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1.
Rev. inf. cient ; 100(1): 1-6, ene.-feb. 2021. graf
Article in Spanish | LILACS | ID: biblio-1156709

ABSTRACT

RESUMEN Los aneurismas venosos, en especial de la extremidad superior, son malformaciones vasculares de baja frecuencia. Se presentó el manejo de dos pacientes del sexo femenino atendidas en el Servicio de Angiología y Cirugía Vascular del Hospital General Docente "Dr. Agostinho Neto" de la provincia Guantánamo, Cuba, a las que se les diagnosticaron aneurismas en diferentes segmentos del sistema venoso superficial de la extremidad superior, los que se resecaron quirúrgicamente y se les confirmó el diagnóstico mediante biopsia.


ABSTRACT Venous aneurysms, especially the ones located in the upper limbs, are vascular malformations with low incidence in the population. Two cases of venous aneurisms on female patients showed up at the Angiology and Vascular Surgery services at the General Teaching Hospital ¨Dr. Agostinho Neto¨ in Guantanamo, Cuba. Aneurism diagnosis was confirmed through biopsy. They were located in different segments of the superficial venous system of the upper limbs, and were surgically resected.


RESUMO Os aneurismas venosos, principalmente de membro superior, são malformações vasculares de baixa frequência. Foi apresentada a gestão de duas pacientes do sexo feminino atendidas no Serviço de Angiologia e Cirurgia Vascular do Hospital General Docente "Dr. Agostinho Neto" da província de Guantánamo, Cuba, que foram diagnosticados com aneurismas em diferentes segmentos do sistema venoso superficial do membro superior, os quais foram ressecados cirurgicamente e o diagnóstico foi confirmado por biópsia.


Subject(s)
Humans , Female , Middle Aged , Upper Extremity/injuries , Aneurysm/surgery , Aneurysm/diagnosis
2.
Rev. chil. obstet. ginecol. (En línea) ; 83(5): 507-512, nov. 2018. graf, ilus
Article in Spanish | LILACS | ID: biblio-978125

ABSTRACT

RESUMEN Las malformaciones vasculares cerebrales son infrecuentes, dentro de ellas, el aneurisma de la vena de Galeno (AVG) tiene una incidencia de 1 en 25.000 recién nacidos. El ultrasonido obstétrico de rutina ha permitido el diagnóstico prenatal de dicha alteración, permitiendo establecer el pronóstico del recién nacido. En la exploración mediante ultrasonido del cerebro fetal, la presencia de una imagen quística supratentorial con flujo turbulento al Doppler color permite establecer el diagnóstico. La asociación con signos de insuficiencia cardiaca ha mostrado altas tasas de mortalidad neonatal. Se presenta el caso de un feto al que se realiza el diagnóstico prenatal mediante ultrasonido y su confirmación por neuroimagenes al nacimiento.


ABSTRACT Cerebral vascular abnormalities are rare. The vein of Galen aneurysmal malformation (VGAM) has an incidence of 1 in 25,000 newborns. The routine obstetric ultrasound has allowed the prenatal diagnosis and establish the prognosis of the newborn. In the ultrasound examination of the fetal brain, the presence of a supratentorial cystic image with turbulent flow to the color Doppler makes the diagnosis. The association with signs of heart failure have shown high neonatal mortality. We present a case of a fetus with prenatal diagnosis of VGAM by 2D ultrasound and confirmation by neuroimaging at birth.


