journal
https://read.qxmd.com/read/35284148/digital-gangrene-an-unusual-manifestation-of-non-hodgkin-lymphoma
#21
Muhammad Shoaib Momen Majumder, Shamim Ahmed, Tajkia Haque, Syed Atiqul Haq, Saumitra Chakravarty, Md Abu Shahin, Din-E-Mujahid Mohammad Faruque Osmany, Johannes J Rasker
Background: Non-Hodgkin lymphomas (NHLs) comprise a group of haematologic malignancies with different histologic subtypes. The clinical picture varies from indolent to aggressive presentation and nodal (lymphadenopathy) to extranodal (central nervous system, gastrointestinal, cutaneous plaque, or ulcer) involvement. Digital gangrene is seldom reported. Here, we describe a patient with pain and blackening of all fingers and toes as presenting symptoms of NHL. Case Presentation . A 32-year-old male weaver had been smoking three to five cannabis-containing cigarettes daily for about ten years and methamphetamine four to five tablets daily for five years...
2022: Case Reports in Vascular Medicine
https://read.qxmd.com/read/35251736/a-novel-approach-for-transvenous-embolization-of-dural-arteriovenous-fistula-using-a-balloon-and-a-coil-as-walls-case-presentation
#22
Kenji Fukutome, Shuta Aketa, Tsukasa Nakajima, Hiromichi Hayami, Hiromitsu Sasaki, Ryuta Matsuoka, Rinsei Tei, Yasushi Shin, Yasushi Motoyama
Background: Transvenous embolization (TVE) for dural arteriovenous fistula (DAVF) is difficult depending on an accessible route. Reported herein is a case of transvenous embolization using a balloon and a coil as "walls." Case Description . A 56-year-old male patient presented with a 1-month history of mild motor aphasia. The magnetic resonance imaging showed a hemorrhagic lesion in his left temporal lobe, and the cerebral angiography showed a DAVF, with parasinus shunt points near the torcula and the left transverse sinus...
2022: Case Reports in Vascular Medicine
https://read.qxmd.com/read/35251735/85-year-old-postsurgical-complex-patient-successfully-managed-remotely-at-the-novel-mayo-clinic-s-hospital-at-home
#23
Margaret R Paulson, Ricardo A Torres-Guzman, Francisco R Avila, Karla Maita, John P Garcia, Abdullah Eldaly, Luiza Palmieri-Serrano, Antonio J Forte, Jonathan C Thompson, Michael J Maniaci
An 85-year-old male presented to the podiatry clinic following a 1st to 5th left toe amputation as a complication of severe peripheral arterial disease and nonhealing wound despite endovascular intervention with an angiogram. At the visit, cellulitis with gangrene of the surgical site was noted. The patient was admitted to the brick and mortar (BAM) hospital and taken to surgery for a transmetatarsal amputation of the left limb. In the immediate postoperative period, the incisional margins appeared dusky creating concern for flap viability...
2022: Case Reports in Vascular Medicine
https://read.qxmd.com/read/35223126/angiographic-embolization-with-histoacryl-in-combination-with-direct-injection-of-bone-cement-of-an-intraosseous-venous-malformation-of-the-mandible-report-of-a-case-with-22-year-follow-up
#24
Antoine Berberi, Georges Aoun, Georges Aad, Saad Khairallah, Ghassan Abi Chedid
Vascular malformations of the maxillofacial region are unusual, and they occur more rarely in bone than in soft tissue. Mandibular intraosseous vascular lesions represent 0.5-1.0% of all bone tumors, and they are classified as venous malformation, lymphatic malformation, arterial malformation, arteriovenous malformations, and arteriovenous fistulae. Venous malformation is the most common vascular malformation, accounting for 44-64% of all vascular malformations, and is considered a low-flow malformation. Endovascular therapy as selective angiographic embolization is considered as the first-choice treatment associated or not with emboli injections with a success rate of 70%, and this evades mutilating surgery and related sequelae...
2022: Case Reports in Vascular Medicine
https://read.qxmd.com/read/35198259/late-stent-thrombosis-in-a-patient-with-endovascular-aortic-repair-for-blunt-thoracic-aortic-injury
#25
Michael H Chiu, Youri Kaitoukov, Amanda Roze des Ordons
Blunt thoracic aortic injury (BTAI) is associated with high mortality and morbidity. Thoracic endovascular aortic repair has become the recommended treatment modality given improved short-term results compared to open repair. We present a case of a 19-year-old male who presented with acute paralysis and multiorgan dysfunction from acute TEVAR thrombosis. Systemic thrombolysis, catheter-directed thrombolysis followed by aspiration thrombectomy, and angioplasty were initially successful in restoring perfusion...
