Assuntos
Traumatismos do Antebraço/cirurgia , Artéria Radial/cirurgia , Veia Safena/transplante , Técnicas de Sutura , Artéria Ulnar/cirurgia , Enxerto Vascular , Lesões do Sistema Vascular/cirurgia , Ferimentos Penetrantes/cirurgia , Adolescente , Adulto , Traumatismos do Antebraço/diagnóstico por imagem , Traumatismos do Antebraço/etiologia , Humanos , Masculino , Artéria Radial/diagnóstico por imagem , Artéria Radial/lesões , Recuperação de Função Fisiológica , Resultado do Tratamento , Artéria Ulnar/diagnóstico por imagem , Artéria Ulnar/lesões , Lesões do Sistema Vascular/diagnóstico por imagem , Lesões do Sistema Vascular/etiologia , Ferimentos Penetrantes/diagnóstico por imagem , Ferimentos Penetrantes/etiologiaRESUMO
We report here the management of an acquired left carotid-jugular fistula in a 29-year-old man. This patient was referred to us for a ballistic wound of the left cheek evolving since one month with the diagnosis of a carotid pseudo-aneurysm discovered on Doppler ultrasound. The clinical presentation was marked by cervical thrill in favor of an arteriovenous fistula confirmed by computed tomography angiography. The surgical exploration by cervicotomy revealed a communication between common carotid artery and internal jugular vein that were repaired using a saphenous vein patch and a lateral suture respectively without complication. The control at five months found an asymptomatic patient with good patency of the repaired vessels.
Assuntos
Fístula Arteriovenosa/cirurgia , Artérias Carótidas/cirurgia , Lesões das Artérias Carótidas/cirurgia , Veias Jugulares/cirurgia , Veia Safena/transplante , Técnicas de Sutura , Ferimentos por Arma de Fogo/cirurgia , Adulto , Fístula Arteriovenosa/diagnóstico por imagem , Artérias Carótidas/diagnóstico por imagem , Lesões das Artérias Carótidas/diagnóstico por imagem , Humanos , Veias Jugulares/diagnóstico por imagem , Veias Jugulares/lesões , Masculino , Resultado do Tratamento , Ferimentos por Arma de Fogo/diagnóstico por imagemRESUMO
Tuberculous aneurysms of the common iliac artery are rare. Only a few cases have been reported in the literature. We report a new case in a 47-year-old man admitted for abdominal pain and persistent fever. The aneurysm was evoked in the duplex ultrasound scan and confirmed by computed tomographic angiography. The patient underwent an extra-anatomic femorofemoral bypass with a dacron prosthesis and ligation of the aneurysmal artery. The postoperative course was marked by febrile dyspnea related to the tuberculous miliary found on the chest x-ray. Histological analysis of the operative specimens confirmed the tuberculous origin of the aneurysm. The patient was put on antituberculous drugs and the follow-up was uneventful. With a follow-up of four months, the patient was asymptomatic and the bypass was well patent.