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J Vasc Surg Cases Innov Tech 2020 Jun 28;6(2):243-246. Epub 2020 May 28.

Department of Neurosurgery, Toranomon Hospital, Tokyo, Japan.

The major causes of rare extracranial carotid artery aneurysms are arteriosclerosis, trauma, and radiation therapy. Here, we describe a patient with an extracranial carotid artery aneurysm caused by a myeloproliferative neoplasm. A 67-year-old woman underwent excision of an irregularly shaped aneurysm in the left common carotid artery and a saphenous vein graft without major complications. Read More

J Vasc Surg 2020 May 29. Epub 2020 May 29.

Department of Vascular Surgery, Sorbonne Université, Assistance Publique Hôpitaux de Paris, Pitié-Salpêtrière Hospital, Paris, France.

Objective: Arterial involvement in Behçet disease (BD) is rare, and its surgical management is a major concern because of its high recurrence rate. This study evaluated the influence of the surgical technique, device, and immunosuppressive treatment used on the postoperative recurrence in patients with non-pulmonary arterial BD.

Methods: A single-center, retrospective study was conducted of 23 patients meeting the international criteria for BD who underwent surgery for arterial involvement between May 1996 and September 2015. Read More

Vasc Endovascular Surg 2020 May 29:1538574420927523. Epub 2020 May 29.

Department of Cardiovascular Surgery, Oita University Hospital, Japan.

We describe a 54-year-old man with neurofibromatosis type 1 who presented with a left-sided neck mass. Computed tomography demonstrated a left common carotid artery aneurysm (51 × 33 mm). Surgery was performed because of the risk of rupture. Read More

J Tehran Heart Cent 2019 Oct;14(4):191-194

Department of Cardiovascular Surgery, Medical Faculty, Atatürk University, Erzurum, Turkey.

Many complications may ensue coronary bypass surgery. Among these complications, early or late dissection of the ascending aorta is a very rare condition. Successful surgery without life-threatening results can save lives. Read More

J Neurosurg 2020 May 22:1-7. Epub 2020 May 22.

Objective: Cerebral bypasses are performed for the purpose of either flow augmentation for ischemic cerebrovascular disease or flow replacement for vessel sacrifice during complex aneurysm or tumor surgery. Saphenous vein grafts (SVGs) are commonly used interposition grafts. The authors of this study sought to compare the efficacy of autologous versus cadaveric SVGs in a large series of cerebral bypasses using interposition vein grafts with long-term angiographic follow-up. Read More

Kyobu Geka 2020 Feb;73(2):146-148

Department of Cardiovascular Surgery, Kishiwada Tokusyukai Hospital, Kishiwada, Japan.

A 70-year-old man was admitted to our hospital because of shortness of breath. He had undergone coronary artery bypass grafting at another hospital 18 years before. We had detected his saphenous vein graft to the right coronary artery being aneurysmal 3 years before. Read More

Cureus 2020 Apr 5;12(4):e7546. Epub 2020 Apr 5.

Interventional Cardiology, University of Illinois College of Medicine at Peoria, Peoria, USA.

This is an interesting coronary angiography and interventional cardiology case of a 75-year-old Caucasian male with a prior history of coronary artery bypass surgery who presented with non-ST elevation myocardial infarction (NSTEMI) thought to be secondary to distal embolization from thrombus in large right coronary artery (RCA) vein graft aneurysms. This subsequently resulted in percutaneous intervention with coiling of the aneurysmal vein graft segments. Read More

Eur Heart J Case Rep 2020 Apr 20;4(2):1-5. Epub 2020 Feb 20.

Cardiovascular Department, John Hunter Hospital, Lookout Road, New Lambton Heights, Newcastle 2305, New South Wales, Australia.