2022: Case Reports in Vascular Medicine
https://read.qxmd.com/read/35178270/renal-artery-thrombectomy-causing-functional-and-symptomatic-recovery-after-50-hour-delay-in-reperfusion-of-acute-main-renal-artery-thrombosis
#26
Kevin Singh Kang, John Steven Wilson
Acute renal artery thrombosis is rare and even rarer in the thrombus occluding the main renal artery and compromising the entire kidney. We report on a 46-year-old female smoker with no past medical history and no hypercoagulability who developed sudden severe left flank pain, hematuria, acute renal failure, and severe hypertension. A CT angiogram showed totally occluded renal artery at the ostium with a thrombus and severely hypoperfused left kidney with multiple infarcts. Initial course of treatment was with intravenous heparin but with no improvement after 50 hours since symptom onset; angiography was done...
2022: Case Reports in Vascular Medicine
https://read.qxmd.com/read/35127194/an-abdominal-aortic-pseudoaneurysm-revealing-beh%C3%A3-et-s-disease
#27
Zineb Baba, Ahmed Mougui, Imane El Bouchti
Behçet's disease (BD) is a vasculitis with multisystemic manifestations. Articular involvement is frequent and benign whereas vascular complications are rare but serious and can form the onset of the disease. The assessment of the thickness of the common femoral vein wall is a new tool for the diagnosis of BD with good sensitivity and specificity. We report the case of a 52-year-old man diagnosed with BD revealed by an abdominal aortic pseudoaneurysm and a chronic monoarthritis. The first flare-up of BD can occur in men over 50 years of age...
2022: Case Reports in Vascular Medicine
https://read.qxmd.com/read/35127193/renovascular-hypertension-with-superimposed-aortic-arch-baroreceptor-failure-case-report-and-review-of-literature
#28
Amro Daoud, Bisher Mustafa, Hamza Alsaid, Zeid Khitan
Background: Atherosclerotic renal artery diseases are among the most common causes of secondary hypertension. Baroreceptors, as carotid and aortic, are important regulatory mechanisms of blood pressure; their disruption can lead to labile blood pressure due to sympathetic overactivity: an entity called neurogenic hypertension. A disease such as aortic dissection can lead to a challenging combined etiology of secondary hypertension. It can affect both or one of the renal arteries leading to a renovascular pathology that can cause hypertension through RAAS activation...
2022: Case Reports in Vascular Medicine
https://read.qxmd.com/read/35036022/new-onset-ulcerative-colitis-in-a-young-caucasian-woman-with-unclassified-arteritis
#29
Bryan Roberts
Takayasu arteritis is a rare disease mostly found in Asian populations. Cases have been reported in patients with inflammatory bowel disease, suggesting possible genetic linkage. The objective of this clinical case report is to highlight a rare finding of arteritis signs and symptoms in a 32-year-old Caucasian woman (likely early that it did not yet meet classification for official diagnosis as Takayasu arteritis) who subsequently was diagnosed with ulcerative colitis a few months later. The patient presented to the hospital with throbbing neck pain and tenderness around the area of her right carotid artery distribution, nonspecific visual changes, and bilateral upper extremity paresthesia, with significant findings of 50-69% right carotid artery stenosis on a recent outpatient carotid Doppler ultrasound...
2022: Case Reports in Vascular Medicine
https://read.qxmd.com/read/35036021/thoracic-endovascular-aortic-repair-for-a-ruptured-mycotic-aortic-pseudoaneurysm-secondary-to-esophageal-carcinoma
#30
Sean-Tee J M Lim, Stephen Murphy, Said Atyani, Michael Anthony Moloney
A 47-year-old female presented to the emergency department with new episodes of hematemesis. She had a background of unresectable T4b + N1 + M0 esophageal squamous cell carcinoma. Contrast CT thoracic aorta diagnosed a ruptured mycotic aortic pseudoaneurysm of the descending aorta, forming a life threating aorto-esophageal fistula secondary to neoplasm. Due to the high risk of fatal haemorrhage, she underwent successful emergency thoracic endovascular aortic repair (TEVAR). Mycotic aortic pseudoaneurysms are a rare and often fatal complication of esophageal carcinomas...
