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Medicine (Baltimore) 2020 Jun;99(26):e20811

Department of Hematology, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.

Rationale: Catastrophic antiphospholipid syndrome (CAPS) is a rare, life-threatening condition of antiphospholipid syndrome (APS). Treatment and management of CAPS remain challenging and the mortality rate is approximately 50% among cases. We describe a successfully treated case of a CAPS patient who had undergone massive bowel resection due to obstruction of superior mesenteric artery. Read More

Clin Gastroenterol Hepatol 2020 Jun 17. Epub 2020 Jun 17.

University of Texas Southwestern Medical Center Department of Pathology.

World J Hepatol 2020 May;12(5):184-206

Departments of Pharmacology and Pathology, School of Medicine, University of Zagreb, Zagreb 10000, Croatia.

Background: The Pringle maneuver [portal triad obstruction(PTO)] provides huge disturbances during ischemia and even more thereafter in reperfusion. Contrarily, a possible solution may be stable gastric pentadecapeptide BPC 157, with already documented beneficial effects in ischemia/reperfusion conditions. Recently, BPC 157, as a cytoprotective agent, successfully resolved vessel occlusions in rats (ischemic colitis; deep vein thrombosis, superior anterior pancreaticoduodenal vein; bile duct cirrhosis) through rapid collateral vessel recruitment to circumvent vessel occlusion. Read More

Gan To Kagaku Ryoho 2020 Jun;47(6):989-992

Dept. of Surgery, National Hospital Organization, Oita Medical Center.

A 61-year-old man underwent CapeOX plus bevacizumab chemotherapyafter right hemicolectomyfor metastatic ascending colon cancer. On the 7th dayafter the first administration, he had sudden abdominal pain and nausea. Contrast-enhanced computed tomographyrevealed aortic thrombosis and a superior mesenteric artery(SMA)embolism that was considered to be associated with bevacizumab. Read More

Acta Medica (Hradec Kralove) 2020 ;63(1):43-48

Clinic of Vascular Surgery, East Slovak Institute of Cardiovascular Diseases, Faculty of Medicine, Pavol Jozef Šafárik University, Košice, Slovak Republic.

The paper presents the results of treating 14 patients, namely eight patients with visceral artery aneurysms and six patients with visceral artery pseudoaneurysms. In 64.3% of the patients, the initial diagnosis was made based on the ultrasound examination. Read More

Eur J Case Rep Intern Med 2020 30;7(5):001690. Epub 2020 Apr 30.

Emergency Department, ASST di Cremona, Cremona, Italy.

A 52-year-old patient with SARS-CoV-2 was diagnosed with interstitial pneumonia and treated with darunavir/ritonavir, hydroxychloroquine, azithromycin and low molecular weight heparin (LMWH). After LMWH cessation, he developed superior mesenteric arterial thrombosis. An abdominal CT scan showed arterial thrombosis of vessels efferent of the superior mesenteric artery with bowel distension. Read More

Br J Haematol 2020 06 15;189(6):1053-1054. Epub 2020 May 15.

Department of Vascular Surgery, Royal London Hospital, Barts Health NHS Trust, London, UK.

Khirurgiia (Mosk) 2020 (3):61-66

Pirogov Russian National Research Medical University of the Ministry of Health of Russia, Department of Surgery and Endoscopy of the Faculty of Additional Professional Education, Moscow, Russia; V.M. Buyanov Municipal Clinical Hospital of the Moscow Healthcare Department, Moscow, Russia.

Objective: To demonstrate the results of endovascular treatment of 15 patients with acute mesenteric ischemia.

Material And Methods: There were 15 patients with acute mesenteric ischemia who underwent surgery (9 men and 6 women). Mean age was 77±11 years. Read More

CEN Case Rep 2020 Aug 3;9(3):252-256. Epub 2020 Apr 3.

Department of Cardiology, Graduate School of Medicine, Gifu University, 1-1 Yanagido, Gifu, 501-1194, Japan.