Background : Mycotic aneurysms of coronary vein grafts are rare and associated with high mortality. They are most commonly a result of surgical or percutaneous intervention, and present with complications including myocardial infarction (MI), infective endocarditis. A recent literature review identified 97 cases of mycotic coronary aneurysms in total. Read More

Biomech Model Mechanobiol 2020 Mar 21. Epub 2020 Mar 21.

Department of Applied Mechanics, Sichuan University, Chengdu, 610065, People's Republic of China.

Saphenous vein graft (SVG) bypass placement is regarded as the optimal option for renal artery stenosis, which usually causes secondary hypertension and poor renal perfusion. Using computational fluid dynamics, this study aimed to investigate the underlying hemodynamic mechanism of the vein aneurysm and stenosis after aortorenal bypass surgery. Three-dimensional models were reconstructed based on computed tomographic angiography images of a 20-year-old female patient who suffered from uncontrollable hypertension using the image processing package Mimics (Materialise). Read More

J Card Surg 2020 Apr 1;35(4):946-949. Epub 2020 Mar 1.

Second Department of Surgery, Yamagata University Faculty of Medicine, Yamagata, Japan.

Background: Saphenous vein graft aneurysm (SVGA) is a rare complication after coronary artery bypass grafting; however, it may lead to fatal conditions. A redo sternotomy poses a high risk of injury to the patent graft.

Case Report: A 59-year-old man with chest pain was diagnosed with a giant SVGA (67 mm) anastomosed to the right coronary artery (RCA) and compressing the right atrium. Read More

World Neurosurg 2020 Feb 27;138:7-8. Epub 2020 Feb 27.

Department of Neurosurgery, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.

Background: Surgical treatment for symptomatic extracranial carotid artery aneurysms should be encouraged because of their high recurrence rates.

Case Description: A 55-year-old man presented with progressive right-sided hemiparesis and dysarthria. Computed tomography angiography revealed the cause of his repeated cerebral infarction was due to the distal emboli from an intra-aneurysmal thrombus of a giant thrombosed aneurysm at the origin of left common carotid artery. Read More

J Vasc Surg 2020 Feb 5. Epub 2020 Feb 5.

Department of Surgical Research, The University of Poitiers, Poitiers, France.

Objective: To compare the results of polytetrafluoroethylene (PTFE) and great saphenous vein (GSV) bypass after resection of a degenerative aneurysm of the carotid artery.

Methods: From January 1994 to November 2017, 37 patients (27 men) with a mean age of 58 years (range, 39-82 years) with a degenerative aneurysm of the carotid artery (median diameter, 28 mm; range, 19-42 mm), underwent resection of the aneurysm followed by a bypass with either a GSV (n = 10) or a PTFE prosthesis (n = 27). Although 31 patients were asymptomatic, 6 patients were symptomatic: transient ischemic attack (n = 4), minor stroke (n = 1), and compression of the hypoglossal nerve (n = 1). Read More

Ann Vasc Dis 2019 Dec;12(4):548-550

Division of Cardiovascular Surgery, Niigata Prefectural Central Hospital, Johetsu, Niigata, Japan.

An 86-year-old man presented with a pulsatile mass in the anterior compartment of the right lower leg. He had become aware of it two months earlier. Computed tomography angiography revealed a fusiform 3. Read More

Vasc Endovascular Surg 2020 Apr 20;54(3):272-277. Epub 2019 Dec 20.

Vascular and Endovascular Surgery Unit, Center for Vascular Medicine, Castelfranco Veneto, ULSS 2, Veneto Region, Italy.

Introduction: The optimal method of operative management of complex renal artery aneurysms (RAAs) involving distal branches (BRAAs) remains unclear. When more than 1 artery is involved within the BRAA, endovascular techniques are not advisable and an ex vivo approach is often preferred. In this study, we introduce an alternative surgical in situ technique to treat BRAAs. Read More

Surg Case Rep 2019 Dec 10;5(1):193. Epub 2019 Dec 10.

