Gurucharan S Shetty, Gayathri D Kamath, Pradeep Srinivasan
Uterine artery pseudoaneurysm is an uncommon but important cause of severe uterine bleeding in the postpartum or postsurgical setting. The standard treatment options are endovascular uterine artery embolization and bilateral surgical internal iliac artery ligation for uterus conservation or hysterectomy. We report the case of a young female with hemorrhage from an intramyometrial pseudoaneurysm following repeated curettage and hysteroscopic excision of retained products of conception. Uterus preservation was of priority, and the patient underwent uterine artery embolization; however, the pseudoaneurysm persisted due to ovarian artery collaterals...
September 14, 2020: Journal of Clinical Ultrasound: JCU
Ana Marques, Daniel Caldeira, Sofia Alegria, Ana Rita Pereira, Alexandra Briosa, Inês Cruz, Ana Rita Almeida, Isabel João, Hélder Pereira
No abstract text is available yet for this article.
2020: Cardiology Journal
Veronique Saey, Annelies Decloedt, Mario Van Poucke, Luc Peelman, Gunther van Loon, Katrien Vanderperren, Richard Ducatelle, Koen Chiers
This case report describes the clinical presentation, the necropsy findings, and genetic results of a 13-year-old Warmblood mare presented with colic and a bilaterally loud, holosystolic murmur. Echocardiographic examination revealed the presence of a thoracic aortic aneurysm, an aortic pseudoaneurysm, a periaortic hematoma (circumferential cuffing by perivascular hemorrhage), and aortopulmonary fistulation. A supravalvular aortic stenosis (SVAS) was visible during echocardiography. Necropsy confirmed that the thoracic aortic aneurysm had ruptured and connected to the pseudoaneurysm, which fistulated into the pulmonary artery...
September 14, 2020: Journal of Veterinary Internal Medicine
Joel M Prince, Naren Gupta, Thomas Kartis, Maryam B Tabrizi, Martin G Rosenthal
No abstract text is available yet for this article.
September 9, 2020: Journal of Trauma and Acute Care Surgery
Xiao-Long Li, Chen-Yi Xie, Hui-Xiong Xu
Pseudoaneurysm (PSA) formation is the most common arterial complication of endovascular procedures requiring arterial puncture. The present study reported a case of a 72-year-old male patient with iatrogenic femoral artery PSA treated with contrast-enhanced ultrasound (CEUS) - guided thrombin injection. Conventional ultrasound (US) and CEUS were used to diagnose, guide treatment, and evaluate the treatment efficacy. In the case, the PSA was successfully occluded with 1000 IU of thrombin. During the follow-up after 48 hours of thrombin injection, US found that the PSA had complete thrombosis without arterial supply...
August 27, 2020: Clinical Hemorheology and Microcirculation
Hicham Belmir, Amine Azghari, Nabil Sedki
Extracorporeal shock wave lithotripsy (ESWL) can lead to rare but severe arterial complications. The causal relationship of ESWL with arterial pseudoaneurysm formation in a patient with Behçet disease is discussed. A 35-year-old man presented with acute recrudescence of right flank pain caused by ureteral lithiasis immediately after having undergone a last session of ESWL. Abdominal examination revealed a painful pulsatile mass in the right iliac region. Contrast-enhanced computed tomography identified a pseudoaneurysm of the right external iliac artery in a patient with a medical history of Behçet disease...
September 2020: Journal of Vascular Surgery Cases and Innovative Techniques
Jose C Méndez, Eduardo Fandino, Isaber Bermúdez-Coronel, Maria A Prieto, Javier Blázquez
We describe a case of iatrogenic pseudoaneurysm of the fourth lumbar artery as a complication after transpedicular screw fixation in the lumbar spine. The lesion was succesfully occluded with endovascular liquic embolic agent infusion and the patient was fully recovered.
October 2020: Trauma Case Reports
Nicholas T Manasewitsch, Daniel Antwi-Amoabeng, Eric Lu, Bryce D Beutler, Christopher J Rowan
Free wall rupture after a myocardial infarction may rarely cause a left ventricular (LV) pseudoaneurysm to develop. LV pseudoaneurysms are most commonly discovered incidentally on echocardiography and require a high index of suspicion to diagnose. We report the case of a 73-year-old male who experienced an asymptomatic myocardial infarction leading to cardiac arrest after placement in the Trendelenburg position. During resuscitation efforts, he was discovered to have an LV pseudoaneurysm on transthoracic echocardiogram...
September 4, 2020: Curēus
Jesus Badia-Closa, Sandra Montmany, Juan Carlos Garcia-Pacheco, Victoria Lucas-Guerrero
No abstract text is available yet for this article.
September 10, 2020: Cirugía Española
Kazunari Nakahara, Koji Matsuda, Fumio Itoh
No abstract text is available yet for this article.
September 10, 2020: Gastrointestinal Endoscopy
Abarna Ramanathan, James C Witten, Steven M Gordon, Brian P Griffin, Gosta B Pettersson, Nabin K Shrestha
OBJECTIVES: A substantial proportion of infective endocarditis (IE) cases are complicated by local invasion. The purpose of this study was to identify patient and disease characteristics associated with local invasion in surgically treated IE patients. METHODS: This was a nested case-control study. All episodes of IE for patients admitted to Cleveland Clinic from January 1st , 2013 - June 30th , 2016 were identified from the Cleveland Clinic IE Registry. Patients ≥18years of age who underwent surgery for IE were included...
