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Pediatric Emergency Care May 2019Pseudoaneurysms of the cervical internal carotid artery are rare and usually result from trauma, infection, or rarely spontaneously. They harbor potential risk of...
Pseudoaneurysms of the cervical internal carotid artery are rare and usually result from trauma, infection, or rarely spontaneously. They harbor potential risk of life-threatening hemorrhage and warrant immediate management. Endovascular treatment in the form of stent placement and coiling is a well established technique for dealing with both intracranial and extracranial pseudoaneurysms. We present a case of a child who presented with fever, neck swelling, dysphagia, and respiratory distress in emergency for which clinical diagnosis of a neck abscess was made. Intubation was not possible because of bulge in the retropharyngeal wall. An elective tracheotomy was planned with imaging of the neck. Imaging and careful planning to avoid incision and drainage in the initial presentation led us to diagnose a pseudoaneurysm and successful management. We present this case to highlight the importance of early recognition and timely meticulous management to avoid serious complications and morbidity in a child.
Topics: Aneurysm, False; Carotid Artery, Internal; Child, Preschool; Diagnosis, Differential; Embolization, Therapeutic; Female; Humans; Retropharyngeal Abscess
PubMed: 28328693
DOI: 10.1097/PEC.0000000000001100 -
The Annals of Thoracic Surgery Oct 2019Cardiac pseudoaneurysms of noninfectious or nonischemic etiology are rare. This case report illustrates the surgical management of a patient with a large postsurgical...
Cardiac pseudoaneurysms of noninfectious or nonischemic etiology are rare. This case report illustrates the surgical management of a patient with a large postsurgical calcified pseudoaneurysm located in the base of the heart that was disrupting the continuity between the aortic and mitral annulus.
Topics: Adult; Aneurysm, False; Calcinosis; Female; Heart Aneurysm; Humans
PubMed: 30922826
DOI: 10.1016/j.athoracsur.2019.02.044 -
The Journal of Cardiovascular Surgery Apr 1996Aneurysms of the superficial temporal artery as a result of trauma occur rarely. These pseudoaneurysms tend to present 2 to 6 weeks following initial injury with a... (Review)
Review
Aneurysms of the superficial temporal artery as a result of trauma occur rarely. These pseudoaneurysms tend to present 2 to 6 weeks following initial injury with a painless swelling which may be associated with a headache, ear discomfort or other vague symptoms. Neurological complications are very rare. A thorough history and physical examination are essential. Investigations such as duplex scanning, angiography or CT scanning may be helpful in difficult cases. The most common treatment is surgical. Embolization may prove to be an alternative to surgery in some cases. We review a rare case of superficial temporal artery aneurysm associated with a facial nerve palsy which was treated surgically. A thorough review of the literature is presented.
Topics: Accidents, Traffic; Adult; Aneurysm, False; Diagnosis, Differential; Facial Paralysis; Humans; Male; Temporal Arteries
PubMed: 8675516
DOI: No ID Found -
Traumatic pseudoaneurysm of the superficial temporal artery: two cases and review of the literature.Journal of the American Academy of... Nov 2003Aneurysms of the facial vasculature have been reported since the mid-seventeenth century from a variety of accidental, violent, and surgical injuries. Of the 386 cases... (Review)
Review
Aneurysms of the facial vasculature have been reported since the mid-seventeenth century from a variety of accidental, violent, and surgical injuries. Of the 386 cases of facial aneurysm reported in the world literature, 327 involve the superficial temporal artery. The nomenclature is somewhat confusing, because pseudoaneurysms are often referred to as simply "aneurysms" in the literature. Given that superficial temporal artery pseudoaneurysms might be seen in the guise of a cyst or lipoma, it is imperative that the dermatologist be aware of their presentation. To date, there have been 7 cases reported in the dermatologic literature. We report 2 additional cases of traumatic superficial temporal artery pseudoaneurysm and review the dermatologic literature.