Nutcracker syndrome (NCS) refers to compression of the left renal vein (LRV) between the abdominal aorta and the superior mesenteric artery (SMA). The clinical presentation of NCS includes hematuria, abdominal and left flank pain, gonadal varices, and varicocele formation. Theoretically, thrombosis can occur in the LRV in patients with NCS. Read More

Angiol Sosud Khir 2020 ;26(1):148-156

Department of General Surgery, North-Western State Medical University named after I.M. Mechnikov, Saint Petersburg, Russia.

Analysed herein are the results of treating a total of 17 patients presenting with pathology of the aorta and lower-limb arteries, who from 2010 to 2018 required redo interventions due to infection of a previously implanted synthetic vascular graft. At admission, 3 patients were diagnosed as having an open infected wound, 11 were found to have a fistula, 2 had a false aneurysm in the area of the distal anastomosis of the branch of the bifurcation aortofemoral prosthesis, and 1 had thrombosis of the branch of the prosthesis with evidence of infection. As redo surgery, 4 patients underwent subclavian-femoral bypass grafting, 2 were subjected to crossover iliac-femoral bypass grafting, 8 to unilateral iliac-femoral bypass grafting, 3 to loop endarterectomy. Read More

Curr Gastroenterol Rep 2020 Mar 17;22(4):17. Epub 2020 Mar 17.

Division of Digestive Diseases, Yale University School of Medicine, New Haven, CT, USA.

Purpose Of Review: Mesenteric ischemia (MI), both acute (AMI) and chronic (CMI), is a challenging diagnosis to make, and early diagnosis and treatment are vital to improve outcomes. This manuscript summarizes the most up to date information on diagnosis and treatment of these disorders.

Recent Findings: There have been several significant advancements in the computed tomography (CT) diagnostic imaging as well as medical and endovascular management of AMI and CMI. Read More

J Vasc Surg 2020 Mar 12. Epub 2020 Mar 12.

Department of Angiology and Vascular Surgery, Hospital Clínico Universitario de Valladolid, Valladolid, Spain.

Objective: The objective of this study was to determine the influence of hemodynamic force on the development of type III endoleak and branch thrombosis after complex endovascular thoracoabdominal aortic aneurysm repair.

Methods: Patients with thoracoabdominal aortic aneurysm, within surgical range, treated with a fenestrated or branched endovascular aneurysm repair from 2014 to 2018 and with 3-month control computed tomography angiography were selected. Demographic variables, aneurysm anatomy, and endograft conformation were analyzed retrospectively from a prospective registry. Read More

Cureus 2020 Jan 20;12(1):e6708. Epub 2020 Jan 20.

Internal Medicine, AdventHealth, Orlando, USA.

Acute mesenteric ischemia (AMI) is a life-threatening vascular emergency and a diagnostic challenge for physicians. It represents a group of pathophysiologic processes that have a common end point, that is, bowel infarction, and has a nonspecific clinical picture and a high mortality rate. The most common underlying etiologies are arterial embolism, arterial thrombosis, nonocclusive mesenteric ischemia (NOMI), and mesenteric venous thrombosis. Read More

Acta Clin Croat 2019 Sep;58(3):535-539

1Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; 2Department of Traumatology, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia; 3Department of Surgery, Dubrava University Hospital, Zagreb, Croatia; 4Department of Pediatric Surgery, Osijek University Hospital Centre, Osijek, Croatia; 5Department of Pathology and Forensic Medicine, Osijek University Hospital Centre, Osijek, Croatia; 6Department of Pediatrics, Osijek University Hospital Centre, Osijek, Croatia.

Takayasu's arteritis (TA) affects the aorta and its branches. Immunosuppressants are the usual course of therapy, while surgery has been used in acute cases. There is only scant information on TA in infancy, and the nonspecific symptoms in the initial stage of the disease make the diagnosis difficult and delayed, thus increasing the mortality rate. Read More

Ann Vasc Dis 2019 Dec;12(4):559-561

Department of Cardiovascular Surgery, Hirosaki University Graduate School of Medicine, Hirosaki, Aomori, Japan.

The patient was a 71-year-old man complaining of postprandial abdominal pain and weight loss. Computed tomography angiography showed occlusion of the superior mesenteric artery and the celiac axis. The inferior mesenteric artery, supplying the mesenteric circulation, was stenotic at its origin. Read More

Surg Case Rep 2020 Jan 8;6(1). Epub 2020 Jan 8.

