: We report 22 clinical cases by 5 experienced neurosurgeons and the comparative results of training 10 residents. Read More

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December 2018

Opening the "Dor," Not Always an Inferior Approach.

ASAIO J 2018 Nov 21. Epub 2018 Nov 21.

From the St. Vincent Hospital Indianapolis.

The Dor procedure was historically used to restore the geometry of the heart in a patient with a left ventricular (LV) aneurysm via reduction and reshaping of the LV with an aneurysmectomy. Unfortunately, morbidity and mortality remain high with this procedure, with many patients little to no recovery of their ejection fraction while developing severe diastolic failure, often requiring further support; however, the natural history of these patients remains largely unknown. Heart transplant has long been considered the most durable of treatment for patients with end-stage heart failure (HF), but because of the scarcity of donor hearts, the implantation of left ventricular assist devices (LVAD) for mechanical circulatory support has also proven to be an essential tool in the treatment of the advanced heart failure patient. Read More

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November 2018

Spinal cord perfusion protection for thoraco-abdominal aortic aneurysm surgery.

Curr Opin Anaesthesiol 2018 Nov 29. Epub 2018 Nov 29.

Department of Vascular Surgery, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA.

Purpose Of Review: Spinal cord ischemia (SCI) is a devastating complication after open or endovascular aortic repair for thoracoabdominal aortic disease. The underlying pathogenesis is not fully understood but appears multifactorial. Multiple spinal cord protection strategies and monitoring techniques are currently utilized with variable results seen. Read More

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November 2018

Electrocardiographic and echocardiographic features in patients with major arterial vascular disease assigned to surgical revascularization.

Acta Cardiol 2018 Dec 3:1-7. Epub 2018 Dec 3.

a Dipartimento di Medicina Interna e Scienze Biomediche, Sezione di Cardiologia , Università degli Studi di Parma , Parma , Italy.

Background: We aimed to depict the electrocardiographic and echocardiographic aspects in patients before elective major vascular surgery.

Methods: We evaluated through standard 12 lead electrocardiography and transthoracic echocardiography 469 patients with asymptomatic large abdominal aortic aneurysm (AAA), 334 with critical carotid stenosis (CAS), and 238 with advanced peripheral artery disease (PAD) before surgical revascularization.

Results: Patients with AAA were predominantly males (p < . Read More

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December 2018

Type II endoleak model creation and intraoperative aneurysmal sac embolization with -butyl cyanoacrylate-lipiodol-ethanol mixture (NLE) in swine.

Quant Imaging Med Surg 2018 Oct;8(9):894-901

Department of Radiology, Wakayama Medical University, Wakayama, Japan.

Background: The purpose of this study was to evaluate the feasibility of type II endoleak model creation and efficacy of intraoperative aneurysmal sac embolization using -butyl-2-cyanoacrylate-lipiodol-ethanol mixture (NLE) for type II endoleak in swine.

Methods: In six swine (mean body weight 53.5 kg), abdominal aortic aneurysm (AAA) was created and then end-to-side anastomosis between the left renal artery and AAA sac was performed. Read More

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October 2018

The use of flow diverters to treat small (≤5 mm) ruptured, saccular aneurysms.

Surg Neurol Int 2018 30;9:216. Epub 2018 Oct 30.

Neuroradiological Clinic, Neurocenter, Leipzig, Germany.

Background: There is limited published literature on the use of flow diverting stents (FDS) to treat ruptured intracranial aneurysms in the acute stage. We present our experience of using FDS to treat small (≤5 mm) ruptured aneurysms.

Methods: We retrospectively identified all patients with ≤5 mm ruptured aneurysms treated exclusively with FDS between February 2009 and February 2016. Read More

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October 2018

A Framework for Comparing Vascular Hemodynamics at Different Points in Time.

Comput Phys Commun 2019 Feb 2;235:1-8. Epub 2018 Jun 2.

Department of Biomedical Engineering, Duke University, Durham, NC.

Computational simulations of blood flow contribute to our understanding of the interplay between vascular geometry and hemodynamics. With an improved understanding of this interplay from computational fluid dynamics (CFD), there is potential to improve basic research and the targeting of clinical care. One avenue for further analysis concerns the influence of time on the vascular geometries used in CFD simulations. Read More

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February 2019

Appearance of Adipocytes in Thoracic Aortic Aneurysm.