Topics: Adult; Aneurysm, False; Diagnosis, Differential; Forehead; Humans; Male; Temporal Arteries; Wounds, Nonpenetrating
PubMed: 14576656
DOI: 10.1016/s0190-9622(03)01487-7 -
The Pan African Medical Journal 2020The clavicle fractures are frequent, vascular injuries associated with closed fractures of clavicle are rare. The pseudoaneurysms of the subclavian artery constitute an...
The clavicle fractures are frequent, vascular injuries associated with closed fractures of clavicle are rare. The pseudoaneurysms of the subclavian artery constitute an exceptional complication. We report a case of a 40-year-old who presented an expanding hematoma of the right side of the neck after a road traffic accident. Radiography of the right shoulder showed a midclavicular fracture. An arterial doppler of vessels showed a circulating hematoma in the contact of the right subclavian artery with a correct distality flow. Computed tomographic angiogram of the chest confirmed the diagnosis of a false aneurysm in the postvertebral portion of the right subclavian artery. The treatment was surgical and consisted of excision of the false aneurysm and a repair of the arterial injury by an arterial patch, the clavicle was fixed with a reconstruction plate and screws. Early intervention appears to be indicated due to the risk of thrombo-embolic complications. Endovascular repair appears to be the preferred treatment modalities, due to a lower rate of cardiopulmonary complications, but it is reserved for much selected cases.
Topics: Adult; Aneurysm, False; Bone Plates; Bone Screws; Clavicle; Computed Tomography Angiography; Fractures, Closed; Humans; Male; Radiography; Subclavian Artery; Wounds, Nonpenetrating
PubMed: 33088391
DOI: 10.11604/pamj.2020.36.262.22320 -
American Journal of Orthopedics (Belle... Mar 2014Pseudoaneurysms of the brachial artery are rare and most often occur after a penetrating injury. The incidence of periprosthetic humerus fractures is low, and surgical... (Review)
Review
Pseudoaneurysms of the brachial artery are rare and most often occur after a penetrating injury. The incidence of periprosthetic humerus fractures is low, and surgical treatment can be demanding. The treatment of choice for an occluded pseudoaneurysm of the brachial artery is saphenous vein bypass. In this article, we report the case of a 73-year-old woman who presented with an occluded pseudoaneurysm of the brachial artery sustained after a neglected periprosthetic humerus fracture. A saphenous vein bypass was performed after removal of the distal tip of the prosthesis. Patency was observed 3 months after surgery. This case shows malunion of a neglected periprosthetic humerus fracture and a good result after saphenous vein bypass.
Topics: Aged; Aneurysm, False; Brachial Artery; Female; Humans; Humeral Fractures; Periprosthetic Fractures; Treatment Outcome; Ultrasonography
PubMed: 24660181
DOI: No ID Found -
Annals of Vascular Surgery Feb 2015Delayed presentations of lower limb pseudoaneurysms secondary to penetrating trauma are particularly rare. (Review)
Review
BACKGROUND
Delayed presentations of lower limb pseudoaneurysms secondary to penetrating trauma are particularly rare.
METHODS
After presentation of this rare case report, we review relevant published literature.
RESULTS
We report a rare case of a 55-year-old man with a progressively enlarging mass measuring 15 cm by 15 cm on his right anteromedial thigh 3 years after penetrating trauma. Computer tomography angiogram revealed this to be a large pseudoaneurysm supplied by a side branch artery from the right superficial femoral artery. Using an open approach, the pseudoanerysm was successfully repaired with the side branch oversewn, and the patient made a good recovery being discharged from hospital 4 days later.
CONCLUSIONS
Surgeons must retain pseudoaneurysm as a prominent differential for a patient presenting with a progressively enlarging, expansile mass of an extremity after penetrating trauma to ensure urgent investigation and prompt vascular intervention. Both open surgical ablation and endovascular embolization of pseudoaneurysms of the extremities are effective techniques with low rates of complications and morbidity reported in published literature.