Subject(s)
Humans , Female , Pregnancy , Cerebral Veins/abnormalities , Ultrasonography, Prenatal , Vein of Galen Malformations/diagnostic imaging , Aneurysm/diagnosis , Prognosis , Gestational Age , Ultrasonography, Doppler
3.
Arq. bras. oftalmol ; 81(2): 148-152, Mar.-Apr. 2018. graf
Article in English | LILACS | ID: biblio-950435

ABSTRACT

ABSTRACT Differentiating glaucomatous from nonglaucomatous optic disc cupping remains challenging. We present a case of a 48-year-old woman with an internal carotid aneurysm of approximately 3.5 mm × 6.5 mm that mimicked normal-tension glaucoma. The patient had a 2-year history of low vision acuity in her left eye and frontal oppressive headache. Owing to the carotid aneurysm, she developed an asymmetric vertical cup-to-disc ratio above 0.2, and marked inferotemporal neuronal rim loss and pallor of the residual rim were noted in the left disc. She also developed a visual field defect with an arcuate scotoma in the left eye. The patient was referred to a neurosurgeon and underwent endovascular aneurysm occlusion. This case highlights the diagnostic importance of recognizing that many neurological defects remain underdiagnosed.


RESUMO diferenciação de escavações glaucomatosas e não glaucomatosas ainda permanece um desafio ainda nos dias de hoje. Nos descrevemos um caso de aneurisma de carótida interna medindo 3.5mm x 6.5mm que simulava um glaucoma de pressão normal. O caso é sobre uma paciente feminino de 48 anos com história de 2 anos de baixa acuidade visual no olho esquerdo e cefaléia frontal. Devido ao aneurisma de carótida a paciente desenvolveu uma assimetria de escavação vertical maior que 0.2 no olho esquerdo em relação ao direito com defeito localizado da camada de fibras nervosas temporal inferior. Ela também apresentava um defeito arqueado temporal superior a esquerda, cruzando a linha média vertical consistente. Após o diagnostico confirmado pela ressonância magnética funcional, a paciente foi enviada para o neurocirurgião para realização de uma oclusão endovascular do aneurisma. Esse caso nos alerta da importância de se lembrar que não apenas o glaucoma gera escavações suspeitas no disco óptico e que ainda muitos defeitos por causas neurológicas são subdiagnosticados.


Subject(s)
Humans , Female , Middle Aged , Carotid Artery Diseases/diagnostic imaging , Carotid Artery, Internal/diagnostic imaging , Low Tension Glaucoma/diagnostic imaging , Aneurysm/diagnosis , Retina/diagnostic imaging , Magnetic Resonance Imaging/methods , Carotid Artery Diseases/physiopathology , Carotid Artery Diseases/pathology , Carotid Artery, Internal/physiopathology , Carotid Artery, Internal/pathology , Diagnosis, Differential , Low Tension Glaucoma/physiopathology , Low Tension Glaucoma/pathology , Visual Field Tests , Intraocular Pressure
4.
J. vasc. bras ; 16(2): f:162-l:167, abr.-jun. 2017. ilus
Article in Portuguese | LILACS | ID: biblio-859626

ABSTRACT

A doença de Behçet é uma doença sistêmica, multifatorial e autoimune com diversas manifestações clínicas, entre elas o acometimento vascular. Aneurisma de aorta associado a erosão de vértebra lombar é condição rara na literatura, existindo apenas quatro relatos de caso nas bases de dados da PubMed. O presente artigo relata o caso de paciente do sexo feminino com diagnóstico de Doença de Behçet de longa data e aneurisma sacular de aorta abdominal infrarrenal com erosão de vértebra lombar. O caso foi tratado por meio de técnica endovascular com colocação de endoprótese monoilíaca e enxerto fêmoro-femoral cruzado, devido a limitações anatômicas da bifurcação aórtica. O artigo aborda a raridade desse tipo de apresentação da doença e o desfecho do tratamento e apresenta revisão da literatura sobre esse tema


Behçet's disease is an autoimmune, multifactorial, systemic condition with several clinical manifestations, including vascular disorders. An aortic aneurysm with vertebral erosion is rare in association with this pathology and there are only four case reports listed on the PubMed database. This article reports the case of a female patient with a long-standing diagnosis of Behçet's Disease who developed a saccular infrarenal abdominal aortic aneurysm with lumbar vertebral erosion. Her surgical treatment consisted of endovascular repair with a monoiliac endoprosthesis and a femorofemoral crossover bypass, because of limitations imposed by the anatomy of the aortic bifurcation. This paper discusses the rarity of this presentation of the disease and treatment outcomes and offers a brief review of the relevant literature