Department of Vascular Surgery, Saiseikai Yahata General Hospital, 5-9-27 Haruno-machi, Yahatahigashi-ku, Kitakyushu, 805-8527, Japan.

Background: A saphenous vein complicated with varicose veins is generally thought to be unsuitable for bypass grafting.

Case Presentation: A patient who developed sepsis due to lower limb gangrene was successfully treated by endovascular treatment and bypass surgery using a varicose vein graft. There were no complications, such as occlusion or aneurysm, of the varicose vein graft during the 2-year follow-up period. Read More

J Med Case Rep 2019 Dec 8;13(1):359. Epub 2019 Dec 8.

Faculty of Medicine, University "Hasan Prishtina", Rrethi i Spitalit p.n., 10000, Prishtina, Republic of Kosovo.

Introduction: Gross hematuria caused by rupture of an artery in the urinary tract is a rare but potentially fatal condition. Iliac artery aneurysms, pelvic surgery with radiation, vascular reconstructive surgery, surgery for stenosis of the ureteropelvic junction, and transplantation are reported to be associated with this condition. In the vascular reconstructive surgery group, the most common etiology is rupture of the degenerated artery or synthetic graft in the ureter. Read More

Medicine (Baltimore) 2019 Nov;98(48):e17889

Department of Vascular Surgery, West China Hospital of Sichuan University, Chengdu, Sichuan, China.

Introduction: Takayasu arteritis (TA) is a chronic and nonspecific inflammatory disease mainly affecting the aorta and its major branches, resulting in the stenosis or occlusion of target arteries. Approximately 50% to 60% of patients with TA likely have renal artery stenosis (RAS), which results in refractory hypertension (HTN) and renal dysfunction. Aortorenal bypass with saphenous vein graft (SVG) is the classical procedure to relieve patients' symptoms. Read More

J Vasc Bras 2019 Nov 5;18:e20180132. Epub 2019 Nov 5.

Cairo University, Kasr Al Ainy Hospitals, Vascular and Endovascular Department, Cairo, Egypt.

Background: Behçet's disease (BD) is an autoimmune condition that involves multiple systems. The most common arterial manifestation in BD patients is pseudoaneurysm, which has higher frequency than aneurysm formation.

Objectives: To clarify the importance of profunda femoris artery in BD pseudoaneurysm, and present a new method for identifying healthy segments for anastomosis. Read More

J Endovasc Ther 2020 02 17;27(1):157-159. Epub 2019 Nov 17.

Vascular Heart and Lung Associates, Mesa, AZ, USA.

J Surg Case Rep 2019 Nov 4;2019(11):rjz282. Epub 2019 Nov 4.

Department of Cardiothoracic Surgery,Department of Cardiothoracic Anaesthesia,Department of Cardiology, Hull University Teaching Hospitals NHS Trust, Castle Hill Hospital, Castle Road, Cottingham HU16 5JQ, UK.

Giant coronary artery aneurysms are an infrequent finding. They are typically discovered incidentally, rarely presenting with any symptoms. We present the case of a 72-year-old gentleman who presented with an ST elevated myocardial infarction. Read More

Ann Vasc Surg 2020 Apr 24;64:412.e1-412.e5. Epub 2019 Oct 24.

Division of Vascular and Endovascular Surgery, Department of Surgery, Stony Brook Medicine, Stony Brook, NY; Division of Cardiothoracic Surgery, Department of Surgery, Stony Brook Medicine, Stony Brook, NY; Division of Cardiology, Department of Medicine, Stony Brook Medicine, Stony Brook, NY.

The ascending aorta is the final segment of the aorta to be explored with endovascular stent grafts. With a patient population of increasingly advanced age and disease, there are situations where traditional open repair for ascending aneurysms or dissections may be prohibitive. However, the ascending aorta has multiple hostile characteristics that make endovascular treatment challenging. Read More

J Vasc Surg Cases Innov Tech 2019 Dec 17;5(4):393-395. Epub 2019 Sep 17.