Department of Surgery, Graduate School of Biomedical Sciences, Nagasaki University, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan.

Background: Hepatic artery thrombosis can lead to graft loss associated with severe hepatic infarction or bile duct ischemia. When anatomical hepatic artery reconstruction is impossible in liver transplantation or hepato-pancreatic biliary surgery, portal vein arterialization (PVA) is proposed as a salvage technique. Herein, we report our experience with a case that showed favorable clinical outcomes after partial PVA during living-donor liver transplantation (LDLT) because of difficulties in arterial reconstruction. Read More

Cureus 2019 Nov 14;11(11):e6151. Epub 2019 Nov 14.

Surgical Unit II, Benazir Bhutto Hospital, Rawalpindi Medical University, Rawalpindi, PAK.

An arterial thrombus affecting the descending aorta, celiac artery, and superior mesenteric artery at the same time, resulting in mesenteric ischemia and splenic infarction, is a very rare phenomenon. We report a case of a 35-year-old, unmarried female, gravida 0 para 0, who presented with abdominal pain, vomiting, and constipation for two days. Computed tomography (CT) scan showed thrombi in the descending aorta to the celiac axis and superior mesenteric artery with splenic infarction, bowel ischemia, hepatic portal venous air, and uterine fibroid. Read More

BMJ Case Rep 2019 Dec 15;12(12). Epub 2019 Dec 15.

Surgery, Medway Maritime Hospital, Gillingham, UK.

Acute mesenteric ischaemia (AMI) can be treated either by open bypass grafting or occasionally by antegrade endovascular stenting. We present a patient with symptoms of AMI, in the early postoperative period, following thrombosis of an iliac to superior mesenteric bypass to treat chronic mesenteric ischaemia. A hybrid technique combining open surgery with a retrograde endovascular approach was performed. Read More

BMJ Case Rep 2019 Dec 11;12(12). Epub 2019 Dec 11.

General Surgery, Mayo General Hospital, Castlebar, Ireland.

An 83-year-old woman presented emergently with a 1-week history of increasing abdominal pain and vomiting. Imaging confirmed an incarcerated incisional hernia containing viable small bowel. Laparotomy revealed profound ischaemic insult extending beyond the hernial contents, affecting virtually the entire small bowel, consistent with acute superior mesenteric artery thrombosis. Read More

Vet Pathol 2020 03 25;57(2):281-285. Epub 2019 Nov 25.

Koret School of Veterinary Medicine, The Hebrew University of Jerusalem, Rehovot, Israel.

This report presents a novel canine condition in 32 dogs in which aberrant migration of larvae through mesenteric arteries, instead of gastric arteries, led to small or large intestinal infarction. This form of spirocercosis was first recognized in Israel in 2013 and is currently ongoing. Typical clinical signs were anorexia and weakness of 3 to 4 days and, less frequently, vomiting and diarrhea, followed by collapse, bloody diarrhea, and severe vomiting. Read More

Gastroenterol Hepatol Bed Bench 2019 ;12(4):370-373

Department of Gastroenterology and Hepatology, The University of Texas Medical Branch, Texas, USA.

Malignancy can induce a hypercoagulable state and lead to an increased risk of thromboembolic events. The pathogenesis of the prothrombotic state in cancer is complicated but is thought to involve several mechanisms. Thrombosis predominantly affects the venous circulation and infrequently the arteries. Read More

Ann Vasc Surg 2020 May 16;65:286.e9-286.e13. Epub 2019 Nov 16.

Department of Vascular Surgery, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, PR China. Electronic address:

Contrast-enhanced computed tomography (CT) greatly improves the diagnosis of superior mesenteric vein (SMV) thrombosis, which presents as the unspecific symptom of abdominal pain. Prothrombotic states or thrombophilia and local intra-abdominal infections are major causes of SMV thrombosis. A 37-year-old Chinese woman was diagnosed with SMV and portal vein thrombosis. Read More

J Vasc Surg 2020 01 9;71(1):15-22. Epub 2019 Nov 9.