Subject(s)
Humans , Female , Middle Aged , Aortic Aneurysm, Abdominal/complications , Aortic Aneurysm, Abdominal/diagnosis , Behcet Syndrome/complications , Behcet Syndrome/diagnosis , Endovascular Procedures/methods , Spine/surgery , Aneurysm/diagnosis , Iliac Artery , Low Back Pain/diagnosis , Low Back Pain/therapy , Prostheses and Implants , Treatment Outcome
5.
J. vasc. bras ; 15(2): 165-167, ilus
Article in English, Portuguese | LILACS | ID: lil-787533

ABSTRACT

Os aneurismas de artéria temporal pós-traumático são eventos raros. Geralmente, são pseudoaneurismas. Como a causa mais frequente são ferimentos contusos, deve-se investigar todo paciente que possuir nodulação pulsátil na região da artéria temporal. O paciente apresentava protuberância pulsátil em região frontal direita há quatro meses, após queda de objeto pontiagudo, e o eco-Doppler evidenciou dilatação aneurismática. Assim, foi indicada sua excisão, que foi realizada com sucesso. O exame anatomopatológico demonstrou aneurisma verdadeiro traumático de artéria temporal superficial. Ocorrem devido ao fato de a artéria temporal superficial se localizar diretamente sobre o periósteo, o que a torna muito superficializada. Os aneurismas verdadeiros pós-traumáticos de artéria temporal são extremamente raros e podem ser confundidos com diversas outras afecções, como lipomas e cistos sebáceos.


Posttraumatic aneurysms of the temporal artery are rare events and are generally pseudoaneurysms. Since the most frequent cause is blunt injury, all patients with a pulsating nodule in the region of the temporal artery should be investigated. This patient presented with a pulsating protuberance in the right frontal area with onset 4 months previously after being hit by a falling sharp object. Doppler ultrasonography showed evidence of aneurysmal dilatation, which was excised successfully. Pathology results demonstrated a true traumatic aneurysm of the superficial temporal artery. They occur because the superficial temporal artery is located directly over the periosteum, meaning it is very superficial. True posttraumatic aneurysms of the temporal artery are extremely rare and may be confused with many other conditions, such as lipomas and sebaceous cysts.


Subject(s)
Humans , Male , Adult , Temporal Arteries/cytology , Temporal Arteries/physiopathology , Aneurysm , Aneurysm/classification , Aneurysm/diagnosis , Aneurysm/rehabilitation , Echocardiography, Doppler/methods
6.
J. vasc. bras ; 14(3): 275-279, July-Sep. 2015. graf
Article in Portuguese | LILACS | ID: lil-763075

ABSTRACT

Aneurismas da artéria temporal superficial são incomuns segundo a literatura. A grande maioria é secundária a traumatismos ou cirurgia na região temporal, sendo que 95% dos casos evoluem para pseudoaneurismas. Entretanto, os aneurismas verdadeiros ou espontâneos são extremamente raros e representam 8% dos casos de aneurismas da artéria temporal superficial, sendo estes, geralmente, de origem aterosclerótica. Aneurismas temporais espontâneos podem coexistir com outras lesões vasculares, incluindo aneurismas intracranianos. Nosso relato trata de um paciente com aneurisma de artéria temporal superficial esquerda, de origem aterosclerótica, no qual foi realizada a excisão cirúrgica, sob anestesia geral.


According to the literature, aneurysms of the superficial temporal artery are uncommon. The vast majority are secondary to trauma or surgery in the temporal region and 95% of cases progress to pseudoaneurysms. However, true or spontaneous aneurysms are extremely rare, accounting for 8% of cases of superficial temporal artery aneurysms, and are usually caused by atherosclerosis. Spontaneous temporal aneurysms can coexist with other vascular lesions, including intracranial aneurysms. Our report deals with a patient with an aneurysm of the left superficial temporal artery, of atherosclerotic origin, for whom surgical excision was performed under general anesthesia.