Division of Vascular and Endovascular Surgery, Mayo Clinic Arizona, Phoenix, Ariz.

Marfan syndrome is an autosomal dominant disorder caused by mutations in the fibrillin 1 gene (). This leads to defective elasticity of connective tissue in the arterial wall. Aortic aneurysms and dissections are the most common vascular anomalies; the incidence of peripheral artery aneurysms is not well understood. Read More

EJVES Short Rep 2019 25;45:14-16. Epub 2019 Sep 25.

Division of Vascular and Endovascular Surgery, Addenbrooke's Hospital, Cambridge, UK.

Introduction: Aneurysms of the extracranial carotid artery are rare. They are often asymptomatic but can lead to disabling stroke. This report describes a case of bilateral internal carotid artery aneurysms in a patient with Marfan syndrome. Read More

Vasc Specialist Int 2019 Sep 30;35(3):165-169. Epub 2019 Sep 30.

Department of Surgery, Seoul National University College of Medicine, Seoul, Korea.

A 58-year-old male patient with severe claudication due to thrombosis of the left ilio-femoro-popliteal artery aneurysm. He also had a venous stasis ulcer with a history of multiple embolotherapy of arteriovenous malformation. Duplex sonography revealed reflux and varicose veins of the left great saphenous vein (GSV). Read More

Transplant Proc 2019 Nov 11;51(9):3120-3123. Epub 2019 Oct 11.

Department of HPB Surgery and Liver Transplantation, Syzganov's National Scientific Center of Surgery, Almaty, Kazakhstan.

Background: In living-donor liver transplantation (LDLT), successful microsurgical arterial reconstruction is essential but quite challenging. Dissection of the hepatic artery extending to the celiac trunk is a rare complication during liver transplantation. Kazakhstan is an area in which deceased donor grafts are not sufficient for several reasons, and the availability of graft vessels is limited. Read More

J Cardiovasc Comput Tomogr 2019 Sep 23. Epub 2019 Sep 23.

Imaging Department, Onassis Cardiac Surgery Center, Athens, Greece.

World J Clin Cases 2019 Aug;7(16):2401-2405

Department of Vascular Surgery, West China Hospital of Sichuan University, Chengdu 610041, Sichuan Province, China.

Background: Multiple renal artery aneurysms (RAAs) involving multiple branches in a solitary kidney are rare and present a major challenge to surgeons. or repair combined with renal artery revascularization is the classical procedure for these complicated cases, which are not suitable for endovascular repair. The choice of bypass graft remains controversial because of the risk of aneurysmal degeneration for autologous graft. Read More

Circ Cardiovasc Imaging 2019 08 1;12(8):e009377. Epub 2019 Aug 1.

Section of Cardiovascular Imaging (P.C., B.X.), Robert and Suzanne Tomsich Department of Cardiovascular Medicine, Sydell and Arnold Miller Family Heart and Vascular Institute, Cleveland Clinic, Cleveland, OH.

JNMA J Nepal Med Assoc 2019 May-Jun;57(217):189-192

Department of Surgery, BP Koirala Institute of Health Sciences, Dharan, Sunsari, Nepal.

Introduction: Management of pseudoaneurysms in intravenous drug users is complex and challenging due to an associated infection and unavailability of autologous vein grafts. Here we observe the outcomes of ligation and local debridement as a primary modality of treatment in this subset of patients with pseudoaneurysms.

Methods: This is a descriptive cross sectional study of 15 patients over a period of 4 years who presented with pseudoaneurysm of peripheral artery from intravenous drug use. Read More

J Vasc Surg Venous Lymphat Disord 2019 11 12;7(6):898-901. Epub 2019 Aug 12.

Department of Thoracic, Cardiovascular and General Surgery, Kanazawa University, Kanazawa, Japan.