Division of Vascular Surgery, Department of Surgery, Mount Sinai Medical Center, New York, NY. Electronic address:

Objective: Despite numerous recent pivotal and small-scale trials, real-world endovascular management of juxtarenal aneurysms (JRA), suprarenal aneurysms (SRA), and thoracoabdominal aortic aneurysms (TAAA) remains challenging without consensus best practices. This study evaluated the mortality, graft patency, renal function, complication, and reintervention rates for fenestrated and parallel endografts in complex aortic aneurysms repairs.

Methods: This retrospective review of consecutive included patients with JRA, SRA, or TAAA who underwent complex endovascular repair from August 2014 to March 2017 at one high-volume institution. Read More

Methodist Debakey Cardiovasc J 2019 Jul-Sep;15(3):220-222

THE JOHN OCHSNER HEART & VASCULAR INSTITUTE, OCHSNER CLINIC FOUNDATION, NEW ORLEANS, LOUISIANA.

It is estimated that there are more than 210,000 hospital admissions for acute pancreatitis and more than 56,000 admissions for chronic pancreatitis each year in the United States. Pancreatitis comes with numerous complications that can increase morbidity, mortality, and length of hospital stay. Local and systemic complications include pseudocysts, necrosis, sepsis, multiorgan failure, and vascular complications. Read More

Thromb Res 2019 Nov 18;183:56-62. Epub 2019 Oct 18.

Dept of Pathology and Immunology, University of Geneva, Geneva, Switzerland; Dept of Medical Specializations - Cardiology, University of Geneva, Geneva, Switzerland. Electronic address:

Background: Hemostasis is a tightly regulated physiological process to rapidly induce hemostatic plugs at sites of vascular injury. Inappropriate activation of this process may lead to thrombosis, i.e. Read More

Cardiovasc Intervent Radiol 2020 Jan 24;43(1):46-54. Epub 2019 Oct 24.

Department of Interventional Radiology, "San Giovanni Addolorata" Hospital, Via dell'Amba Aradam 9, 00184, Rome, Italy.

Purpose: To evaluate the safety and the efficacy of percutaneous pharmaco-mechanical thrombectomy (PPMT) of acute superior mesenteric vein (SMV) thrombosis.

Methods: A database of patients treated between 2011 and 2018 with acute venous mesenteric ischemia (VMI) was reviewed. VMI was diagnosed in the presence of SMV thrombosis and CT evidence of jejunal thickening. Read More

Injury 2019 Dec 7;50(12):2228-2233. Epub 2019 Oct 7.

R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, Baltimore, MD, USA. Electronic address:

Introduction: Portal vein (PV) and superior mesenteric vein (SMV) injuries are lethal. We hypothesised outcomes have improved with modern trauma care.

Methods: We reviewed patients presenting to our Level 1 trauma centre over ten-years with PV/SMV injuries, analysing physiology, operative management, associated injuries, and outcomes. Read More

SAGE Open Med Case Rep 2019 27;7:2050313X19880079. Epub 2019 Sep 27.

Department of Surgery, Inje University College of Medicine, Ilsan Paik Hospital, Goyang, South Korea.

Essential thrombocythemia is a myeloproliferative neoplasm characterized by platelet aggregation and thrombosis. Clinically, essential thrombocythemia increases the risk of both thrombosis and bleeding. Essential thrombocythemia is more involved in micro- and small-sized arteries than in large arteries. Read More

Plast Reconstr Surg Glob Open 2019 Jun 5;7(6):e2258. Epub 2019 Jun 5.

Department of Plastic and Reconstructive Surgery and Maxillofacial Surgery, Kurume University School of Medicine, Kurume, Fukuoka, Japan.

Large enterocutaneous fistulas of the small intestine are rare and difficult to close, particularly if the fistula is associated with massive leakage of digestive juice and the residual intestinal tract is too short for anastomosis. We present a patient who underwent small bowel resection and secondary anastomosis following massive necrosis of the small intestine due to superior mesenteric artery thrombosis. After resection of an enterocutaneous fistula and reanastomosis, the residual small bowel was only 70 cm long with a persistent fistula. Read More

Ann Vasc Surg 2020 Feb 14;63:456.e5-456.e9. Epub 2019 Oct 14.

Vascular Surgery Unit, Lancisi Cardiovascular Center, Ancona Italy.