Subject(s)
Humans , Male , Aged , Aneurysm/diagnosis , Aneurysm/rehabilitation , Temporal Arteries/surgery , Temporal Arteries/pathology , Atherosclerosis/therapy
8.
Article in English | WPRIM | ID: wpr-202459

ABSTRACT

Vasculopathy is rarely reported in neurofibromatosis type 1, but when it occurs it primarily involves the aorta and its main branches. Among vasculopathies, aneurysmal dilatation is the most common form. Although several case reports concerning aneurysms or pseudoaneurysms of visceral arteries in neurofibromatosis type 1 patients have been reported, there are no reports describing gastroduodenal artery aneurysms associated with neurofibromatosis type 1. We experienced a case of life-threatening duodenal ulcer bleeding from a ruptured gastroduodenal artery aneurysm associated with neurofibromatosis type 1. We treated our patient by transarterial embolization after initial endoscopic hemostasis. To our knowledge, this is the first reported case of its type. High levels of suspicion and prompt diagnosis are required to select appropriate treatment options for patients with neurofibromatosis type 1 experiencing upper gastrointestinal bleeding. Embolization of the involved arteries should be considered an essential treatment over endoscopic hemostasis alone to achieve complete hemostasis and to prevent rebleeding.


Subject(s)
Adult , Aneurysm/diagnosis , Arteries , Embolization, Therapeutic , Gastroscopy , Head and Neck Neoplasms/complications , Hepatic Artery/diagnostic imaging , Humans , Male , Neurofibromatosis 1/complications , Peptic Ulcer Hemorrhage/etiology , Radiography
9.
Rev. méd. Chile ; 142(11): 1478-1481, nov. 2014. ilus
Article in Spanish | LILACS | ID: lil-734885

ABSTRACT

Pulmonary artery sarcoma is an uncommon entity with high mortality. Its clinical presentation is usually indistinguishable from pulmonary embolism, which leads to a significant delay in diagnosis. Hughes-Stovin syndrome is characterized by venous thrombosis and aneurysms of the pulmonary or bronchial artery. We report a 59 year-old female with a history of recurrent pulmonary embolism. In the last thromboembolic episode a pulmonary artery aneurysm was found on a CT scan. The patient was operated performing a left inferior lobectomy. The patient died five days after surgery and the pathological examination of the surgical piece revealed a pulmonary artery sarcoma.


Subject(s)
Female , Humans , Middle Aged , Aneurysm/diagnosis , Pulmonary Artery , Sarcoma/diagnosis , Vascular Neoplasms/diagnosis , Venous Thrombosis/diagnosis , Diagnosis, Differential , Fatal Outcome , Syndrome
10.
Arch. cardiol. Méx ; 84(3): 155-161, jul.-sep. 2014. ilus
Article in Spanish | LILACS | ID: lil-732022

ABSTRACT

Objetivos: Dentro de las malformaciones vasculares de las arterias en el tórax encontramos: 1) doble arco aórtico; 2) arco aórtico derecho y conducto arterioso izquierdo persistente; 3) arteria subclavia derecha aberrante; 4) arteria pulmonar izquierda aberrante, y 5) arteria innominada anómala. Se revisan los pacientes con arteria subclavia derecha aberrante y su manejo. Métodos: Se estudiaron en forma retrospectiva los expedientes de 29 pacientes en edad pediátrica, de enero de 1992 a diciembre 2012, con las siguientes variables: edad de inicio de los síntomas, manifestaciones clínicas, defectos cardiovasculares, método diagnóstico y abordaje quirúrgico. Resultados: El mayor número de pacientes cursó de forma asintomática, únicamente el 31% lo hizo con síntomas durante el primer año de vida, y se llevó a cabo el diagnóstico en un 35% mediante cateterismo. Fue la persistencia del conducto arterioso la cardiopatía más frecuente, con un 13%; el síndrome de Down se encontró en un 21% de los pacientes. El tratamiento más utilizado fue la sección de la arteria subclavia aberrante para la liberación del esófago. Conclusiones: Es importante la sospecha diagnóstica en pacientes con sintomatología durante la alimentación, con trastornos de la deglución con sólidos y, en algunos casos, con disfagia o hasta con dificultad respiratoria. Un número significativo de estos pacientes no son diagnosticados oportunamente, algunos alcanzan la edad adulta sin diagnóstico. El hallazgo de esta malformación ocurre durante los estudios de imagen, cuando se evalúa la aorta o en el estudio del reflujo gastroesofágico, ya que con el trago de bario se aprecia la compresión extrínseca del esófago.