We describe the case of a 46-year-old man with pulmonary thromboembolism caused by a popliteal venous aneurysm with thrombosis. The aneurysm was fusiform and partially saccular with a thrombus, and the caliber of the native popliteal vein was large. Tangential aneurysmectomy with lateral venorrhaphy was difficult because of the aneurysm type, and graft interposition was required because of the large venous diameter of the anastomosis site. Read More

Ann Vasc Surg 2019 Nov 31;61:467.e17-467.e22. Epub 2019 Jul 31.

Department of Vascular Surgery, Royal Free Hospital, London, UK. Electronic address:

Vasculopathy is a well-recognized abnormality associated with neurofibromatosis type 1(NF1) and may cause stenoses, aneurysms, and arteriovenous malformations. We report a challenging case of a woman with NF1, who presented with spontaneous rupture of a brachial aneurysm around her right elbow, on a background of previous debulking and soft tissue reconstructive surgery in the same arm. She underwent successful delayed reconstruction of the brachial artery using an autologous great saphenous vein graft. Read More

J Card Surg 2019 Oct 2;34(10):1133-1136. Epub 2019 Aug 2.

Department of Cardiovascular Surgery, Fukuyama Cardiovascular Hospital, Hiroshima, Japan.

Background And Aim Of The Study: To reveal a technical feasibility and safety of valve-sparing partial aortic root repair for spontaneous aortic dissection limited to the right coronary sinus of Valsalva.

Methods: A 68-year-old woman presented with chest pain. Twelve-lead electrocardiogram revealed atrioventricular dissociation and ST-segment elevation on II, III, and aVF. Read More

World Neurosurg 2019 Oct 15;130:e272-e293. Epub 2019 Jun 15.

Department of Neurosurgery, University of Washington, Seattle, Washington, USA. Electronic address:

Objective: To analyze a consecutive series of patients with middle cerebral artery (MCA) aneurysms who needed an adjunctive cerebral revascularization procedure to achieve aneurysm occlusion with preservation of flow through all MCA branches.

Methods: A total of 42 patients with 43 MCA aneurysms underwent 52 bypass procedures over 13 years. The location of the aneurysm were M1 trunk, M1 bifurcation, M2 and beyond. Read More

Br J Neurosurg 2019 Jun 7:1-4. Epub 2019 Jun 7.

a Department of Neurosurgery , Third Affiliated Hospital of Sun Yat-sen University , Guangdong , PR China.

Due to its higher patency rate, a radial artery graft (RAG) is used as an interposition graft for internal-external high-flow bypass more frequently than a saphenous vein graft (SAG). Nevertheless, there are still a few cases of RAG stenosis after bypass surgery. Unfortunately, these reports do not elaborate on the treatment for RAG stenosis. Read More

Eur Heart J Case Rep 2018 Dec 7;2(4):yty147. Epub 2018 Dec 7.

Division of Cardiology, Department of Medicine, Windsor Regional Hospital, Windsor, ON, Canada.

Background: We report the successful endovascular treatment of a coronary graft pseudoaneurysm using a technique often seen in intracranial aneurysm coiling.

Case Summary: We present an unusual case of a patient who presents with haemopericardium and haemodynamic instability after saphenous vein bypass grafting. A pseudoaneurysm rapidly expanded from 5 cm to 7 cm over the follow-up period producing compressive mass effect on the lateral right ventricle with transient haemodynamic instability. Read More

J Neurosci Rural Pract 2019 Apr-Jun;10(2):194-200

Department of Neurosurgery, Kasturba Medical College, Manipal, Karnataka, India.

Aim: Carotid artery ligation carries a potential risk of ischemic complications even in patients with good collaterals and adequate cross-circulation. Preoperative assessment through balloon test occlusion (BTO) is technically challenging and not feasible in all patients. We analyze our experience with universal bypass without performing detailed cerebrovascular reserve (CVR) studies in 23 patients before carotid artery ligation. Read More

Vasc Specialist Int 2019 Mar;35(1):34-38

Department of Surgery, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine, Seoul, Korea.

