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1.
Kyobu Geka ; 76(8): 597-601, 2023 Aug.
Article in Japanese | MEDLINE | ID: mdl-37500546

ABSTRACT

An 88-year-old male underwent thoracic endovascular aortic repair (TEVAR) with the double-debranching and chimney technique for arch aortic aneurysm. When the aforementioned procedure was performed, the left common carotid artery was closed and transected, and the left subclavian artery was embolized and bypassed, respectively. However, postoperatively, the gutter endoleak persisted, and the aneurysm enlarged;therefore, requiring additional surgery. A skin incision was made on the left side of the neck, and the closed and dissected left common carotid artery stump was detected. A sheath was placed at the stump and an angiographic catheter and guidewire were used to retrograde cannulate the gutter beside the chimney graft, and coil embolization was performed. No endoleak was observed at postoperatively and 6-month follow up computed tomography( CT). We believe that embolization from a deblanched left common carotid artery stump is useful for endoleaks after TEVAR employing the chimney and debranching technique.


Subject(s)
Aortic Aneurysm, Thoracic , Blood Vessel Prosthesis Implantation , Endovascular Procedures , Male , Humans , Aged, 80 and over , Endovascular Aneurysm Repair , Blood Vessel Prosthesis Implantation/methods , Treatment Outcome , Risk Factors , Endovascular Procedures/methods , Aorta, Thoracic/surgery , Blood Vessel Prosthesis , Endoleak/diagnostic imaging , Endoleak/etiology , Endoleak/surgery , Aortic Aneurysm, Thoracic/surgery , Stents , Retrospective Studies
2.
Kyobu Geka ; 75(3): 232-235, 2022 Mar.
Article in Japanese | MEDLINE | ID: mdl-35249960

ABSTRACT

A 77-year-old woman was found to have multiple granular shadows in the bilateral lungs and a right mammary mass on chest computed tomography (CT) scan for preoperative check of colorectal cancer. The right mammary mass was diagnosed as breast cancer as a result of vacuum-assisted breast biopsy. Fluorodeoxyglucose-positron emission tomography( FDG-PET) showed no abnormal uptake in the lung fields. Since a transbronchial lung biopsy did not establish a diagnosis, an incisional biopsy was performed via a thoracoscopic approach. The histology of the pulmonary nodules revealed minute pulmonary meningothelial-like nodules (MPMNs) and the patient was diagnosed with diffuse pulmonary meningotheliomatosis (DPM). When multiple pulmonary nodules are found in patients with coexisting malignancy, DPM should be considered in addition to metastatic lung tumors.


Subject(s)
Lung Neoplasms , Multiple Pulmonary Nodules , Aged , Diagnosis, Differential , Female , Fluorodeoxyglucose F18 , Humans , Lung/pathology , Lung Neoplasms/pathology , Multiple Pulmonary Nodules/diagnostic imaging , Tomography, X-Ray Computed
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