Objectives: Congenital vascular malformations of the major arteries in the chest have been classified into 5 groups: 1) double aortic arch; 2) right aortic arch with left ligament or persistent ductus arteriosus; 3) aberrant subclavian artery; 4) aberrant left pulmonary artery, and 5) anomalous innominate artery. We reviewed the patients with aberrant right subclavian artery and their treatment. Methods: We studied retrospectively the records of 29 patients with aberrant right subclavian artery in childhood, from January 1992 to December 2012, analyzing the following variables: age at onset, clinical manifestations, associated cardiovascular defects, diagnosis and surgical approach method. Results: We found that most patients have an asymptomatic course, only 31% of them course with symptoms during the first year of life, with an incidental diagnosis of 35% during catheterization or other imaging studies. Patent ductus arteriosus was the most frequently associated congenital malformation, with 13%. Down's syndrome was found in 21%. The most common treatment was surgical section of the aberrant subclavian artery to release the esophagus. Conclusions: This vascular abnormality must be suspected in those patients with dysphagia, dyspnea, chest pain during feeding or breathing difficulties. A significant number of patients are not diagnosed in time, some reach adulthood without a diagnosis. This malformation is often found in imaging studies when evaluating the aorta or in a gastroesophageal reflux study, in which the barium bolus reveals the extrinsic compression of the esophagus.


Subject(s)
Child , Child, Preschool , Female , Humans , Infant , Male , Aneurysm/diagnosis , Aneurysm/surgery , Cardiovascular Abnormalities/diagnosis , Cardiovascular Abnormalities/surgery , Deglutition Disorders/diagnosis , Deglutition Disorders/surgery , Subclavian Artery/abnormalities , Academies and Institutes , Cardiology , Retrospective Studies , Subclavian Artery/surgery
11.
J. vasc. bras ; 13(1): 67-70, Jan-Mar/2014. graf
Article in English | LILACS | ID: lil-709787

ABSTRACT

The splenic artery is the visceral vessel that is most often affected by aneurysmal disease. Occasionally, gastrointestinal bleeding may signify that the aneurysm is in communication with the digestive tract. We report on the case of a 64-year-old multiparous patient with intermittent digestive bleeding caused by a splenic artery aneurysm who was successfully treated with endovascular embolization.


A artéria esplênica é o vaso visceral mais acometido pela doença aneurismática. Ocasionalmente, um sangramento gastrointestinal pode refletir uma comunicação entre o aneurisma de artéria esplênica e o trato digestivo. Relatamos o caso de uma paciente de 64 anos com hemorragia digestiva intermitente devida a aneurisma de artéria esplênica, a qual foi submetida ao tratamento endovascular por embolização com sucesso.


Subject(s)
Humans , Female , Aged , Aneurysm/diagnosis , Splenic Artery/pathology , Embolization, Therapeutic/adverse effects , Stomach/pathology , Endovascular Procedures/rehabilitation , Postoperative Care/rehabilitation , Gastrointestinal Hemorrhage , Hemoglobin A/analysis
13.
Rev. chil. cir ; 65(6): 537-540, dic. 2013. ilus
Article in Spanish | LILACS | ID: lil-698650

ABSTRACT

Introduction: Renal artery aneurysm is uncommon conditions, presenting a therapeutic challenge. Aim: To report a case of a complex intrarenal aneurysm associated with a arterio-venous fistula high flow, treated by robotic assistance. Case report: A 51 year-old man, with a long history of hypertension, was diagnosed of a complex intrarenal aneurysm, in routine radiological follow-up. Endovascular treatment was no possible due to an associated high flow arterio-venous, so robotic surgery was performed. The tributary arterial branch was dissected at the renal pedicle, and ligated easily. The radiological follow-up showed a complete resolution and normal renal function. Conclusion: This case, of low frequency, illustrates a successfully manner of resolution of a complex renal vascular pathology...