Iliac artery aneurysms are usually asymptomatic. Herein, we report a novel strategy for the repair of a pseudoaneurysm involving the external iliac artery using a conventional artificial graft and bare metal stent. A 76-year-old male patient presented with severe resting pain and right foot discoloration. Read More

J Orthop Case Rep 2018 Nov-Dec;8(6):68-73

Department of Orthopedics, Institute of Biomedical Science, Tokushima University Graduate School, 3-18-15 Kuramoto, Tokushima 770-8503, Japan.

Introduction: There have been reports of true aneurysm of the posterior tibial artery, but only three reports have described true aneurysm of the posterior tibial artery at the ankle, and there has been only one report of tarsal tunnel syndrome caused by true aneurysm of this artery. In this case report, we describe a rare case of true septic aneurysm of the posterior tibial artery presenting as tarsal tunnel syndrome which was found after anterior arthroscopic debridement of a septic ankle in a 55-year-old man.

Case Report: 13 years earlier, this patient had undergone aortic valve replacement for severe aortic regurgitation caused by infective endocarditis with aortic valve vegetations. Read More

Cir Esp 2019 May 15;97(5):290. Epub 2019 Mar 15.

Servicio de Angiología y Cirugía Vascular, Hospital Universitario Central de Asturias, Oviedo, Asturias, España.

Cardiovasc Revasc Med 2019 Dec 8;20(12):1190-1195. Epub 2019 Feb 8.

University of California, San Diego, United States of America. Electronic address:

SVG aneurysms are relatively rare clinical entities most often encountered discovered as an incidental finding in patients with prior CABG surgery. There is a substantial risk of complications including rupture and death, thus surgical or percutaneous management may be considered in particular in symptomatic patients. Here, three cases are presented highlighting various percutaneous management options and considerations, including covered stent placement, coil occlusion, and a combined approach with the use of a peripheral covered stent. Read More

Eur J Vasc Endovasc Surg 2019 Oct 26;58(4):556-563. Epub 2019 Feb 26.

Department of Vascular and Endovascular Surgery, University Hospital Salzburg, Austria.

Objectives: The small saphenous vein (SSV) is a potential vein source for bypass if neither greater saphenous vein nor arm vein is available. This study reports experience using SSV as part of an all autologous vein bypass policy.

Methods: This study comprised single centre retrospective data analysis of all consecutive patients treated at an academic tertiary referral centre from January 1998 to February 2017 using the SSV as the main peripheral bypass graft. Read More

World Neurosurg 2019 05 18;125:285-298. Epub 2019 Feb 18.

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

Objective: Intracranial-intracranial (IC-IC) bypass with a graft vessel (IBGV) is a straightforward arterial reconstruction technique used for the treatment of complex aneurysms and skull base tumors. We have described the technical characteristics and summarized the clinical results of IBGV in complex cerebrovascular disorders.

Methods: We performed a search of the PubMed and Google Scholar online databases. Read More

Catheter Cardiovasc Interv 2019 Oct 17;94(4):571-577. Epub 2019 Feb 17.

Interventional Cardiology Unit, San Raffaele Scientific Institute, Milan, Italy.

Objectives: The aims of this study were to evaluate the long-term clinical outcomes after coronary covered stent (CS) implantation and to compare the results according to the indications.

Background: To date, data on the long-term follow-up of coronary CS are limited, and no studies have been conducted to compare outcomes on the basis of specific lesions treated.

Methods: A total of 190 consecutive patients (212 lesions) implanted with CS and surviving until discharge between May 1997 and February 2017 were enrolled in this retrospective study. Read More

J Med Vasc 2019 Feb 30;44(1):71-75. Epub 2018 Nov 30.

Service de chirurgie vasculaire, hôpital militaire d'instruction Mohammed V, Hay Riad, Rabat, Maroc.

