Annals of vascular surgery
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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.
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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.
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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.
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Comparative Study
Comparative predictors of mortality for endovascular and open repair of ruptured infrarenal abdominal aortic aneurysms.
The continued success of elective endovascular aneurysm repair (EVAR) has led to an extension of this technology to ruptured aortas. The purpose of this study was to evaluate our results of ruptured infrarenal aortic aneurysm (rAAA). ⋯ Mortality rates for rAAA remain high. The use of EVAR for these procedures equals that for open repair with regard to 30-day and long-term mortality. Preoperative cardiac arrest and RI were associated with inferior results for both EVAR and open repair. Clinical judgment on when to use EVAR as a primary repair modality must be exercised.
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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.