Coral reef aorta (CRA) is a rare condition featured by rock-hard calcifications that grow into the lumen of the thoracoabdominal aorta. Patients suffering from CRA may present severe downstream ischemic and embolic events involving the viscera and the lower limbs. In these patients, open surgical repair is the first choice of treatment. Read More

Ann Vasc Surg 2020 Feb 14;63:457.e13-457.e18. Epub 2019 Oct 14.

Department of Emergency and Critical Care Medicine, Kitasato University School of Medicine, Kanagawa, Japan.

Acute superior mesenteric artery thrombosis is usually fatal; however, early intravascular treatment using a mechanical thrombectomy device can be an effective intervention. A 70-year-old man with atrial fibrillation presented with sudden abdominal pain; superior mesenteric artery thrombosis was confirmed using contrast-enhanced computed tomography. Thrombolysis, mechanical fragmentation, aspiration, and thrombectomy were successfully performed using the Trevo® XP ProVue stent retriever via a brachial approach, and intestinal necrosis was avoided. Read More

Int J Colorectal Dis 2019 Oct 11;34(10):1781-1790. Epub 2019 Sep 11.

Department of General, Visceral, Thoracic and Vascular Surgery, University Hospital Bonn, Sigmund-Freud-Strasse 25, 53127, Bonn, Germany.

Purpose: Acute mesenteric ischemia (AMI) is still associated with very high morbidity and mortality while the rareness and heterogeneity hamper the establishment of evidence-based guidelines. We sought to help standardize contemporary treatment by a cohort study at our tertiary center in the rising endovascular age.

Methods: A retrospective cohort study was conducted from 2005 to 2015. Read More

J Med Vasc 2019 Sep 19;44(5):318-323. Epub 2019 Aug 19.

Service de chirurgie cardiovasculaire La Rabta, université de Tunis El Manar, Tunis, Tunisie.

Introduction: Atherosclerosis occurring in the digestive arteries is rare and often asymptomatic. When it becomes symptomatic, surgical care is indicated. Conventional procedures are giving way to improved endovascular techniques applied to the mesenteric arteries. Read More

Intest Res 2020 Jan 3;18(1):130-133. Epub 2019 Sep 3.

Department of Gastroenterology, Eastern Health, Box Hill Hospital, VIC, Australia.

While patients with inflammatory bowel disease are known to be at increased risk of venous thromboembolism, the risk of arterial thrombosis is less well recognized. Here, we describe the case of a middle-aged female with a recent diagnosis of Crohn's disease who presented to her local emergency department with acute abdominal pain. Subsequent investigations revealed a thrombus in the superior mesenteric artery resulting in multi-organ infarction requiring major intra-abdominal surgery and extensive resection of segments of small and large bowel. Read More

J Med Case Rep 2019 Aug 27;13(1):272. Epub 2019 Aug 27.

Department of Urology, Beijing United Family Hospital and Clinics, Beijing, 100015, China.

Background: The robot-assisted laparoscopic management of post-chemotherapy retroperitoneal metastasis and inferior vena cava tumor thrombus secondary to testicular cancer is a challenging task for urologists.

Case Presentation: A pathological examination of a 36-year-old Caucasian man who had undergone a right radical orchiectomy showed mixed testicular germ cell cancer (70% embryonal cancer and 30% seminoma); he had undergone four prior courses of cisplatin, etoposide, and bleomycin chemotherapy and was found to have residual retroperitoneal enlarged lymph nodes close to the right renal hilum and a 9.8 cm inferior vena cava tumor thrombus (pT1, N2, M1, S2). Read More

J Vasc Surg 2019 12 13;70(6):1737-1746.e1. Epub 2019 Aug 13.

Division of Vascular Surgery and Endovascular Therapy, University of Alabama at Birmingham, Birmingham, Ala.

Background: Fenestrated and branched endovascular aortic repair (F/BEVAR) is increasingly used to manage pararenal and thoracoabdominal aortic disease (TAAA). Device-related reintervention after F/BEVAR is common, but little is known about its impact on postoperative mortality. The purpose of this analysis was to describe secondary intervention (SI) after F/BEVAR and determine the impact of these procedures on patient survival. Read More

Abdom Radiol (NY) 2019 Aug 10. Epub 2019 Aug 10.

