RESUMO
Fusiform dilation of the jugular vein, or jugular venous phlebectasia, is a rare clinical entity, with an etiology of cervical swelling. We present a case of a 15-year-old male with no antecedent history of trauma and an enlarging right neck mass. Pertinent literature and relevant diagnostic and therapeutic modalities are reviewed. While conservative management is usually prescribed, ligation and resection may be performed safely when intervention is warranted.
Assuntos
Aneurisma/congênito , Veias Jugulares/anormalidades , Adolescente , Aneurisma/diagnóstico por imagem , Aneurisma/cirurgia , Humanos , Veias Jugulares/diagnóstico por imagem , Veias Jugulares/cirurgia , Ligadura , Masculino , Flebografia/métodos , Tomografia Computadorizada por Raios X , Resultado do Tratamento , Procedimentos Cirúrgicos VascularesRESUMO
The authors present a case study of a neck hematoma presenting within hours of carotid artery stent placement. Subsequently, delayed pseudoaneurysm formation was noted. The purpose of this communication is to describe this case and present the treatment options, including the clinical success of delayed surgical intervention in this patient.
Assuntos
Falso Aneurisma/etiologia , Angioplastia com Balão/efeitos adversos , Estenose das Carótidas/terapia , Hematoma/etiologia , Stents/efeitos adversos , Idoso , Falso Aneurisma/diagnóstico por imagem , Falso Aneurisma/cirurgia , Angiografia , Estenose das Carótidas/diagnóstico por imagem , Estenose das Carótidas/cirurgia , Feminino , Hematoma/diagnóstico por imagem , Hematoma/cirurgia , Humanos , Pescoço , Tomografia Computadorizada por Raios XRESUMO
The purpose of this morbidity and mortality case report is to discuss a characteristic of the Viabahn (W.L. Gore, Newark, DE) stent-graft deployment as well as a complication related to wire trauma during endovascular exclusion of a popliteal artery aneurysm. We encountered a phenomenon not described in the literature during deployment of a Viabahn stent graft. This necessitated further wire purchase, which resulted in perforation of a branch vessel within the calf. The rapid recognition of the clinical findings and prompt diagnosis of compartment syndrome was essential to early intervention, which prevented further complication and permanent sequelae.
RESUMO
The traditional approach to revascularization in aortoiliac disease is surgical. Endovascular treatment techniques for revascularization have emerged in recent years and have resulted in less invasive options for management of vascular disease. In this article, we describe a novel approach to endovascular stent graft reconstruction of a heavily calcified infrarenal aortic occlusion. The interventional management of aortic occlusions is subsequently discussed.