BACKGROUND Abdominal aortic mural thrombus is uncommon in the absence of aneurysm or atherosclerosis. CASE REPORT We report the case of a 46-year-old man who presented to our institution with perforated appendicitis for which he initially declined surgery. Four days after admission he ultimately consented to appendectomy and abdominal washout. Follow-up imaging to evaluate for intra-abdominal...

This video demonstrates a unique case of an aorto-aortic anastomotic pseudoaneurysm treated with complete custom endovascular approach in patient who was very high risk for redo open thoracotomy. eyJraWQiOiI4ZjUxYWNhY2IzYjhiNjNlNzFlYmIzYWFmYTU5NmZmYyIsImFsZyI6IlJTMjU2In0.eyJzdWIiOiJmZjlkZTIyZDg0ZTk0OTUzOWMwNmQ5NWM3OGE4NjQxZSIsImtpZCI6IjhmNTFhY2FjYjNiOGI2M2U3MWViYjNhYWZhNTk2ZmZjIiwiZXhwIjoxNjg4N...

OBJECTIVE To report a case and to review previous publications regarding the rare complication of aorto-enteric fistula following endovascular aortic aneurysm repair. METHODS We report the case of a stent-graft infection secondary to an aorto-enteric fistula 14 months after uncomplicated endovascular treatment of an infra-renal aortic aneurysm. RESULTS The surgical treatment involved the re...

A 52-year-old male underwent cardiac catheterization for abnormal stress test. Trans-radial coronary angiography revealed a severe proximal left anterior descending artery (LAD) lesion. LAD angioplasty was performed with two drug-eluting stents. This resulted in dissection of the proximal LAD, the circumflex artery and the left main coronary artery (LMCA) extending back into the coronary sinus....

Background The primary treatment of symptomatic aortic stenosis is aortic valve replacement. Instead of open chest surgery, transcatheter aortic valve replacement (TAVR) is an alternative intervention for high-risk surgical candidates. Clinical Case A 92-year-old male presented with progressive exertional dyspnea and recurrent syncopal attacks secondary to severe AS. The patient underwent suc...

Primary aorto-enteric fistula (PAEF) develops between the native aorta and the gastro-intestinal tract, in the presence of an abdominal aortic aneurysm. It is a rare, life-threatening condition and appears to be less frequent than secondary aorto-enteric fistula, which is associated with previous aortic prosthetic reconstruction. When untreated, the overall mortality rate is almost 100%. Diagno...

patent vessels. 3. The authors state that the infra-popliteal region evaluation was not included in their study. The importance of assessing distal run-off in arterial occlusive disease is crucial for prognostic purposes in addition to strategic planning of revascularization procedures. Although the most difficult portion of a Doppler evaluation, it needs to be performed with great patience, al...

The periannular extension of infection is one of the most dangerous complications in patients with infective endocarditis (IE) and can significantly impact on the prognoses of these patients. The accurate detection and delineation of periannular complications are crucial in patient management, which may also provide guidance for surgical intervention. Echocardiography is the preferred imaging e...

The long-term follow-up of six patients operated on for aorto-left ventricular communication has been reviewed in detail. All had residual aortic regurgitation after the initial repair of the defect. It was severe in four and required repeated reoperation in three with ultimate aortic valve replacement. The failure of early repair to solve the haemodynamic problem has provoked a reconsideration...