Department of Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

Purpose: To determine the detailed computed tomography angiography (CTA) features of isolated superior mesenteric artery dissection (ISMAD), aiming to improve the current understanding of ISMAD.

Materials And Methods: We retrospectively analyzed 57 patients with confirmed diagnoses of ISMAD with CTA from June 2011 to June 2018 in our hospital. The superior mesenteric artery (SMA) angle, entry site of dissection, and features of both false and true lumen were analyzed individually. Read More

J Vasc Surg 2020 Apr 7;71(4):1391-1394. Epub 2019 Aug 7.

Division of Pediatric Surgery, University of California, San Francisco, San Francisco, Calif. Electronic address:

Visceral artery aneurysms are rare in infants and children. The majority of cases are caused by genetic syndromes, trauma, or infection. Although the majority of aneurysms are asymptomatic, visceral artery aneurysms can present with abdominal pain, nausea/vomiting, or rupture. Read More

Eur Heart J Case Rep 2019 Sep;3(3)

Department of Clinical & Experimental Sciences, University of Brescia & Postgraduate School of Internal Medicine University of Brescia, Piazzale Spedali Civili 1, Brescia, Italy.

Background: Aortic thrombosis represents a consequence of atherosclerotic disease. In few cases, it can be secondary to large vessel or infective vasculitis. More rarely, aortic thrombosis is the manifestation of a primary malignant neoplasm of the aortic wall. Read More

Eur J Vasc Endovasc Surg 2019 09 19;58(3):393-399. Epub 2019 Jul 19.

Department of Interventional Radiology, Nanjing First Hospital, Nanjing Medical University, Nanjing, China. Electronic address:

Objective: The aim of this study was to assess factors associated with conservative management failure in patients with symptomatic isolated mesenteric artery dissection.

Methods: Patients with symptomatic isolated mesenteric artery dissection who underwent conservative therapy as first line treatment between February 2010 and May 2018 were included in this retrospective study. Conservative management failure was defined as the persistence or aggravation of symptoms and signs, increasing aneurysmal dilation, or new appearance of a dissecting aneurysm after conservative management. Read More

Intern Med 2019 Dec 22;58(23):3393-3400. Epub 2019 Jul 22.

Division of Gastroenterology and Hepatology, Graduate School of Medical and Dental Sciences, Niigata University, Japan.

Fibromuscular dysplasia (FMD) and segmental arterial mediolysis (SAM) are noninflammatory, nonatherosclerotic arterial diseases that cause aneurysm, occlusion, and thromboses. These diseases are rarely seen in mesenteric arterial lesions; however, as they can be lethal if appropriate management is not provided, the accumulation of clinical information from cases is essential. We herein report the cases of a 57-year-old man diagnosed with FMD and a 63-year-old man diagnosed with SAM. Read More

BMC Infect Dis 2019 Jul 15;19(1):625. Epub 2019 Jul 15.

Department of Hypertension and Nephrology, NTT Medical Centre Tokyo, 5-9-22, Higasi-Gotanda, Shinagawa-ku, Tokyo, 141-8625, Japan.

Background: Visceral disseminated varicella zoster virus (VDVZV) infection is a rare disease with a high mortality rate (55%) in immunocompromised patients, but it is not yet widely recognized in the field of nephrology. We report a case of VDVZV contracted during immunosuppressive therapy for membranous nephropathy.

Case Presentation: A 36-year-old woman was diagnosed with membranous nephropathy and was being treated with immunosuppressive therapy consisting of 60 mg/day prednisolone, 150 mg/day mizoribine, and 150 mg/day cyclosporine. Read More

Diabetol Int 2019 Jul 5;10(3):225-230. Epub 2018 Dec 5.

1Departments of Endocrinology and Metabolism, Sumitomo Hospital, Osaka, 530-0005 Japan.

We report a 66-year-old male who developed diabetic ketoacidosis (DKA) and necrosis of the small intestine due to non-occlusive mesenteric ischemia (NOMI), 3 months after starting quetiapine treatment. He was transferred to our hospital and diagnosed as diabetic for the first time, associated with DKA. Despite improvement in DKA, abdominal pain worsened gradually 10 h after hospitalization. Read More

Echocardiography 2019 08 27;36(8):1590-1593. Epub 2019 Jun 27.

