ABSTRACT
We present an adolescent male with a single intracardiac mass and pulmonary emboli, complicated by peripheral venous thrombosis and subsequent development of pulmonary pseudoaneurysms, leading to diagnosis of Hughes-Stovin syndrome. Remission was achieved with cyclophosphamide, corticosteroids, and pseudoaneurysm resection and maintained with infliximab and methotrexate.
Subject(s)
Aneurysm, False , Aneurysm , Thrombosis , Vasculitis , Male , Humans , Adolescent , Aneurysm, False/complications , Aneurysm, False/therapy , Syndrome , Pulmonary Artery , Aneurysm/complications , Aneurysm/diagnosis , Vasculitis/complications , Thrombosis/drug therapy , Thrombosis/etiologySubject(s)
Aneurysm, False , Aortic Valve Stenosis , Fistula , Transcatheter Aortic Valve Replacement , Aneurysm, False/diagnostic imaging , Aneurysm, False/etiology , Aneurysm, False/therapy , Aortic Valve/diagnostic imaging , Aortic Valve/surgery , Aortic Valve Stenosis/diagnostic imaging , Aortic Valve Stenosis/surgery , Humans , Severity of Illness Index , Transcatheter Aortic Valve Replacement/adverse effects , Transcatheter Aortic Valve Replacement/methods , Treatment Outcome , Ventricular Function, LeftABSTRACT
Patients with severe coronavirus disease 2019 (COVID-19) may have endothelial inflammation, pseudoaneurysm, and an increasing risk of bleeding, especially during surgical procedures. In this article, we reported 2 cases of COVID-19 patients with neck vascular lesions. The first patient had pseudoaneurysm of the cricothyroid artery, which was treated by percutaneous glue injection through ultrasonography guidance. The second patient presented lateral neck hematoma in front of the left superior thyroid artery, which was managed by coil endovascular embolization. In the context of pandemic, the management of vascular lesions may be performed through interventional radiological procedures that may reduce the risk of virus aerosolization and health care provider contamination.
Subject(s)
Adhesives/therapeutic use , Aneurysm, False/therapy , COVID-19/therapy , Embolization, Therapeutic/methods , Hematoma/therapy , Postoperative Complications/therapy , Radiology, Interventional , Tracheotomy , Aged , Aneurysm, False/complications , Aneurysm, False/diagnostic imaging , COVID-19/complications , Computed Tomography Angiography , Cyanoacrylates/therapeutic use , Endovascular Procedures , Hematoma/complications , Hematoma/diagnostic imaging , Humans , Male , Middle Aged , Neck , Postoperative Complications/diagnostic imaging , SARS-CoV-2 , Thyroid Gland/blood supply , UltrasonographySubject(s)
Aneurysm, False/diagnosis , Bronchial Arteries/pathology , Hemoptysis/diagnosis , Aneurysm, False/therapy , Computed Tomography Angiography/methods , Cone-Beam Computed Tomography/methods , Contrast Media/administration & dosage , Cough/diagnosis , Cough/etiology , Embolization, Therapeutic/methods , Emergency Service, Hospital , Endovascular Procedures/instrumentation , Hemoptysis/etiology , Humans , Male , Middle Aged , Treatment OutcomeABSTRACT
COVID-19 pandemic triggered in many patients the fear to go to the emergency rooms in order to avoid a possible infection. This phenomenon caused a significant reduction in acute coronary syndrome-related interventional procedures with a subsequent increase in critical hospitalizations and post-infarction mechanical complications. A case series of cardiac ruptures during the COVID-19 lockdown and the surgical treatment of a huge post-ischemic cardiac pseudoaneurysm complicated by a "contained" free wall rupture are presented.