Introducción: Los aneurismas de la arteria renal constituyen una patología infrecuente, y plantean dificultades en la decisión terapéutica. Objetivo: Presentar un caso de un aneurisma complejo intrarenal, asociado a una fístula arterio-venosa de alto flujo, el cual fue resuelto con asistencia robótica. Caso clínico: Paciente de 51 años, con historia prolongada de hipertensión arterial, al cual, en estudio radiológico de rutina, se le diagnostica 3 aneurismas intrarenales derechos, asociado a una fístula arterio-venosa de alto flujo. Dada la imposibilidad de realizar tratamiento endovascular, se realiza cirugía robótica. Se diseca el hilio renal y se identifica la rama arterial tributaria del aneurisma, la cual se liga sin problemas. El control alejado demuestra resolución de la malformación, con mantención de la función renal. Conclusión: Este caso, de baja frecuencia, ilustra una forma de resolución de una patología vascular renal, con éxito...


Subject(s)
Humans , Male , Middle Aged , Aneurysm/surgery , Renal Artery/surgery , Laparoscopy , Vascular Surgical Procedures/methods , Robotics , Aneurysm/diagnosis , Renal Artery/pathology , Incidental Findings
14.
J. vasc. bras ; 12(4): 329-334, Oct-Dec/2013. graf
Article in English | LILACS | ID: lil-699135

ABSTRACT

Aneurysms of the subclavian-axillary segment are rare, but when diagnosed they must be treated. This article describes two cases of aneurysms of the upper extremities, one in a subclavian artery and the other in an axillary artery. The first case was a 71-year-old male with a pulsating supraclavicular bulge on the right and muscle weakness in the ipsilateral extremity. Duplex scanning and arteriography confirmed the diagnosis of aneurysm of the right subclavian artery and the patient underwent aneurysmectomy and end-to-end anastomosis. The second case was a 24-year-old female patient, with no history of comorbidities, who presented with a pulsating mass in the right axillary region and paresthesia of the ipsilateral extremity. Duplex scanning and arteriography confirmed an aneurysm in the right axillary artery, which was successfully treated with aneurysmectomy and end-to-end anastomosis. Pathology findings showed that the first case was an atherosclerotic aneurysm and the second was a congenital aneurysm.


Os aneurismas do segmento subclávio-axilar são de ocorrência rara e, uma vez diagnosticados, devem ser tratados. Neste trabalho, relatamos dois casos de aneurismas de membros superiores, sendo um da artéria subclávia e outro da artéria axilar. No primeiro caso, o paciente de 71 anos, sexo masculino, apresentava abaulamento pulsátil supraclavicular direito associado à fraqueza muscular no membro ipsilateral. Foram realizados duplex scan e arteriografia, que confirmaram o diagnóstico de aneurisma da artéria subclávia direita, sendo o paciente submetido à aneurismectomia com anastomose término-terminal. No segundo caso, uma paciente de 24 anos, do sexo feminino, sem antecedentes mórbidos ou comorbidades, apresentava queixa de massa pulsátil na região axilar direita associada à parestesia no membro ipsilateral. O duplex scan e a arteriografia confirmaram o aneurisma da artéria axilar direita, que foi tratado com aneurismectomia e anastomose término-terminal com sucesso. O diagnóstico anátomo-clínico foi de aneurisma aterosclerótico no primeiro caso e, no segundo caso, de aneurisma congênito.