J Oleo Sci 2018 ;67(12):1543-1549

Department of Applied Biological Chemistry, Graduate School of Agriculture, Kindai University.

Thoracic aortic aneurysm (TAA) is a lethal vascular disease that involves localized dilation of the thoracic aorta. The detailed mechanisms of TAA development and rupture are not fully understood. Recent reports have shown that the abnormal appearance of adipocytes in the vascular wall is associated with abdominal aortic aneurysm (AAA) progression or rupture. Read More

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January 2018

Surgery for very large and giant intracranial aneurysms: Results and complications.

Neurol India 2018 Nov-Dec;66(6):1741-1757

Department of Neurosurgery, University of Washington, Seattle, Washington, USA.

Background: Results of and the complications encountered during surgery for very large and giant intracranial aneurysms are illustrated.

Objective: To analyze a consecutive series of patients with very large and giant aneurysms treated with microsurgery.

Methods: This retrospective study included seventy six very large and giant aneurysms which were managed by clipping and bypass technique. Read More

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December 2018

Long-term results after open repair of inflammatory infrarenal aortic aneurysms.

J Vasc Surg 2018 Jun 28. Epub 2018 Jun 28.

Department of Vascular and Endovascular Surgery, University Hospital Heidelberg, Heidelberg, Germany.

Objective: The objective of this study was to investigate the long-term outcome after open repair of inflammatory infrarenal aortic aneurysms.

Methods: A total of 62 patients (mean age, 68.9 ± 8. Read More

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June 2018
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Repositioning Technique for the Decompression of Symptomatic Dolichoectatic Vertebrobasilar Pathology: A Comprehensive Review of Sling Characteristics and Surgical Experiences.

World Neurosurg 2018 Nov 29. Epub 2018 Nov 29.

Department of Neurosurgery, SanBo Brain Hospital, Capital Medical University, Beijing, China; Department of Neurosurgery, Fuxing Hospital, Capital Medical University, Beijing, China.

Objective: The repositioning of a dolichoectatic vertebrobasilar artery for arterial decompression has been extensively utilized in the clinical setting. This study aims to describe and summarize the technical characteristics and clinical results of the sling technique.

Methods: The terms "dolichoectatic aneurysm", "dolichoectasia", "ectasia" and "megadolichoectasia" were used to search for pertinent articles related to the VBA territory. Read More

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November 2018

Noninvasive Ventilation After Thoracoabdominal Aortic Surgery: A Pilot Randomized Controlled Trial.

J Cardiothorac Vasc Anesth 2018 Nov 2. Epub 2018 Nov 2.

Department of Anesthesia and Intensive Care, Humanitas Clinical and Research Center, Rozzano Milan, Italy.

Objective: To assess the beneficial effects of noninvasive ventilation in treating postoperative pulmonary complications in patients undergoing thoracoabdominal aortic aneurysm (TAAA) open repair surgery.

Design: Randomized controlled trial.

Setting: University tertiary-care hospital. Read More

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November 2018

Stent-assisted balloon-induced intimal disruption and relamination of distal remaining aortic dissection after acute DeBakey type I repair.

J Thorac Cardiovasc Surg 2018 Oct 17. Epub 2018 Oct 17.

Department of Cardiac and Vascular Surgery, Hôpital Européen Georges Pompidou, AP-HP, Paris, France; INSERM U970, Faculté de Médecine Paris-Descartes, Université Paris 5, Paris, France.

Objectives: Surgical repair in patients with acute DeBakey type I aortic dissection (ADIAD) achieves good short-term results, but in several patients the false lumen remains patent in the descending aorta because of distal intimal tears with persisting risk for distal aneurismal evolution. We report the short- and mid-term outcomes of the stent-assisted balloon-induced intimal disruption and relamination of aortic dissection (STABILISE) technique for the 16 first patients treated for a residual dissection of the descending thoracic aorta after repaired ADIAD.

Methods: We reviewed all patients treated with STABILISE for a remaining distal thoracoabdominal aortic dissection after ADIAD repair. Read More

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October 2018

Patency of anterior choroidal artery after flow diverter deployment with assessment of magnetic resonance imaging follow-up.

Neuroradiol J 2018 Dec 3:1971400918817149. Epub 2018 Dec 3.

2 Department of Neurosurgery, Juntendo University School of Medicine, Japan.

Purpose: We aimed to analyse the patency rate of the anterior choroidal artery, and presented imaging and neurological findings, after deployment of a flow diverter in the anterior choroidal artery in the treatment of patients with intracranial aneurysms.

