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1.
Ann Cardiol Angeiol (Paris) ; 72(4): 101614, 2023 Oct.
Artigo em Francês | MEDLINE | ID: mdl-37329821

RESUMO

Tuberculous aneurysm is a rare but lethal disease. It preferentially affects the aorta. The contamination occurs either secondarily to a tuberculosis site in contact with the aorta or by blood contamination. It presents an increased and unpredictable risk of rupture, hence the interest of urgent diagnostic and therapeutic management. His treatment was long based on surgery, but currently the endovascular approach is increasingly used. The treatment, whatever its type, will always be associated with a medical treatment for tuberculosis. We report the case of a patient with a descending thoracic aortic aneurysm considered tuberculous on the basis of epidemiological, clinical and biological arguments; who was treated by deployment of an endoprosthesis with good clinical and radiological evolution.


Assuntos
Aneurisma , Aneurisma da Aorta Torácica , Implante de Prótese Vascular , Tuberculose , Humanos , Aorta Torácica/diagnóstico por imagem , Aorta Torácica/cirurgia , Stents , Aneurisma da Aorta Torácica/diagnóstico por imagem , Aneurisma da Aorta Torácica/cirurgia , Aneurisma/cirurgia , Tuberculose/cirurgia , Resultado do Tratamento
2.
Ann Cardiol Angeiol (Paris) ; 72(2): 101577, 2023 Apr.
Artigo em Francês | MEDLINE | ID: mdl-36543711

RESUMO

The techniques of derivation of the high urinary tract are indispensable in common practice for the management of ureteral obstructions. Like any surgical gesture, its techniques are not without complications; Among those common are hematuria, urinary incontinence, migration in the bladder and rupture of the probe. However, intracardiac probe migration has rarely been described. We report the case of a 68-year-old patient treated for cervical cancer who benefited from the rise of a bilateral single-J probe, admitted for accidental migration of the left probe into the heart. The diagnosis was made by plain abdominal X-ray and confirmed by thoraco-abdominal CT angiography. The patient benefited, in the catheterization room, from a withdrawal of the probe by endoscopic way and under radioscopic control successfully and without any incident.


Assuntos
Fluoroscopia , Migração de Corpo Estranho , Neoplasias do Colo do Útero , Idoso , Humanos
4.
Ann Vasc Surg ; 34: 271.e9-271.e13, 2016 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-27174355

RESUMO

The antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis mainly affect small vessels. They are an exceptional etiology of visceral artery aneurysms, which are themselves unusual and potentially serious vascular disease. We report the case of a patient followed for vasculitis associated with ANCA with kidney disease who presented with symptomatic aneurysm of the inferior mesenteric artery and aneurysm of the superior mesenteric artery.


Assuntos
Aneurisma/etiologia , Vasculite Associada a Anticorpo Anticitoplasma de Neutrófilos/complicações , Artéria Mesentérica Inferior , Artéria Mesentérica Superior , Idoso , Aneurisma/diagnóstico por imagem , Aneurisma/cirurgia , Vasculite Associada a Anticorpo Anticitoplasma de Neutrófilos/diagnóstico , Biópsia , Angiografia por Tomografia Computadorizada , Feminino , Humanos , Ligadura , Artéria Mesentérica Inferior/diagnóstico por imagem , Artéria Mesentérica Inferior/cirurgia , Artéria Mesentérica Superior/diagnóstico por imagem , Artéria Mesentérica Superior/cirurgia , Resultado do Tratamento , Ultrassonografia Doppler em Cores , Ultrassonografia Doppler de Pulso , Procedimentos Cirúrgicos Vasculares
5.
Ann Vasc Surg ; 30: 307.e1-5, 2016 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-26363428

RESUMO

We report the rare observation of a 58-year-old patient presenting 2 degenerative aneurysms of the superficial femoral arteries, with a rupture of the right aneurysm, treated by covered stents, with a satisfying midterm follow-up. The endovascular approach is a minimally invasive procedure which should be proposed as the first-line treatment to all the patients presenting aneurysms of the superficial femoral arteries, both asymptomatic as complicated.