Subject(s)
Humans , Male , Female , Young Adult , Aged , Aneurysm/surgery , Aneurysm/congenital , Aneurysm/diagnosis , Axillary Artery/pathology , Subclavian Artery/pathology , Angiography/instrumentation
15.
Rev. méd. Chile ; 141(7): 922-926, jul. 2013. ilus
Article in Spanish | LILACS | ID: lil-695774

ABSTRACT

We report a 25yearold mole admitted to a critical care unit for fever, lung opacities and acute respiratory failure. A chest angio-CAT sean showed multiple pulmonary artery aneurysms. A deep venous thrombosis of both lower limbs was also documented. A Hughes-Stovin syndrome was postulated. An inferior vena cava filter was placed. The patient received antimicrobial therapy subsiding fever and respiratory failure. Subsequently, he was treated with intravenous and oral steroids and one dose of cyclophosphamide. The patient was discharged in good conditions fifteen days after admission.


Subject(s)
Adult , Humans , Aneurysm/diagnosis , Pulmonary Artery , Venous Thrombosis/diagnosis , Aneurysm/therapy , Chile , Syndrome , Tomography, X-Ray Computed , Venous Thrombosis/therapy
16.
West Indian med. j ; 61(9): 937-940, Dec. 2012. ilus
Article in English | LILACS | ID: lil-694371

ABSTRACT

Aortic dissection and rupture occur in 20-40% of patients with Marfan's syndrome. This occurs predominantly in the third and fourth decade of life, contributing to the increased morbidity and mortality of this specific group of patients. This is the first known documented case report of pre-pubertal left coronary sinus rupture with left coronary artery aneurysms with fistulous communication to both the superior vena cava and right superior pulmonary vein, presenting with a continuous murmur.


La disección y ruptura aórticas ocurren en 20-40% de los pacientes con el síndrome de Marfan. Esto ocurre predominantemente en la tercera y cuarta décadas de la vida, contribuyendo al aumento de la morbilidad y la mortalidad de este grupo específico de pacientes. Éste es el primer reporte de un caso documentado conocido de ruptura prepubertal del seno coronario izquierdo con aneurisma de la arteria coronaria izquierda, y comunicación fistulosa tanto con la vena cava superior como con la vena pulmonar superior derecha, acompañada de un soplo continuo.


Subject(s)
Adolescent , Child , Female , Humans , Pregnancy , Aneurysm/diagnosis , Aortic Rupture/diagnosis , Arteriovenous Fistula/diagnosis , Coronary Aneurysm/diagnosis , Coronary Artery Disease/diagnosis , Marfan Syndrome/diagnosis , Pulmonary Veins , Pregnancy Complications, Cardiovascular/diagnosis , Sinus of Valsalva , Vena Cava, Superior , Abortion, Induced , Coronary Angiography , Echocardiography , Follow-Up Studies , Image Interpretation, Computer-Assisted , Imaging, Three-Dimensional , Jamaica , Multidetector Computed Tomography
17.
J. vasc. bras ; 11(3): 232-235, jul.-set. 2012. ilus
Article in English | LILACS | ID: lil-653564

ABSTRACT

Hepatic artery aneurysm (HAA) was first reported at autopsy in 1809, represents one fifth of visceral aneurysms and the mortality from spontaneous rupture is high in most of cases. We are reporting a case of an asymptomatic 48-year-old woman with an extrahepatic HAA, diagnosed initially and incidentally with abdominal ultrasonography, confirmed by a three-dimensional contrast-enhanced magnetic resonance imaging and angiography. Endovascular treatment was considered feasible and was successfully treated with coil embolization.


Aneurisma da artéria hepática (AAH) foi relatado pela primeira vez através de autópsia em 1809, representa um quinto dos aneurismas viscerais, e a mortalidade por ruptura espontânea é alta na maioria dos casos. Relatamos o caso de uma mulher de 48 anos de idade com um AAH extra-hepático assintomático, diagnosticado inicialmente, e incidentalmente, com ultrassonografia abdominal e confirmado através de angiorressonância tridimensional e angiografia contrastada. O tratamento endovascular foi considerado viável, sendo tratada com sucesso através de embolização com molas.