Department of Cardiology, Faculty of Medicine, University of Alexandria, Alexandria, Egypt.

Cogan's syndrome is a rare disorder characterized by the coexistence of ocular and audio-vestibular manifestations. Systemic manifestations are quite unusual with pan-vasculitis and cardiac involvement reported in the form of aortitis with aortic aneurysm, dissection, or extremely rare aortic valve perforation. Hereby, we report a case of a 56-year-old woman presented with ocular, audio-vestibular, and systemic manifestations with medium-sized vasculitis in the form of multiple splenic artery aneurysms, superior mesenteric artery thrombosis, and cardiovascular involvement in the form of aortic regurgitation due to noncoronary cusp perforation. Read More

Dig Liver Dis 2019 09 22;51(9):1346. Epub 2019 Jun 22.

Gastroenterology and Hepatology Unit, Hospital Universitario Ramon y Cajal, Madrid, Spain.

Clin Transplant 2019 08 11;33(8):e13645. Epub 2019 Jul 11.

Department of Anesthesia, University of Miami/Jackson Memorial Hospital, Miami, Florida, USA.

Multivisceral transplant (MVT) for cirrhosis, and portomesenteric vein thrombosis (PVT), is fraught with life-threatening thrombo-hemorrhagic complications. Embolization of native viscera has been attempted in a handful of cases with mixed results. We carried out a comparative analysis of angiographic, intra-operative, and pathological findings in three recipients of MVT who were deemed exceptionally high hemorrhagic risk and therefore underwent preoperative visceral embolization. Read More

Ann Vasc Surg 2019 Oct 12;60:128-146. Epub 2019 Jun 12.

Minneapolis Heart Institute, Minneapolis, MN, USA.

Background: Nonatherosclerotic abdominal arterial vasculopathies (NAVs), including mesenteric or renal artery dissection, aneurysm, stenosis, and vasculitis, are rare but have great clinical significance. Patients may present emergently with life-threatening complications such as arterial rupture and hemorrhagic shock. Herein, we present our center's experience with NAVs and provide extensive literature review to close the gap in the scarce, related literature. Read More

Balkan Med J 2019 07 14;36(4):212-221. Epub 2019 Jun 14.

Department of Cardiology, Patras University School of Medicine, Patras, Greece

Coronary symptoms associated with conditions related to mast cell activation and inflammatory cell interactions, such as those involving T-lymphocytes and macrophages, further inducing allergic, hypersensitivity, anaphylactic, or anaphylactic insults, are currently referred to as the Kounis syndrome. Kounis syndrome is caused by inflammatory mediators released during allergic insults, post-inflammatory cell activation, and interactions via multidirectional stimuli. A platelet subset of 20% with high- and low-affinity IgE surface receptors is also involved in this process. Read More

Eur J Vasc Endovasc Surg 2019 Jun 22;57(6):842-849. Epub 2019 May 22.

Department of Abdominal Surgery, University of Helsinki and Helsinki University Hospital, Helsinki, Finland; Department of Transplantation and Liver Surgery, University of Helsinki and Helsinki University Hospital, Helsinki, Finland. Electronic address:

Objectives: Despite modern advances in diagnosis and treatment, acute arterial mesenteric ischaemia (AMI) remains a high mortality disease. One of the key modifiable factors in AMI is the first door to operation time, but the factors attributing to this parameter are largely unknown. The aim of this study was to evaluate the factors affecting delay, with special focus on the pathways to treatment. Read More

Surg Case Rep 2019 May 17;5(1):82. Epub 2019 May 17.

Faculty of Medicine, Department of Surgery, University of Miyazaki, 5200 Kihara, Kiyotake, Miyazaki, Miyazaki, Japan.

Background: Inferior mesenteric arterioportal fistula (APF) is rare as only 35 case reports in the literature. We herein presented a case of simultaneously double cancer in the rectum and stomach with inferior mesenteric APF, which is the first case report by searching using PubMed. Combination of interventional embolization and surgical operation seemed to be optimal treatment for avoiding postoperative complications and the curability. Read More