Methods: Among the 139 patients who underwent a flow diverter deployment from December 2012 to September 2017 in our hospital, there were 21 patients (15.1%) for whom their anterior choroidal artery was covered for the procedure with a flow diverter. Read More

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December 2018

Ruptured Abdominal Aortic Aneurysm with a Suprarenal Tumor.

Braz J Cardiovasc Surg 2018 Sep-Oct;33(5):522-524

Department of Cardiovascular Surgery, Muş State Hospital, Muş, Turkey.

This paper presents a case study of a patient that underwent surgery for a ruptured abdominal aneurysm. The postoperative course was complicated by resistant hypertension and tachycardia. A suprarenal mass was detected in the computed tomography scan with radiological suspicion of pheochromocytoma. Read More

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August 2017
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Updated Meta-analysis on the Closure of Patent Foramen Ovale in Reduction of Stroke Rates: the DEFENSE-PFO Trial Does not Change the Scenario.

Braz J Cardiovasc Surg 2018 Sep-Oct;33(5):511-521

Department of Cardiovascular Surgery of the Pronto Socorro Cardiológico de Pernambuco (PROCAPE), Recife, PE, Brazil.

Objective: We aimed to analyze whether patent foramen ovale (PFO) closure reduces the risk of stroke, assessing also some safety outcomes after the publication of a new trial.

Introduction: The clinical benefit of closing a PFO has been an open question, so it is necessary to review the current state of published medical data in regards to this subject.

Methods: MEDLINE, EMBASE, CENTRAL/CCTR, SciELO, LILACS, Google Scholar and reference lists of relevant articles were used to search for randomized controlled trials (RCTs) that reported any of the following outcomes: stroke, death, major bleeding or atrial fibrillation. Read More

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June 2018
3 Reads

Management of patients with unruptured intracranial aneurysms.

Curr Opin Neurol 2018 Dec 3. Epub 2018 Dec 3.

Department of Neurology and Neurosurgery, Brain Center Rudolf Magnus, University Medical Center Utrecht, Utrecht, The Netherlands.

Purpose Of Review: Intracranial aneurysms are frequent incidental findings on cranial imaging. The decision for preventive treatment depends on the presumed risk of rupture, the efficacy and risk of complications of preventive treatment, and the quality of life having to live with an unruptured aneurysms. Data on all these factors are still incomplete, and additional data are needed. Read More

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December 2018
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Case Image: Endovascular coil treatment of a right coronary artery aneurysm related to atherosclerosis.

Turk Kardiyol Dern Ars 2018 Dec;46(8):736

Department of Cardiology, University of Health Sciences, Trabzon Ahi Evren Cardiovascular and Thoracic Surgery Training and Research Hospital, Trabzon, Turkey.

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December 2018

Is surgical parent artery occlusion effective for intracranial aneurysms measuring over 10 mm in size? Result from long-term follow-up of size changes and outcomes.

Acta Neurochir (Wien) 2018 Dec 4. Epub 2018 Dec 4.

Department of Neurosurgery, Showa University School of Medicine, 5-8 Hatanodai 1-chome, Shinagawa-ku, Tokyo, 142-8666, Japan.

Background: There have been no long-term follow-up reports pertaining to chronological size changes in large or giant unruptured intracranial aneurysms treated with surgical parent artery occlusion (PAO). The object of this study is to investigate the utility and safety of surgical PAO by conducting a long-term follow-up of chronological aneurysm size changes and outcomes.

Methods: A retrospective study of 21 unruptured intracranial aneurysms measuring over 10 mm (20 patients) treated with surgical PAO in the period 2012-2017 was conducted. Read More

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December 2018

Type II Endoleak After Endovascular Aortic Aneurysm Repair Using the Endurant Stent Graft System for Abdominal Aortic Aneurysm with Occluded Inferior Mesenteric Artery.

Cardiovasc Intervent Radiol 2018 Dec 4. Epub 2018 Dec 4.

Department of Radiology, Kobe University Graduate School of Medicine, 7-5-2, Kusunoki-cho, Chuo-ku, Kobe, Hyogo, 650-0017, Japan.

Purpose: To evaluate the incidence of type II endoleak (EL-II) and aneurysm enlargement after endovascular aneurysm repair (EVAR) using the Endurant stent graft in patients with abdominal aortic aneurysm (AAA) with occluded inferior mesenteric artery (IMA).