September 9, 2020: Clinical Microbiology and Infection
Nathan A Shlobin, Akash Mitra, Nikil Prasad, Hooman A Azad, Michael B Cloney, Benjamin S Hopkins, Babak S Jahromi, Matthew B Potts, Nader S Dahdaleh
OBJECTIVES: Vertebral artery dissections occur when tears in the intimal layer of the vertebral artery and are associated with trauma, infection, and spontaneous etiologies. We aimed to identify differences in predisposing factors and outcomes in vertebral artery dissections associated with cervical spine fractures compared to those not associated with cervical spine fractures. PATIENTS AND METHODS: We conducted a retrospective chart review of patients with vertebral artery dissections who presented to our institution at the time of dissection and had a minimum of 3 month follow-up and collected data on demographics, event characteristics, treatments, and outcomes in the form of modified Rankin scale scores...
August 26, 2020: Clinical Neurology and Neurosurgery
Mimi Zhou, Tingwei Chen, Yongsen Li, Qianyan Tan, Huawei Shen, Duzhou Zheng, Shikuan Huang, Mingjin Cai
PURPOSE: Uterine artery pseudoaneurysm (UAP) is rare but can cause life-threatening postpartum hemorrhage (PPH). To evaluate a novel sandwich embolization technique as a treatment for PPH caused by UAP. METHODS: This retrospective study included 10 patients with PPH caused by UAP who were treated using a modified sandwich embolization technique at the Radiology Department, Third Affiliated Hospital of Guangzhou Medical University between April 2009 and September 2018...
September 10, 2020: Archives of Gynecology and Obstetrics
Alberto Vilar Tabanera, Mariam Bajawi, Jaime Vidal Mondejar, Juan Carlos García Perez
No abstract text is available yet for this article.
September 7, 2020: Cirugía Española
Masahide Enomoto, Takeshi Kinoshita, Noriyuki Takashima, Fumihiro Miyashita, Tomoaki Suzuki
INTRODUCTION: With the increase of thoracic aortic aneurysm surgery and thoracic endovascular aortic repair, secondary aortoesophageal fistula (AEF) has been reported. However, the treatment strategy for AEF remains controversial. PRESENTATION OF CASES: Four patients who had undergone prosthetic aortic replacement for thoracic aortic aneurysm 4-36 months previously, were hospitalized with sepsis-like symptoms. They were diagnosed with aortic prosthetic graft infection after computed tomography revealed ectopic gas around the prosthesis...
August 29, 2020: International Journal of Surgery Case Reports
Rujuta Mehta, Arpit Agrawal, Saurabh Joshi, Mandar Agashe, Sourabh Kumar Sinha
CASE: We report a unique case of a combination of forearm fracture and traumatic radial artery pseudoaneurysm in an 8-year-old child. The fracture pattern was a Monteggia equivalent with a mid-diaphyseal ulnar fracture and a radial neck fracture with displacement of the distal radial diaphyseal fracture fragment. The pseudoaneurysm, which probably developed after vigorous manipulation by a bonesetter, thrombosed spontaneously, and the fracture was managed nonoperatively with a good outcome...
July 2020: JBJS Case Connector
Steven Douedi, Nasam Alfraji, Vandan D Upadhyaya, Mihir Odak, Matthew Meleka, Muhammad R Raza
Background: According to the World Health Organization, cardiovascular disease is the number one cause of death globally, claiming millions of lives each year with an increasing prevalence. Myocardial infarction (MI) makes up a large sum of these deaths each year. While MI in itself is lethal, there are several complications that can increase the morbidity and mortality of an MI, such as left ventricular wall rupture and aneurysms. Case Presentation: We present a case of an elderly male with an extensive cardiac history who presented with a non-ST segment myocardial infarction (NSTEMI) managed with percutaneous coronary intervention...
September 7, 2020: Journal of Cardiovascular Development and Disease
Yohei Kawasaki, Yasufumi Omori, Hidekazu Saito, Shinsuke Suzuki, Takechiyo Yamada
Introduction: Endoscopic laryngopharyngeal surgery (ELPS) is an effective treatment for early-stage oropharyngeal and hypopharyngeal cancers. Since 2007, we have performed ELPS on 14 patients with early-stage cancer who had undergone radiation therapy (salvage ELPS). We discuss the beneficial effects and issues with salvage ELPS compared with those of fresh patients since we experienced some severe complications, such as ruptured pseudoaneurysm with salvage ELPS. Aim: To our knowledge, the efficacy and safety of ELPS following radiation therapy have not yet been evaluated, and several unknown factors exist...
September 2020: Videosurgery and Other Miniinvasive Techniques
Tom Kai Ming Wang, Mnahi Bin Saeedan, Nicholas Chan, Nancy A Obuchowski, Nabin Shrestha, Bo Xu, Shinya Unai, Paul Cremer, Richard A Grimm, Brian P Griffin, Scott D Flamm, Gosta B Pettersson, Zoran B Popovic, Michael A Bolen
BACKGROUND: Cardiac computed tomography (CT) is emerging as an adjunctive modality to echocardiography in the evaluation of infective endocarditis (IE) and surgical planning. CT studies in IE have, however, focused on its diagnostic rather than prognostic utility, the latter of which is important in high-risk diseases like IE. We evaluated the associations between cardiac CT and transesophageal echocardiography (TEE) findings and adverse outcomes after IE surgery. METHODS: Of 833 consecutive patients with surgically proven IE during May 1, 2014 to May 1, 2019, at Cleveland Clinic, 155 underwent both preoperative ECG-gated contrast-enhanced CT and TEE...
September 2020: Circulation. Cardiovascular Imaging
Adesh Shrivastava, Luis Rafael Moscote-Salazar, Ezequiel Garcia-Ballestas, Amit Agrawal
No abstract text is available yet for this article.
September 5, 2020: Neurosurgery
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