Annals of vascular surgery
-
Partial anomalous pulmonary venous drainage (PAPVD) to the azygous vein and benign posterior mediastinal hemangioma in adults are both rare entities in isolation. The coexistence of these two lesions in the same patient has not been reported. We describe a unique case of PAPVD to the azygous vein in an adult woman, where the anomalous left inferior pulmonary vein transited first through a large hemangioma, and then eventuated in the azygous vein.
-
Review Case Reports
Diagnosis and surgical treatment of a Takayasu disease on an abdominal aortic dissection.
To report the rare diagnosis and the surgical treatment of a young patient presenting a symptomatic dissection of the abdominal aorta revealing a Takayasu's arteritis (TA). ⋯ Isolated abdominal aortic dissection is an unusual event in TA, and this is the first surgically treated case. Only few reports of aortic dissection in TA have been published so far which are commented in this article.
-
To evaluate outcome differences in open surgical and endovascular treatment of traumatic aortic rupture (TAR) over a period of 30 years. ⋯ Although our results could not reach statistical significance, mainly because of the gross oversizing of the open group in comparison with the TEVAR group, TEVAR has introduced a less invasive era in the treatment of TAR and has become the therapy of choice. The diagnostic workup has evolved from chest X-ray and arteriography to computed tomographic scanning and even transesophageal echography.
-
Multicenter Study
Contemporary management of aberrant right subclavian arteries.
Aberrant origin of right subclavian arteries represents the most common of the aortic arch anomalies. This variant has few published series to guide management. Our goal was to review treatment options and results for these potentially complex reconstructions. ⋯ Aberrant right subclavian arteries are most commonly found incidentally with computed tomography. The presence of a KD seemed to correlate with the need for intervention. Patients with no symptoms with the absence of a KD can safely be followed.
-
Although the incidence of upper extremity deep venous thrombosis (UEDVT) diagnoses has increased, anticoagulation therapy for UEDVT remains inconsistent and of variable duration. This study sought to analyze our institution's current treatment practices for UEDVT and assess the risk for subsequent pulmonary embolism (PE). ⋯ Currently, the clinical decision to initiate anticoagulation therapy for patients with UEDVT is most associated with the documented acute nature of the deep venous thrombosis by duplex ultrasonography, involvement of multiple venous segments, and younger age of the patient. The incidence of PE attributable to previously documented UEDVT is very small (1%), regardless of anticoagulant therapy. Anticoagulation therapy for UEDVT is most likely to be best suited to address the symptoms of UEDVT; its proposed use to decrease the very small risk of PE may be rarely indicated, and must be carefully weighed with the risks associated with therapeutic anticoagulation in this patient population.