Materials And Methods: Between 2012 and 2017, 103 patients who underwent EVAR using the Endurant stent graft for AAA with occluded IMA (50 patients with prophylactic embolized IMA and 53 with spontaneous occluded IMA) were retrospectively reviewed. The incidence of EL-II and aneurysm enlargement was evaluated. Read More

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December 2018

Delayed parent artery occlusions following use of SILK flow diverters for treatment of intracranial aneurysms.

J Neurointerv Surg 2018 Dec 4. Epub 2018 Dec 4.

Department of Radiology, Dalhousie University, Halifax and University of Manitoba, Winnipeg, Canada.

Background: The efficacy of SILK flow diverters (SFD) in the management of cerebral aneurysms has been established. However, the risk of complications with parent artery occlusion (PAO) remains to be fully elucidated. The purpose of our study was to analyze intracranial aneurysms treated with SFDs and assess for occurrences and potential risk factors for PAO. Read More

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December 2018

Confidence of treatment decision and perceived risk of procedure-related neurological complications in the management of unruptured intracranial aneurysms.

J Neurointerv Surg 2018 Dec 4. Epub 2018 Dec 4.

Centre for Radiology and Endoscopy, Department of Diagnostic and Interventional Neuroradiology, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany.

Background And Purpose: To evaluate factors influencing the confidence of management recommendation for unruptured intracranial aneurysms (UIAs) and to assess the ability of neurointerventionalists to predict procedure-related neurological complications compared with a 3-point risk score.

Materials And Methods: Twenty-eight neurointerventionalists were asked to evaluate digital subtraction angiographies examinations of patients with UIAs by determining the best management approach, their level of confidence in their management recommendation, and estimating the risk of procedure-related neurological complications. Knowledge and experience in interventional neuroradiology (INR) of each participant were assessed. Read More

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December 2018

Aortic disease and interventions in adults with tetralogy of Fallot.

Heart 2018 Dec 4. Epub 2018 Dec 4.

Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota, USA.

Background: Aortic dilation and aortic valve disease are known long-term complication of tetralogy of Fallot (TOF), but the risk of aortic dissection and the indications for prophylactic aortic surgery are unknown in this population. The purpose of this study was to: (1) determine the prevalence of significant aortic valve disease and/or significant aortic aneurysm (AVD-AA); (2) determine the incidence of progressive aortic dilation and aortic dissection in patients with TOF.

Methods: Retrospective review of adults with repaired TOF, and no prior aortic valve/aorta surgery, who had ≥2 measurements of the thoracic aorta >12 months apart, 1990-2017. Read More

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December 2018

Custom-Made Iliac Fenestrated Device.

Vasc Endovascular Surg 2018 Dec 4:1538574418815273. Epub 2018 Dec 4.

1 Department of Vascular and Endovascular Surgery, Wilhelminen Hospital, Vienna, Austria.

Iliac branch devices (IBDs) are undergoing rapid popularization. They allow for treatment of an iliac aneurysm while preserving blood flow to the hypogastric artery. Certain anatomic criteria are necessary for the use of an iliac side branch device to be technically feasible. Read More

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December 2018

Midterm Single-Center Results of Endovascular Aneurysm Repair With Additional EndoAnchors.

J Endovasc Ther 2018 Dec 4:1526602818816099. Epub 2018 Dec 4.

4 Department of Vascular Surgery, University Medical Centre Groningen, the Netherlands.

Purpose: To review midterm clinical outcomes of EndoAnchor placement during or after endovascular aneurysm repair (EVAR) or chimney EVAR (ch-EVAR).

Materials And Methods: A retrospective analysis was conducted of 51 consecutive patients [median age 75 years; 38 men] who underwent EVAR/ch-EVAR with EndoAnchor placement between June 2010 and December 2016 to prevent seal failures (31, 61%) or to treat type Ia endoleak and/or migration (20, 39%). Median aortic neck diameter was 27. Read More

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December 2018

Size, Aspect Ratio and Anatomic Location of Ruptured Intracranial Aneurysms: Consecutive Series of 415 Patients from a Prospective, Multicenter, Observational Study.

Cell Transplant 2018 Dec 4:963689718817227. Epub 2018 Dec 4.