2022: Case Reports in Vascular Medicine
https://read.qxmd.com/read/34840852/treatment-of-aortic-and-iliac-artery-occlusion-by-catheter-thrombolysis-combined-with-catheter-thrombectomy-and-aortic-bifurcation-endovascular-stent-reconstruction
#31
Xinyu Zhao, Delang Liu, Chaowen Yu, Yong Sun, Shiyuan Chen
Aortoiliac occlusive disease (AIOD) is an occlusive disease of the infrarenal aorta and iliac arteries usually caused by stenosis or occlusion at the end of the abdominal aorta-common iliac artery. Herein, we reported a case of Trans-Atlantic Inter-Society Consensus- (TASC-) D AIOD with pale, cool, and intangible dorsalis pedis artery treated with catheter thrombolysis combined with catheter thrombectomy and aortic bifurcation endovascular stent reconstruction, which proved to be safe, effective, and minimally invasive approach...
2021: Case Reports in Vascular Medicine
https://read.qxmd.com/read/34824875/a-rare-case-of-aortoenteric-graft-erosion-presenting-as-candida-glabrata-fungemia
#32
Muhammad Adeel Samad, Dhaval Patel, Martin Asplund, Diane C Shih-Della Penna, Yaseen Tomhe
BACKGROUND: An aortoenteric fistula (AEF) describes a communication of the aorta or aortic graft with an adjacent loop of the bowel. Aortic graft erosion is a rare complication of abdominal aortic aneurysm repair. We describe a case of a patient presenting with sepsis from Candida glabrata fungemia secondary to aortoenteric erosion without any symptoms or signs of gastrointestinal bleeding. This is a unique case of Candida glabrata fungemia from aortoenteric graft erosion. Case Summary ...
2021: Case Reports in Vascular Medicine
https://read.qxmd.com/read/34804626/superior-mesenteric-artery-syndrome-a-community-hospital-case-series
#33
Brian Welch, Alex Schaal, Thomas F O'Shea, Roberto Cantu
Superior mesenteric artery syndrome is an obstruction of the small bowel between the aorta and the superior mesenteric artery. Patients with this disease are initially managed medically and those patients who fail medical treatment require surgery. A retrospective case series of thirteen patients diagnosed with SMAS at Flushing Hospital, Flushing, NY, from 2011 to 2020 was performed. Descriptive statistics were used to summarize the characteristics of the entire cohort, and comparative statistics were used to compare the patients who failed medical treatment and required surgery to those who were successfully managed medically...
2021: Case Reports in Vascular Medicine
https://read.qxmd.com/read/34659861/balloon-assisted-percutaneous-thrombin-injection-for-treatment-of-iatrogenic-left-subclavian-artery-pseudoaneurysm-in-a-critically-ill-covid-19-patient
#34
Hassan Al-Thani, Ahmed Hussein, Ahmed Sadek, Ali Barah, Ayman El-Menyar
BACKGROUND: Central venous catheter represents an important tool in the management of critically ill patient. In this report, we described a COVID-19-positive case who had COVID-related complications and iatrogenic left subclavian artery pseudoaneurysm after central venous catheter insertion. Case Presentation . A 58-year-old male patient presented with a high-grade fever, myalgia, and shortness of breath due to COVID-19 infection. He required mechanical ventilation support and hemodialysis...
2021: Case Reports in Vascular Medicine
https://read.qxmd.com/read/34646584/thrombosed-aneurysm-of-superficial-epigastric-vein-simulating-inguinal-hernia-report-of-two-cases
#35
Eleni Skandalou, Panagiotis Papadopoulos, Marianthi Kavelidou, Stavros Kalfadis, Theodoros Tzigkalidis, Ioannis Skandalos
Aim: Presentation of two cases of superficial epigastric vein aneurysm simulating inguinal hernia. To our knowledge, only one other case is reported in the literature. Case presentation . The first case was a 34-year-old female with left inguinal pain and swelling which was clinically diagnosed as inguinal hernia. The second case was a 28-year-old female with inguinal pain and swelling, depicted with triplex ultrasonography and computed tomography, and was suspected to have inguinal hernia or enlarged inguinal lymph node...