Subject(s)
Humans , Female , Adult , Aneurysm/diagnosis , Hepatic Artery/pathology , Vascular Diseases/therapy , Embolization, Therapeutic , Angiography , Abdomen
18.
Arq. bras. oftalmol ; 75(2): 140-142, mar.-abr. 2012. ilus, tab
Article in Portuguese | LILACS | ID: lil-640164

ABSTRACT

Relatamos caso de um paciente de 14 anos, sexo masculino, que foi admitido com queixa de embaçamento visual bilateral há dois anos. Ao exame oftalmológico observou-se leve hiperemia e edema de disco óptico bilateral, exsudação retiniana, poucas hemorragias retinianas, múltiplos aneurismas, assim como sinais de vasculite. A angiofluoresceinografia demonstrou isquemia periférica extensa, dilatações e hiperfluorescência das paredes dos vasos, e vazamento tardio do disco óptico nas fases finais do exame em ambos os olhos. Este caso representa uma rara entidade caracterizada por oclusão retiniana vascular periférica, vasculite retiniana, múltiplos aneurismas retinianos e neurorretinite (IRVAN). Avaliação sistêmica e laboratorial não revelaram nenhuma anormalidade. O paciente foi submetido à panfotocoagulação de retina com laser de argônio em ambos os olhos, e iniciado tratamento com prednisona via oral, com manutenção da acuidade visual de 20/25 depois de um ano de acompanhamento. O tratamento com laser deve ser considerado quando houver qualquer evidência angiográfica de má perfusão retiniana, e antes do desenvolvimento de qualquer sinal de neovascularização de retina.


A case of a 14 year-old boy that was admitted complaining of bilateral ocular visual blurring for 2 years is reported. The ophthalmological examination disclosed bilateral mild optic disc hyperemia and swelling, retinal exudation, few retinal hemorrhages, multiple aneurysms, as well as vasculitis. Fluorescein angiography showed extensive peripheral retinal ischemia, dilatations and hyperfluorescence of the vessels walls, and leakage of the optic disc in the late phases in both eyes. This rare case represents an entity characterized by peripheral retinal vascular occlusion, retinal vasculitis, multiple posterior retinal aneurysms, and neuroretinitis (IRVAN). Systemic evaluation and laboratory work-up did not suggest any systemic abnormality. Panretinal laser photocoagulation was performed in both eyes, and the patient was treated with oral prednisone with maintenance of the visual acuity after 1 year of follow-up. Laser treatment should be considered when angiographic evidence of widespread retinal no perfusion is present, and before the development of signs of retinal neovascularization.


Subject(s)
Adolescent , Humans , Male , Aneurysm/diagnosis , Retinal Vessels , Retinal Vasculitis/diagnosis , Retinitis/diagnosis , Aneurysm/therapy , Fluorescein Angiography , Retinal Vasculitis/therapy , Retinitis/therapy , Syndrome
20.
J. vasc. bras ; 10(4): 312-314, dez. 2011. ilus
Article in Portuguese | LILACS | ID: lil-610953

ABSTRACT

A veia safena magna é usualmente utilizada como conduto em derivações vasculares. Sua degeneração e dilatação aneurismática são raras e têm causas desconhecidas. Este relato trata-se de um paciente masculino de 32 anos, hígido, que evolui, 19 anos depois de uma reconstrução arterial com enxerto venoso, com o aneurisma do enxerto. Foi tratado com substituição do mesmo por prótese de PTFE, evoluindo sem intercorrências. A microscopia mostrou área de dissecção da parede do enxerto com deposição de células espumosas.


The saphenous vein is usually used as a conduit in vascular bypass. Its degeneration and aneurysm are rare and have unknown causes. This report comes from a male patient 32 years old, healthy, evolving, 19 years later of an arterial reconstruction with venous graft with the aneurysm of this graft. He was treated with replacement of it by PTFE bypass, evolving without complications. Microscopy showed dissection area of the graft wall with deposition of foam cells.


Subject(s)
Humans , Male , Adult , Aneurysm/diagnosis , Prostheses and Implants , Saphenous Vein
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