1 Department of Neurosurgery, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, China.

To analyze the size and location distribution of ruptured intracranial aneurysms (IAs) helps to provide evidence for clinical treatment of unruptured IAs using this feature of aneurysms. In this study, 415 patients who presented with an acute subarachnoid hemorrhage caused by IAs were enrolled from eight tertiary referral centers between June 2016 and March 2018. The size, aspect ratio and anatomic location of ruptured IAs were defined and reported by patient sex. Read More

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December 2018

Pseudoaneurysm: A complication of laparoscopic inguinal hernia repair.

Int J Surg Case Rep 2018 Nov 27;54:39-41. Epub 2018 Nov 27.

Department of Surgical Gastroenterology, Medical College, Kolkata, India.

Introduction: Laparoscopic inguinal hernia repair has gained importance during last few decades, because of its several advantages. However, it has its own set of complications, which can be avoided by following the basic anatomical principles of laparoscopic inguinal hernia repair.

Presentation Of Case: An 85-year-old male patient, developed a painless intraabdominal lump following laparoscopic inguinal hernia repair. Read More

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November 2018
1 Read

A case of Brucella aortitis associated with development of thoracic aortic aneurysm and aortobronchial fistula.

Cardiovasc Pathol 2018 Nov 7;39:5-7. Epub 2018 Nov 7.

Department of Pathology and Laboratory Medicine, The University of Texas Health Science Center at Houston/Memorial Hermann Hospital-Texas Medical Center, 6431 Fannin St, Houston, TX 77030, USA. Electronic address:

Objectives: The purpose of this case report is to document the occurrence of granulomatous aortitis complicated by formation of a saccular aneurysm and aortobronchial fistula due to Brucella infection.

Methods: A 65-year-old man with a history of feral swine hunting presented with hemoptysis and was found to have a saccular thoracic aortic aneurysm and associated aortobronchial fistula. The aneurysm underwent operative repair with closure of the aortobronchial fistula. Read More

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November 2018
1 Read

Endovascular Management of Spontaneous Delayed Migration of the Flow-Diverter Stent.

J Neuroradiol 2018 Dec 1. Epub 2018 Dec 1.

Department of Medical Imaging and Intervention, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan; College of Medicine, Chang Gung University, Taoyuan, Taiwan. Electronic address:

Background And Purpose: Spontaneous delayed migration of the flow-diverter stent (FD) is an unusual complication that can be fatal. The purpose of this study is to report our experience and review the literature for the management of delayed FD migration.

Materials And Methods: Between November 2013 and June 2017, 122 patients treated by FD at our institution were enrolled. Read More

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December 2018
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A cardiac hydatid cyst mimicking a pericardial tumour in a paediatric case.

Cardiol Young 2018 Dec 4:1-3. Epub 2018 Dec 4.

1Department of Pediatric Cardiology,Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital,Istanbul,Turkey.

Cardiac hydatid cysts are a rare presentation of hydatid cyst disease in the body, with a reported cardiac involvement rate of <2%. The left ventricle is the most common site of cardiac involvement. Here, we report a patient with a hydatid cyst that ruptured into the pericardium after producing an aneurysm on the right ventricular free wall, appearing as fibrinated fluid and a solid mass lesion in the pericardium. Read More

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December 2018

Convolutional Neural Networks for the Detection and Measurement of Cerebral Aneurysms on Magnetic Resonance Angiography.

J Digit Imaging 2018 Dec 3. Epub 2018 Dec 3.

Radiology, Columbia University Medical Center, 622 West 168th Street, PB 1-301, New York, NY, USA.

Aneurysm size correlates with rupture risk and is important for treatment planning. User annotation of aneurysm size is slow and tedious, particularly for large data sets. Geometric shortcuts to compute size have been shown to be inaccurate, particularly for nonstandard aneurysm geometries. Read More

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December 2018
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Two cases of lobectomy for lung cancer after transcatheter aortic valve implantation.

Surg Case Rep 2018 Dec 3;4(1):139. Epub 2018 Dec 3.

Department of General Thoracic Surgery, Osaka University Graduate School of Medicine, L5-2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan.

Background: The age of patients with lung cancer is advancing, and the number of patients with lung cancer who have cardiac diseases is expected to increase. Recently, the rate of transcatheter aortic valve implantation (TAVI) has increased as treatment for aortic stenosis (AS). TAVI is minimally invasive compared with conventional aortic valve replacement. Read More

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December 2018
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Statin intensity and postoperative mortality following open repair of intact abdominal aortic aneurysm.

