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Journal of Cardiothoracic Surgery Sep 2022Mycotic pseudoaneurysms of the ascending aorta are a rare and devastating complication of previous cardiac surgery.
BACKGROUND
Mycotic pseudoaneurysms of the ascending aorta are a rare and devastating complication of previous cardiac surgery.
CASE PRESENTATION
We present an unusual case of a fungal mycotic pseudoaneurysm secondary to an aortic suture line successfully repaired under deep hypothermic circulatory arrest.
CONCLUSIONS
Patients with mycotic pseudoaneurysms of the aorta require a multidisciplinary team approach to prevent devastating complications that may occur in these complex surgical cases.
Topics: Aneurysm, False; Aneurysm, Infected; Aorta; Humans
PubMed: 36131353
DOI: 10.1186/s13019-022-01989-2 -
Revista Espanola de Cirugia Ortopedica... 2012Vascular complications are rare after total knee arthroplasty, and popliteal pseudoaneurysms are even more so. There are few cases reported in the literature. We present... (Review)
Review
Vascular complications are rare after total knee arthroplasty, and popliteal pseudoaneurysms are even more so. There are few cases reported in the literature. We present a case of an 80 year-old woman with osteoarthritis of the left knee, secondary to Genu varum, who was treated with total knee arthroplasty. On the discharge day after surgery, the patient suffered a popliteal pseudoaneurysm that was successfully treated with an intravascular stent introduced by an inguinal approach.
Topics: Aged, 80 and over; Aneurysm, False; Arthroplasty, Replacement, Knee; Female; Humans; Osteoarthritis, Knee; Popliteal Artery; Postoperative Complications
PubMed: 23594807
DOI: 10.1016/j.recot.2012.01.004 -
Skeletal Radiology Sep 2009Ulnar artery pseudoaneurysms are very uncommon. The least common etiological mechanism is a single direct trauma. It is important to identify these lesions, which may... (Review)
Review
Ulnar artery pseudoaneurysms are very uncommon. The least common etiological mechanism is a single direct trauma. It is important to identify these lesions, which may have important clinical complications such as distal thrombosis with digital ischemia or gangrene. This report describes the features of sonography and magnetic resonance angiography of a histologically confirmed ulnar artery pseudoaneurysm.
Topics: Aneurysm, False; Humans; Magnetic Resonance Angiography; Male; Martial Arts; Ulnar Artery; Ultrasonography; Wounds, Nonpenetrating; Young Adult
PubMed: 19452151
DOI: 10.1007/s00256-009-0715-9 -
Annals of Thoracic and Cardiovascular... Jun 2018Pulmonary artery aneurysms (PAA) and pseudoaneurysms (PAP) are caused by infections, vasculitis, trauma, pulmonary hypertension, congenital heart disease, and connective...
Pulmonary artery aneurysms (PAA) and pseudoaneurysms (PAP) are caused by infections, vasculitis, trauma, pulmonary hypertension, congenital heart disease, and connective tissue disease. Most cases of such aneurysm occur in the trunk or major branches of the pulmonary artery, while the peripheral type is less common. The treatment modalities are medical therapy, surgery, and percutaneous catheter embolization. The mortality rate associated with rupture is approximately 50%. We encountered a case of a 53-year-old man with a pulmonary artery pseudoaneurysm secondary to pneumonia and cavity formation during chemotherapy for acute myeloid leukemia (AML). In diagnosis, contrast-enhanced chest computed tomography (CT) scan and pulmonary angiography were very useful. He was treated with right middle and lower lobectomy. After 1-month follow-up, he could restart additional chemotherapy.
Topics: Aneurysm, False; Angiography; Humans; Male; Middle Aged; Pneumonectomy; Pneumonia; Pulmonary Artery; Tomography, X-Ray Computed; Treatment Outcome
PubMed: 29332925
DOI: 10.5761/atcs.cr.17-00172 -
The Neuroradiology Journal Oct 2022The pseudoaneurysms of the internal carotid artery (ICA) at the skull base form a unique subset of craniofacial pseudoaneurysms with varied diagnostic and therapeutic...
BACKGROUND
The pseudoaneurysms of the internal carotid artery (ICA) at the skull base form a unique subset of craniofacial pseudoaneurysms with varied diagnostic and therapeutic challenges. Recurrence in a surgically treated pseudoaneurysm may become a nightmare due to very limited number of open and endovascular options.
REPORT
We report a rare case of recurrent pseudoaneurysm of petrous ICA, which presented with massive epistaxis following an initial successful occlusion by surgical trapping of the parent arterial segment with surgical clip. Cerebral angiography revealed filling of the pseudoaneurysm by small arterial channels from the external carotid, contralateral internal carotid and basilar arterial branches and emptying through the "slipped" distal clip. After a meticulous analysis of the cerebral angiogram, the recurrent pseudoaneurysm was eventually embolized retrogradely through the "slipped" clip after crossing the anterior communicating artery taking a contralateral internal carotid access.
CONCLUSION
Scrupulous planning and execution of ICA pseudoaneurysms is necessary to prevent recurrence. Naturally occuring collateral routes through the Circle of Willis aid in treatment of "unreachable" vascular lesions.
Topics: Aneurysm, False; Carotid Artery, Internal; Cerebral Angiography; Circle of Willis; Humans; Skull Base
PubMed: 35499110
DOI: 10.1177/19714009221096835 -
Annals of Cardiac Anaesthesia 2023Acquired pseudoaneurysms of the aortic root involving the sinus of Valsalva (SOV) are rare and serious complications arising from trauma, infection, or following cardiac...
