RESUMO
Popliteal vein aneurysm (PVA) is a very uncommon cause of stroke. We present the case of a 63-year-old, right-handed man who presented to the emergency department with transitory ischemic accident (left superior extremity regressive monoplegia). Complete etiologic work-up led to the discovery of both a patent foramen ovale associated with an septum interauricular aneurysm, and of a PVA without mural thrombus. The diagnosis of brain paradoxical embolism was retained. The unique potentially embolic cause was the presence of the PVA. We decided to treat the PVA surgically to avoid a further cerebral vascular episode. Although uncommon, venous etiology must be considered for stroke.
Assuntos
Aneurisma/complicações , Isquemia Encefálica/etiologia , Embolia Paradoxal/etiologia , Veia Poplítea , Acidente Vascular Cerebral/etiologia , Aneurisma/diagnóstico , Aneurisma/cirurgia , Isquemia Encefálica/diagnóstico , Embolia Paradoxal/diagnóstico , Forame Oval Patente/complicações , Humanos , Masculino , Pessoa de Meia-Idade , Flebografia/métodos , Veia Poplítea/diagnóstico por imagem , Veia Poplítea/cirurgia , Fatores de Risco , Acidente Vascular Cerebral/diagnóstico , Tomografia Computadorizada por Raios XRESUMO
Injury to the axillary artery after anterior shoulder dislocation is a very rare occurrence; although infrequently seen as an iatrogenic complication, very few cases have been reported. We describe a case of delayed axillary artery pseudoaneurysm, presenting as single complication after anterior shoulder dislocation reduction, which was successfully managed by surgical intervention-resection-anastomosis. Although uncommon, pseudoaneurysms should not be forgotten after trivial trauma. The early diagnosis of upper-limb pseudoaneurysms should prevent the risk of vascular and neurological compromises with potential serious long-term sequelae.
Assuntos
Falso Aneurisma/etiologia , Artéria Axilar/lesões , Luxação do Ombro/complicações , Lesões do Sistema Vascular/etiologia , Idoso , Falso Aneurisma/diagnóstico por imagem , Falso Aneurisma/cirurgia , Artéria Axilar/diagnóstico por imagem , Artéria Axilar/cirurgia , Diagnóstico Tardio , Humanos , Masculino , Valor Preditivo dos Testes , Fatores de Tempo , Tomografia Computadorizada por Raios X , Lesões do Sistema Vascular/diagnóstico por imagem , Lesões do Sistema Vascular/cirurgiaRESUMO
We report the case of a 38-year-old man who developed a false aneurysm of the anterior tibial artery after a true-cut needle biopsy of the shinbone. Although arterial damages are a known theoretical risk of such a procedure, to our knowledge, this is the first case to be reported. Repair was achieved by means of an arterial resection and anastomosis.