BJS Open 2018 Dec 6;2(6):411-418. Epub 2018 Sep 6.

Johns Hopkins Bayview Vascular and Endovascular Clinical Research Center Baltimore Maryland USA.

Background: There is a lack of evidence for the association between intensive statin therapy and outcomes following vascular surgery. The aim of this study was to evaluate the association between perioperative statin intensity and in-hospital mortality following open abdominal aortic aneurysm (AAA) repair.

Methods: Patients undergoing open AAA repair between 2009 and 2015 were identified from the Premier Healthcare Database. Read More

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December 2018
2 Reads

Successful surgical treatment of a patient with combined gunshot shrapnel injuries in the heart and brain complicated by middle cerebral artery pseudoaneurysm.

Trauma Case Rep 2018 Dec 24;18:17-23. Epub 2018 Nov 24.

Nervous Diseases and Neurosurgery Department, Postgraduate Education Division, Dnipropetrovsk Medical Academy, The Ministry of Healthcare of Ukraine, Dnipro, Ukraine.

Successful step-by-step treatment of a combined gunshot shrapnel injury of the brain, damaging the left middle cerebral artery (MCA) branches, and penetrating myocardium injury is discussed. Open brain and heart surgeries were performed. A left MCA pseudoaneurysm was formed postoperatively. Read More

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December 2018

Percutaneous Coronary Intervention for Iatrogenic Right Coronary Artery Dissection Post Bentall Procedure: A Case Report and Minireview.

Case Rep Cardiol 2018 29;2018:3420721. Epub 2018 Oct 29.

Division of Cardiovascular Medicine, University of Toledo Medical Center, Toledo, OH 43614, USA.

Iatrogenic coronary artery dissection is a potentially life-threatening complication of cardiovascular interventions. The optimal management of iatrogenic coronary artery dissection is not clear; however, both conservative management and percutaneous or surgical revascularization have been performed depending on the patient's clinical status and the extent of dissection. We present the first reported case of right coronary artery dissection after Bentall procedure performed for ascending aortic aneurysm. Read More

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October 2018

Pulmonary manifestations of large, medium, and variable vessel vasculitis.

Respir Med 2018 Dec 10;145:182-191. Epub 2018 Nov 10.

University of Texas Southwestern Medical Center, Department of Pulmonary and Critical Care Medicine, United States.

The hallmark of vasculitis is autoimmune inflammation of blood vessels and surrounding tissues, resulting in an array of constitutional symptoms and organ damage. The lung is commonly targeted in the more familiar ANCA-associated small vessel vasculitidies, but large and medium vessel vasculitides, including Takayasu arteritis, giant cell arteritis, polyarteritis nodosa, Behcet's disease, and necrotizing sarcoid granulomatosis, may also feature prominent pulmonary involvement. Pulmonary manifestations of these conditions include pulmonary arterial aneurysms, pulmonary hypertension, diffuse alveolar hemorrhage, pulmonary nodules, and parenchymal infiltrates. Read More

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December 2018
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A case report on middle cerebral artery aneurysm treated by rapid ventricular pacing: A CARE compliant case report.

Authors:
Yi Ping Huahua Gu

Medicine (Baltimore) 2018 Nov;97(48):e13320

Department of Anesthesiology, Huashan Hospital Fudan University, Shanghai, China.

Rationale: Cerebral aneurysm is a common cause of intracranial hemorrhage, stroke, and death. It is treated with vascular surgeries, such as coil embolism and artery clipping. However, surgery itself is a risk factor that may cause rupture of aneurysm, and leads to irreversible brain damage, and even death. Read More

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November 2018

Successful Endovascular Aneurysm Repair For Brucella Mycotic Aneurysm Acquired From Ingestion Of Sheep Placenta.

Ann Vasc Surg 2018 Nov 27. Epub 2018 Nov 27.

Division of Vascular Surgery, Department of Surgery, University of Hong Kong Shenzhen Hospital, Shenzhen, Guangdong, China; Division of Vascular & Endovascular Surgery, Department of Surgery, University of Hong Kong Medical Centre, South Wing, 14(th) Floor K Block, Queen Mary Hospital, Hong Kong.

An aortic aneurysm infected by Brucella is rarely seen. In this case report, we describe a Brucella mycotic abdominal aortic aneurysm acquired from ingestion of sheep placenta. Clinical symptoms included fever, fatigue, and abdominal pain. Read More

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November 2018