Assuntos
Aneurisma/diagnóstico , Aneurisma/cirurgia , Procedimentos Endovasculares , Artéria Femoral , Stents , Humanos , Pessoa de Meia-Idade
6.
Ann Vasc Surg ; 31: 208.e5-7, 2016 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-26620381

RESUMO

We report the case of a 28-year-old man who presented in emergency for recurrent drop-attacks. Ultrasound imaging and angio computed tomography revealed a left cervical tumor, and the patient underwent surgery. The diagnosis of cystic lymphangioma was done on the anatomic characteristics of the surgical specimen and the results of the histological study. This is the first reported case of late diagnosis of a cervical cystic lymphangioma revealed by recurrent drops attack.


Assuntos
Neoplasias de Cabeça e Pescoço/diagnóstico , Linfangioma Cístico/diagnóstico , Síncope/etiologia , Adulto , Neoplasias de Cabeça e Pescoço/complicações , Neoplasias de Cabeça e Pescoço/cirurgia , Humanos , Linfangioma Cístico/complicações , Linfangioma Cístico/cirurgia , Masculino , Recidiva , Tomografia Computadorizada por Raios X , Resultado do Tratamento
7.
Ann Vasc Surg ; 29(6): 1317.e1-4, 2015 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-26038305

RESUMO

We report the case of a 20-year-old male who was operated for a large ruptured aneurysm of the right common carotid artery, revealing a Behcet's disease. The aneurysm was excised and the right common carotid artery was repaired with a polytetrafluoroethylene prosthesis. None of the criteria of the International Study Group for Behcet's disease was present at the time of the diagnosis.


Assuntos
Aneurisma Roto/etiologia , Síndrome de Behçet/complicações , Doenças das Artérias Carótidas/etiologia , Artéria Carótida Primitiva , Aneurisma Roto/diagnóstico , Aneurisma Roto/cirurgia , Síndrome de Behçet/diagnóstico , Prótese Vascular , Implante de Prótese Vascular/instrumentação , Doenças das Artérias Carótidas/diagnóstico , Doenças das Artérias Carótidas/cirurgia , Artéria Carótida Primitiva/diagnóstico por imagem , Artéria Carótida Primitiva/cirurgia , Dilatação Patológica , Humanos , Masculino , Politetrafluoretileno , Desenho de Prótese , Fatores de Risco , Tomografia Computadorizada por Raios X , Resultado do Tratamento , Adulto Jovem
8.
Ann Vasc Surg ; 28(4): 1032.e17-20, 2014 May.
Artigo em Inglês | MEDLINE | ID: mdl-24342824

RESUMO

Femoral false aneurysms are rare. They are one of the main complications of femoral catheterization, trauma of this area, or the use of intravenous drugs. They usually occur in the days after femoral puncture, and only rarely occur years after the procedure or incident. Treatment often requires complex surgical methods. We report the management of a patient with a ruptured infected femoral false aneurysm that was diagnosed 4 years after a femoral puncture performed in intensive care unit to perform peripheral arterial catheter hemodynamic monitoring. The patient was operated with exclusion of the aneurysm and prosthetic bypass, associated with intravenous antibiotics adapted to the bacterial strain grown from the operative site, which resulted in a favorable outcome.


Assuntos
Falso Aneurisma/cirurgia , Aneurisma Infectado/cirurgia , Implante de Prótese Vascular , Cateterismo Periférico/efeitos adversos , Cateterismo Periférico/instrumentação , Artéria Femoral/cirurgia , Dispositivos de Acesso Vascular/efeitos adversos , Lesões do Sistema Vascular/cirurgia , Idoso , Falso Aneurisma/diagnóstico , Falso Aneurisma/etiologia , Aneurisma Infectado/diagnóstico , Aneurisma Infectado/etiologia , Antibacterianos/uso terapêutico , Artéria Femoral/diagnóstico por imagem , Artéria Femoral/lesões , Humanos , Masculino , Punções , Fatores de Tempo , Tomografia Computadorizada por Raios X , Resultado do Tratamento , Lesões do Sistema Vascular/diagnóstico , Lesões do Sistema Vascular/etiologia
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