INTRODUCTION Primary angiosarcomas of the aorta are rare and because of their non-specific presentation, the initial diagnosis is often very difficult. REPORT A 66 year old woman, initially suffering from night sweats and general malaise, is presented. A computerized tomography (CT) scan was performed which showed a filling defect of the descending aorta. This defect later caused embolic occl...

A 69-year-old man was transferred to our hospital with a diagnosis of acute type A aortic dissection. In the emergent operation, the dissection was found to extend to the orifice of the left coronary artery, but not to the coronary artery itself. The false lumen was closed using glue and sutures with felt strips, and graft replacement of the ascending aorta was performed. However, signs of myoc...

background: celiac disease is a common autoimmune disorder that is diagnosed based on clinical case identification, serological screening, and duodenal histology. however, the existence of mild clinical forms, such as seronegative cases with patchy atrophy and potential celiac disease, can make it difficult to determine a definitive diagnosis. the seronegative patients with celiac disease can i...

aortopulmonary window (apw) is a rare congenital malformation. it results from an incomplete division between the ascending aorta and the pulmonary artery. we describe a 26-year-old male, who presented with a grade ii exertional dyspnea and palpitations. echocardiography revealed an apw with an ascending aorta aneurysm. he underwent surgery under cardiopulmonary bypass without aortic cross-clam...

Interventional management of aortic dissection and other pathologies of the descending aorta by use of stent-grafts evolved slowly in anticipation of the risk of paraplegia from spinal artery occlusion, a complication known to occur in up to 18% after surgery. With ongoing technical improvement a large series of type B dissection cases has now been successfully treated by endovascular stent-gra...

The celiac trunk is a main splanchnic artery that supplies the intra-abdominal organs of upper gastrointestinal system. Anatomic variations are encountered in 10% population, but can pose challenges to many surgical and interventional procedures. We present here case hexafurcation discovered preoperatively after image staging for gastric cancer. branches were: left right inferior phrenic artery...

Isolated visceral arteriopathies of the celiac and hepatic artery are rare. We present a case of a Caucasian man who presented with abdominal pain and was found to have a spontaneous celiac artery dissection. Genetic analysis revealed a mutation consistent with Ehlers-Danlos syndrome type IV. The patient died 2 months later from a spontaneous rupture of his hepatic artery.

A man presented to the emergency room with recurrent episodes of abdominal pain. He had a history of coronary artery bypass grafting of the left internal mammary artery (LIMA) to the left anterior descending (LAD) artery and the right gastroepiploic artery to the posterior descending artery. After numerous gastrointestinal evaluations, a stress test was performed, which was positive. Coronary a...

A 57-year-old Chinese male patient presented with Standford type A aortic dissection with an aberrant right subclavian artery (ARSA). At operation, the ascending aorta was replaced by a mono-branch vascular prosthesis with the branch bypassing to the ARSA; the triple-branched stent graft was inserted into the true lumen of the arch and proximal descending aorta (covering the origin of the ARSA)...

An 84-year-old male retired boilermaker, residing in Australia, presented with the acute onset of anterior, leftsided, pleuritic chest pain. He had a history of ischemic heart disease, and had been on a long-haul flight, returning from Mauritius 9 days previously. An electrocardiogram and echocardiogram were normal and serum troponin levels were negative. A computed tomography (CT) pulmonary an...