Acquired pseudoaneurysms of the aortic root involving the sinus of Valsalva (SOV) are rare and serious complications arising from trauma, infection, or following cardiac surgery or intervention. Complete heart block (CHB) is an atypical presentation of SOV pseudoaneurysm due to either direct compression effects or involvement of the main conducting system by blood and inflammatory cell infiltration. Herein, we describe a rare case of a patient who presented with CHB caused by an SOV pseudoaneurysm following polytrauma and was treated with surgical closure of pseudoaneurysm followed by implantation of a permanent pacemaker to treat the persistent CHB.
Topics: Humans; Aneurysm, False; Sinus of Valsalva; Cardiac Surgical Procedures; Heart Block
PubMed: 37470536
DOI: 10.4103/aca.aca_99_22 -
Cardiovascular Revascularization... Dec 2018Femoral artery pseudoaneurysms are usually the result of femoral artery cannulation for percutaneous cardiac or endovascular procedures. It causes compression of...
Femoral artery pseudoaneurysms are usually the result of femoral artery cannulation for percutaneous cardiac or endovascular procedures. It causes compression of surrounding structures, may cause distal embolization, arteriovenous fistula formation, or might rupture. Most close spontaneously by thrombosis, and the remainder need intervention, either percutaneous or surgical repair. We describe a unique case of femoral pseudoaneurysm that was repaired percutaneously by excluding it via stenting and simultaneous closure of residual aneurysm by direct access and coil embolization.
Topics: Aged, 80 and over; Aneurysm, False; Angiography; Cardiac Catheterization; Coronary Artery Disease; Echocardiography; Embolization, Therapeutic; Endovascular Procedures; Femoral Artery; Humans; Male; Ultrasonography, Doppler
PubMed: 29804798
DOI: 10.1016/j.carrev.2018.04.008 -
International Journal of Cardiology Mar 2010Postinfarction left ventricular pseudoaneurysms are rarely detected because the clinical manifestations are heterogeneous. Pseudoaneurysms are especially difficult to... (Review)
Review
Postinfarction left ventricular pseudoaneurysms are rarely detected because the clinical manifestations are heterogeneous. Pseudoaneurysms are especially difficult to detect and manage in patients whose ischemic heart disease is concomitant with other conditions. Here we report a unique case of postinfarction pseudoaneurysm with left-to-right shunt in a patient with the triple vessel disease who also had end-stage renal failure and was treated with long-term hemodialysis. We discuss the clinical course, diagnosis and treatment of pseudoaneurysms and the association of this condition with left-to-right shunts.
Topics: Aged; Aneurysm, False; Female; Heart Ventricles; Humans; Myocardial Infarction; Radionuclide Ventriculography
PubMed: 18775577
DOI: 10.1016/j.ijcard.2008.07.002 -
Surgery Today Jan 2014Pseudoaneurysms of the thoracic aorta after cardiovascular surgery are rare, but life-threatening complications. We herein describe the clinical outcomes of...
PURPOSE
Pseudoaneurysms of the thoracic aorta after cardiovascular surgery are rare, but life-threatening complications. We herein describe the clinical outcomes of pseudoaneurysms of the thoracic aorta arising after cardiovascular surgery.
METHODS
We retrospectively reviewed 14 patients (mean age 64 years) who underwent reoperation for a pseudoaneurysm of the thoracic aorta between January 1997 and December 2010.
RESULTS
Pseudoaneurysms of the thoracic aorta were detected incidentally during routine follow-up in 11 asymptomatic patients, whereas symptoms or signs indicating an aortic pseudoaneurysm were present in three patients. The mean intervals between repeat and previous cardiovascular surgeries and the follow-up were 167 and 62 months, respectively. The aortic pseudoaneurysms were located in the proximal and distal suture lines in six patients, and at aortotomy sites in four. These locations accounted for about 70 % of all aortic pseudoaneurysms. None of the patients died in the hospital. Postoperative complications, such as a need for permanent pacemaker implantation or groin-related issues, occurred in five patients. However, no major postoperative complications, aorta-related events or a need for reoperation developed during the follow-up period.
CONCLUSIONS
Regular follow-up, including imaging modalities and physical examinations, is mandatory to detect aortic pseudoaneurysms after cardiovascular surgery.
Topics: Aged; Aneurysm, False; Aorta, Thoracic; Cardiovascular Surgical Procedures; Female; Follow-Up Studies; Humans; Male; Middle Aged; Postoperative Complications; Reoperation; Retrospective Studies; Treatment Outcome
PubMed: 23397244
DOI: 10.1007/s00595-013-0510-z -
Clinical Imaging 2003We report a patient with Gastroduodenal artery (GDA) pseudoaneurysm of tuberculous aetiology, who presented with massive hematemesis and who was successfully managed...
We report a patient with Gastroduodenal artery (GDA) pseudoaneurysm of tuberculous aetiology, who presented with massive hematemesis and who was successfully managed with transarterial steel coil embolization. Pseudoaneurysms are a rare but potentially fatal complication of tuberculosis and hence early recognition and management of this complication is important. To the best of our knowledge this is the first report of a GDA pseudoaneurysm resulting from tuberculosis.
Topics: Adult; Aneurysm, False; Angiography; Duodenum; Embolization, Therapeutic; Humans; Male; Steel; Stomach; Tomography, X-Ray Computed; Treatment Outcome; Tuberculosis, Pulmonary
PubMed: 14585570
DOI: 10.1016/s0899-7071(03)00009-3