Various procedures have been used in the surgical treatment of intrathoracic aortic aneurysms. These have been recently reviewed and classified as follows: (1) those designed to promote thrombosis and fibrotic organization of the process by ligation, introduction of foreign material, or periarterial fibroblastic reaction; (2) endoaneurysmorrhaphy; and (3) extirpation of the lesion with or witho...

Splenic artery aneurysms are unusual clinical conditions that may be ruptured resulting into adverse health outcomes. Pregnancy, portal hypertension and atherosclerosis are conditions that predispose to the formation of splenic artery aneurysms. A rare case of a previously healthy man referred to our department by his general practitioner complaining of acute abdominal pain is presented. During...

An 82-year old woman presented with chest pain and was diagnosed as having acute myocardial infarction. Coronary angiography (CAG) showed 90% stenosis in the proximal left anterior descending artery (LAD). The patient underwent percutaneous coronary intervention using a sirolimus-eluting stent (SES). A repeat CAG performed 6 months after SES implantation revealed no problems. Eight years later,...

Neurofibromatosis type 1 is a congenital condition affecting neurons and connective tissue integrity including vasculature. On extremely rare occasions these patients present with venous aneurysms affecting the internal jugular vein. If they become large enough there presents a risk of rupture, thrombosis, embolization or compression of adjacent structures. In these circumstances, or when the p...

The aim of the present study is to describe the treatment strategy and histological findings in patients with large extracranial internal carotid artery (ICA) aneurysms. The resection of the aneurysm and end-to-end anastomosis of the ICA was performed in Case 1 because the patient displayed balloon test occlusion (BTO) intolerance and ICA coiling. Case 2 was treated with an extracranial to intr...

INTRODUCTION Peripheral arterial aneurysms (PAA) may rupture, cause emboli and ischemia, and local symptoms due to compression. METHODS A total of 109 patients who underwent surgery for PAA were analyzed retrospectively, including clinical presentation, surgical procedures used, and postoperative follow-up data obtained 10 days after discharge. RESULTS True aneurysm was present in 59 (54.1%...

The problem of the surgical treatment of intracranial aneurysms was brought before the Cushing Society in April of 1938. At this time German2 reported a posterior cerebral aneurysm that had been successfully excised. The problem of the proper selection of cases in which operation would be indicated formed the basis for most of the discussions of German's paper. The experiences of Godfrey Jeffer...

INTRODUCTION Mycotic aneurysms are associated with high mortality rates and are managed in the local setting with extra-anatomical bypass followed by ligation, exclusion and debridement of the aneurysm. This is the first case of successful endovascular stenting in an immunocompromised patient with Salmonella mycotic aneurysm. CLINICAL PICTURE A middle-aged man who was HIV positive had Salmone...

To cite: Parekh P, Agrawal N, Vinchurkar M, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2014204144 DESCRIPTION Coronary artery aneurysm (CAA) is defined as dilation exceeding the reference vessel diameter by 50%, while they are termed giant if their diameter exceeds the reference vessel diameter by four times or if the diameter is more than 8 mm. It is ...

OBJECTIVES A true pancreaticoduodenal artery aneurysm (PDAA) is a rare disease, and has some unique characteristics: a high rupture risk and a strong correlation with celiac trunk stenotic lesions (CTSL). We showed here that our treatment strategy for PDAA. MATERIALS AND METHODS Seven consecutive patients with PDAA at our institution from 1998 to 2011 were retrospectively reviewed. Of the 7 p...