ABSTRACT
We describe the story of a 70- year-old Italian male that almost 4 months later respiratory infection by SARS-CoV-2 presented a rapid evolution of a true aneurism of the right posterior tibial artery (PTA).
Subject(s)
Aneurysm/etiology , COVID-19/complications , Tibial Arteries , Aged , Aneurysm/diagnostic imaging , Aneurysm/surgery , COVID-19/diagnosis , Humans , Male , Tibial Arteries/diagnostic imaging , Tibial Arteries/surgery , Treatment OutcomeABSTRACT
A 70-year-old man was scheduled for the robotic resection of a 21×16 × 30 mm thymic nodule incidentally detected by a computed tomography scan (CT) for thoracic trauma after a domestic accident. Positron emission tomography (PET) scan confirmed a low [18F]-FDG uptake (SUVmax = 1,9). During the surgery, the mass showed to be a saccular aneurysm of the left brachiocephalic vein (LBCV). A complete tangential resection of the aneurysm, with the use of EndoGIA stapler (Covidien® Endo GIA™) at its origin, was performed. The patient's recovery was uneventful, and postoperative CT with contrast administration confirmed the patency of the vein.
Subject(s)
Aneurysm/surgery , Brachiocephalic Veins/surgery , Positron-Emission Tomography , Robotic Surgical Procedures , Surgical Stapling , Thymoma/diagnostic imaging , Thymus Neoplasms/diagnostic imaging , Tomography, X-Ray Computed , Vascular System Injuries/surgery , Aged , Aneurysm/diagnostic imaging , Brachiocephalic Veins/diagnostic imaging , Diagnosis, Differential , Diagnostic Errors , Humans , Incidental Findings , Male , Predictive Value of Tests , Treatment Outcome , Vascular System Injuries/diagnostic imagingABSTRACT
BACKGROUND: Behçet's disease (BD) is a complex vasculitis with some vascular manifestations including venous thrombosis, arterial thrombosis/aneurysm/pseudoaneurysm, and co-associated venous thrombosis and arterial lesions. We present two patients with Behçet's disease came with progressive both arterial and venous involvement. CASE PRESENTATION: The first patient was a young man with recurrent oral aphthosis and skin folliculitis and referred with complaint of new abdominal pain and 2 months severe headache. He had not referred to a physician due to COVID-19 pandemic until that time. In addition, he gradually developed a lower extremity edema and eventually was diagnosed with BD complicated with brain sagittal sinus vein thrombosis, abdominal aortic aneurysms and aortitis and deep vein thrombosis (DVT) of femoral vein. The second patient was a young woman with previous history of uveitis, DVT and recurrent oral and genital aphthosis presented with a large inguinal mass due to large iliac artery pseudoaneurysm impending to rupture, and after the operation, due to poor follow-up, developed a new femoral DVT. CONCLUSION: It seems the same inflammatory process is responsible for arterial and venous involvement in patients with BD, so it should be considered that involvement in one side (venous/arterial) can be a risk factor for the other side (venous/arterial) and early immunosuppressive treatment should always be considered to improve the prognosis.
Subject(s)
Aneurysm, False , Aneurysm , Aortitis , Behcet Syndrome , COVID-19 , Thrombosis , Venous Thrombosis , Aneurysm/complications , Aneurysm/surgery , Aneurysm, False/complications , Aortitis/complications , Behcet Syndrome/complications , Behcet Syndrome/diagnosis , COVID-19/complications , Female , Humans , Male , Pandemics , Thrombosis/complications , Venous Thrombosis/complicationsABSTRACT
We report a rare case of solitary peripheral pulmonary artery aneurysm in a patient who was evaluated for haemoptysis. Incidentally, his total antibodies were positive for Coronavirus 2019 infection. Patient underwent right lower lobectomy uneventfully. Peripheral pulmonary artery aneurysms arising from segmental or intrapulmonary branches are extremely rare. Untreated, the majority end fatally due to sudden rupture and exsanguination. The purpose of this article is to report our rare case and review the pertinent literature.