2021: Case Reports in Vascular Medicine
https://read.qxmd.com/read/34381624/hybrid-percutaneous-brachiofemoral-shunt-and-open-abdominal-aortic-aneurysm-repair-in-a-kidney-transplant-recipient
#36
Javad Salimi, Sayed Alimohammad Sadat, Mohammad Javad Yavari Barhaghtalab, Hormat Rahimzadeh
Abdominal aortic aneurysm (AAA) repair in kidney transplant recipients may cause ischemia in the transplanted kidney. As a result, various techniques have been described for protection of the renal allograft during AAA repair including temporary shunt, extracorporeal bypass, cold renal perfusion, endovascular aortic aneurysm repair (EVAR), and operation without renal allograft protection. We successfully treated a 56-year-old man, a case of kidney transplantation with AAA, using a temporary hybrid percutaneous brachiofemoral shunt using vascular prosthesis with a long 7-French (Fr) catheter sheath introducer (CSI) in the aortic arch via the right brachial artery and 8 Fr CSI in the right femoral artery that were connected together with a 7 Fr guiding catheter, before aortic cross-clamping and repair of AAA using a Dacron tube graft...
2021: Case Reports in Vascular Medicine
https://read.qxmd.com/read/34354848/acute-pulmonary-embolism-associated-with-low-dose-olanzapine-in-a-patient-without-risk-factors-for-venous-thromboembolism
#37
Vu Hoang Vu, Nguyen Duong Khang, Mai Thanh Thao, Le Minh Khoi
Background: Olanzapine is a second-generation antipsychotic drug commonly prescribed for certain mental/mood conditions such as schizophrenia and bipolar disorders. This agent has been considered a precipitating factor for venous thromboembolism formation. Most of the cases previously reported were associated with high-dose olanzapine therapy or in patients with high-risk factors for the development of thromboembolism. Case Presentation . We report a patient who developed pulmonary embolism after a long course of low-dose olanzapine...
2021: Case Reports in Vascular Medicine
https://read.qxmd.com/read/34239757/isolated-persistent-left-superior-vena-cava-revealed-by-an-associated-asthma
#38
I Bachouch, N Belloumi, M Attia, F Chermiti Ben Abdallah, S Hantous Zannad, S Fenniche
Background: Persistent left superior vena cava (PLSVC) is a rare anomaly of the thoracic venous system. Case Report . We present a case of a patient with isolated asymptomatic PLSVC, who was diagnosed because of dyspnea revealing an associated asthma. An 18-year-old male patient complained of paroxystic sibilant dyspnea. He did not have any anomaly in physical examination. The chest X-ray revealed cardiomegaly with a widening of lower mediastinum. The electrocardiogram does not show any anomaly...
2021: Case Reports in Vascular Medicine
https://read.qxmd.com/read/34239756/off-label-use-of-a-double-layer-micromesh-carotid-stent-for-hybrid-treatment-of-popliteal-artery-aneurism-complicated-by-chronic-distal-embolization
#39
Sorin Barat, Dumitru Casian
We report our initial experience in off-label use of the double-layer micromesh (DLM) Roadsaver® stent for the hybrid treatment of a fusiform popliteal artery aneurism complicated by distal embolization and chronic limb threatening ischemia in a COVID-19-positive young male. A 36-year-old male patient was admitted with chronic limb threatening ischemia of the left lower limb. The duplex ultrasound and computer tomography angiography (CTA) demonstrated a fusiform popliteal artery aneurism with a maximal diameter of 14 mm and distal occlusion of peroneal and both tibial arteries...
2021: Case Reports in Vascular Medicine
https://read.qxmd.com/read/33954006/antegrade-hybrid-chimney-tevar-endograft-in-a-patient-with-blunt-aortic-injury-a-challenging-case-with-technical-success-but-unfavorable-result
#40
Fotios Eforakopoulos, Maria Giovani, Petros Zampakis, Christina Kalogeropoulou, Fotini Fligou, Nikolaos Charoulis, Efstratios Koletsis, Dimitrios Dougenis
Thoracic Endovascular Aortic Repair (TEVAR) has modified aortic medicine, particularly in patients with traumatic aortic injury (TAI). Conventional repair of TAI in the aortic arch is technically demanding as it requires cardiopulmonary bypass and deep hypothermic arrest with still a significant number of complications. Despite recent improvements in endovascular techniques, many patients have been excluded from endovascular repair due to unfavorable anatomy. To increase the feasibility of endovascular repair, adjunctive open extra-anatomical bypasses may be required to provide an adequate proximal landing zone...
2021: Case Reports in Vascular Medicine
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