Marfan syndrome is an autosomal dominant disorder of connective tissue which has many clinical symptoms and whose prognosis depends on associated cardiovascular complications, dominated by proximal aortic disorders. Peripheral arterial aneurysms are rare during Marfan syndrome and are exceptionally indicative of the disease. We report the case of a large aneurysm of the axillary-subclavian artery in pre-rupture revealing a new case of Marfan syndrome. Read More

J Card Surg 2019 Mar 11;34(3):143-146. Epub 2019 Feb 11.

Department of Cardiovascular Surgery, Sapporo Medical University Hospital, Sapporo, Japan.

A 74-year-old man had undergone two-vessel coronary artery bypass grafting (CABG), 19 years ago, with the left internal mammary artery (LITA) to the left anterior descending artery and the saphenous vein graft (SVG) to the posterior descending artery. In outpatient care, a thoracic aortic aneurysm was suspected by the chest X-ray. In the computed tomography, appeared the distal arch aortic aneurysm, abdominal aortic aneurysm (AAA), and giant right coronary artery aneurysm (rCAA). Read More

Catheter Cardiovasc Interv 2019 04 9;93(5):927-932. Epub 2019 Feb 9.

Cardiovascular Department, John Hunter Hospital, Newcastle, Australia.

While coronary artery bypass grafting remains an essential component of revascularization therapy, the use of venous conduits in the form of saphenous vein grafts is associated with a number of late sequelae, including graft stenosis and occlusion. The recognition of saphenous vein graft aneurysm, typically a late complication, may be associated with adverse outcomes. We describe the percutaneous therapy of saphenous vein graft aneurysm, utilizing contemporary devices, including newer generation covered stents, and the use of devices more commonly used in peripheral vascular intervention, reflecting the dilated nature of vein grafts. Read More

Ann Ital Chir 2019 ;90:83-87

Introduction: True aneurysmal degeneration of autogenous vein grafts is unusual, despite their widespread use as arterial substitutes. We report a case of acute lower leg ischemia due to thrombosis of a non-anastomotic venous aneurysm.

Case Report: A 71-year old man presented at Emergency Unit at our Institution with left lower limb acute ischemia. Read More

Medicine (Baltimore) 2019 Feb;98(6):e14330

Department of Vascular Surgery, West China Hospital of Sichuan University, Chengdu, Sichuan, China.

Introduction: Treatment of infection aortic pseudoaneurysm (PSA) is a great challenge to surgeons for 3 reasons: high mortality for rupture or threatened rupture; potential risk for infection of prosthetic material which probably bring a devastating result for patients; and long-term antibiotic therapy requirement. Endovascular repair is an alternative to open surgery for a less invasive, which is a trouble procedure for aortic PSA with complex aortic anatomy. The purpose of this article is to report the novel hybrid repair of an infection aortic PSA and antibiotics therapy. Read More

Ann Vasc Surg 2019 May 31;57:275.e1-275.e4. Epub 2019 Jan 31.

UT Southwestern medical center, Dallas, TX.

We report a case of saphenous vein bypass aneurysm and arteriovenous fistula in a 65-year-old man, 20 years after an in situ vein bypass for occlusive disease. He was found to have patent venous branches which kept the bypass open despite distal anastomotic occlusion. The saphenous vein was successfully excised without distal revascularization due to sufficient native arterial flow. Read More

Cureus 2018 Nov 14;10(11):e3591. Epub 2018 Nov 14.

Cardiology, Florida Hospital Tampa Pepin Heart Institute, Tampa, USA.

Saphenous vein graft (SVG) pseudoaneurysm is a rare complication of coronary artery bypass graft (CABG) surgery. Despite the high mortality associated with SVG pseudoaneurysm, there is no consensus on the optimal management of these pseudoaneurysms as they are infrequently reported in the literature. We report a case of a 55-year-old man with prior CABG surgery who presented with cough associated with hemoptysis and chest pain, and was found to have SVG pseudoaneurysm. Read More