Topics: Aneurysm, False; Angiography; Femoral Artery; Humans; Lower Extremity; Male; Middle Aged; Time Factors; Tomography, X-Ray Computed; Wounds, Stab
PubMed: 25462544
DOI: 10.1016/j.avsg.2014.09.019 -
Acta Ortopedica Mexicana 2023aneurysms are focal and permanent dilations of an artery; in pseudoaneurysms, the normal layers of the blood vessel are replaced by fibrous tissue. Due to their low...
INTRODUCTION
aneurysms are focal and permanent dilations of an artery; in pseudoaneurysms, the normal layers of the blood vessel are replaced by fibrous tissue. Due to their low incidence, as well as the diagnostic and therapeutic challenge they represent; our objective is to present the clinical case of a pseudoaneurysm of a digital artery of the hand and to carry out a systematic review of this pathology.
MATERIAL AND METHODS
literature search in Medline, using the terms "digital artery" and "aneurysm." Studies of vascular dilation pathology affecting the hand and fingers were incorporated. Studies with pathology of proximal involvement of the hand were excluded.
CASE PRESENTATION
a 79-year-old female patient who, after a sharp force trauma to the fifth finger of the left hand, develops a rapidly growing necrotic tumor. She had ultrasound and angiography that suggested hematoma. Surgical management was decided, during which it was observed that the tumor involved ulnar collateral digital artery of the fifth finger. The lesion and the arterial segment involved were resected. Post-surgical course without complications. The histopathological diagnosis of pseudoaneurysm of the lesion was confirmed.
DISCUSSION
traumatic etiology is the most frequent cause of digital aneurysms. Risk factors for pseudoaneurysms include sharp force trauma and alterations of the coagulation pathways, as in the case presented.
CONCLUSION
the pseudoaneurysm of a digital artery is a rare pathology with great variability of therapeutic management. Surgical resection of the lesion with vascular flow reconstruction is the recommended treatment.
Topics: Female; Humans; Aged; Aneurysm, False; Arteries; Aneurysm; Ultrasonography; Neoplasms
PubMed: 38052440
DOI: No ID Found -
The Journal of Trauma Jan 1998Penetrating injuries to the abdominal aorta most often result in rapid exsanguination and death. Immediate surgical intervention may result in control of hemorrhage and... (Review)
Review
Penetrating injuries to the abdominal aorta most often result in rapid exsanguination and death. Immediate surgical intervention may result in control of hemorrhage and survival of the patient. Rarely, hemorrhage after aortic injury may be contained by surrounding tissues, resulting in pseudoaneurysm formation. Traumatic pseudoaneurysms may rupture at any time, and this is usually a fatal event. A 47-year-old man recently presented with a supraceliac abdominal aortic pseudoaneurysm that ruptured into the right chest 28 years after a gunshot wound to the back. This report describes the pathophysiology, diagnosis, and treatment of traumatic pseudoaneurysms of the abdominal aorta and includes a review of the literature. This is a case in which a traumatic pseudoaneurysm of the abdominal aorta was successfully repaired by surgery after rupture into the thorax and is the first such case to be reported in the literature.
Topics: Aneurysm, False; Aorta, Abdominal; Aortic Rupture; Aortography; Humans; Male; Middle Aged; Tomography, X-Ray Computed; Wounds, Gunshot
PubMed: 9464778
DOI: 10.1097/00005373-199801000-00034 -
Vascular and Endovascular Surgery Oct 2023Giant hepatic pseudoaneurysms are rare after injury. We report a case of a 20-year-old male, post gunshot injury to his right upper quadrant of the abdomen with delayed...
Giant hepatic pseudoaneurysms are rare after injury. We report a case of a 20-year-old male, post gunshot injury to his right upper quadrant of the abdomen with delayed blood loss. CTA of the abdomen demonstrated a 6.5 cm right hepatic artery pseudoaneurysm. This was successfully embolized with balloon assisted trans-arterial thrombin injection.
Topics: Male; Humans; Young Adult; Adult; Thrombin; Aneurysm, False; Treatment Outcome; Liver; Embolization, Therapeutic
PubMed: 36964763
DOI: 10.1177/15385744231165595