ABSTRACT
Primary infectious arteritis is exceptional and remains a challenging problem. The etiology of these infections changed in recent years. The authors report a case of isolated thrombosed infected common femoral artery. They discuss the different mechanisms leading to infection, the work-up and the current treatment options.
Subject(s)
Arteritis/microbiology , Escherichia coli Infections , Femoral Artery , Aneurysm, False/etiology , Aneurysm, False/pathology , Aneurysm, False/surgery , Aneurysm, Infected/microbiology , Aneurysm, Infected/pathology , Aneurysm, Infected/surgery , Arteritis/pathology , Arteritis/surgery , Blood Vessel Prosthesis Implantation , Escherichia coli Infections/pathology , Escherichia coli Infections/surgery , Humans , Male , Middle Aged , Prosthesis-Related Infections/microbiology , Prosthesis-Related Infections/pathology , Prosthesis-Related Infections/surgery , ReoperationABSTRACT
The treatment of critical limb ischemia remains until now, and more and more, a very challenging topic for vascular surgeons. Among the tools available, the rotational atherectomy appears a useful alternative to surgical revascularisation, especially for the worst cases of infrainguinal arterial occlusive disease. The authors remind the basic principle of the atherectomy device, its history and how to work with it. The review of the literature and analysis of their results underscore on the usefulness of the rotational atherectomy for limb threatening arterial occlusive disease.
Subject(s)
Arterial Occlusive Diseases/surgery , Atherectomy/instrumentation , Ischemia/surgery , Leg/blood supply , Peripheral Vascular Diseases/surgery , Aged , Aged, 80 and over , Arterial Occlusive Diseases/diagnostic imaging , Atherectomy/methods , Female , Femoral Artery/diagnostic imaging , Femoral Artery/surgery , Follow-Up Studies , Humans , Ischemia/diagnostic imaging , Male , Middle Aged , Peripheral Vascular Diseases/diagnostic imaging , Popliteal Artery/diagnostic imaging , Popliteal Artery/surgery , Postoperative Complications/prevention & control , Radiography , Risk AssessmentABSTRACT
Surgery of the infrarenal aorta rarely gives rise to medullary lesions. This can happen however, most often after treatment of a ruptured aneurysm. We present a new case of spinal cord ischaemia following resection of an infrarenal aneurysm. Among the different factors playing a role in this fearsome and unpredictable complication, hypotension seems to be one of the most important. Different aspects of this complication are discussed in the light of our clinical case as well as a review of the literature.
Subject(s)
Aortic Aneurysm, Abdominal/surgery , Aortic Rupture/surgery , Paraplegia/etiology , Spinal Cord/blood supply , Aged , Aged, 80 and over , Aortic Aneurysm, Abdominal/complications , Aortic Rupture/complications , Fecal Incontinence/etiology , Female , Humans , Hypesthesia/etiology , Intraoperative Complications , Ischemia/etiology , Male , Middle Aged , Urinary Incontinence/etiologyABSTRACT
Although this is an unfrequently used technique, the authors report their early experience concerning twenty-seven cases of carotid artery revascularization under cervical plexus anesthesia. They express their surgical judgement about the advantages and the limits of the simplest and most reliable way of cerebral monitoring during the surgical procedure, but it might have only a limited indication.
Subject(s)
Anesthesia, Conduction/methods , Carotid Artery Thrombosis/surgery , Endarterectomy, Carotid/methods , Aged , Anesthetics, Local/administration & dosage , Cervical Plexus , Epinephrine/administration & dosage , Female , Humans , Male , Middle Aged , Preanesthetic MedicationABSTRACT
A case of spontaneous hemorrhage in the retroperitoneal space, secondary to an angiomyolipoma of the kidney is reported in a 33 year old woman admitted with an acute abdomen. Differential diagnosis is discussed.
Subject(s)
Hemangioma/complications , Hemorrhage/etiology , Kidney Neoplasms/complications , Leiomyoma/complications , Lipoma/complications , Adult , Female , Humans , Retroperitoneal Space , Rupture, SpontaneousABSTRACT
The popliteal venous aneurysm is a rare cause of recurrent phlebitis and pulmonary embolus. In reference to 3 personal cases, their etiology, their role in the occurrence of phlebitis, the place of phlebography and vascular sonotomography respectively, are discussed. The treatment is essentially surgical.
Subject(s)
Aneurysm/complications , Popliteal Vein , Thrombophlebitis/etiology , Adult , Aneurysm/diagnostic imaging , Aneurysm/etiology , Female , Humans , Male , Middle Aged , Radiography , RecurrenceABSTRACT
The authors report a personal case of sacro-coccygeal ependymona, the 11th known at the present day after a review of the literature. They describe the anatomical and clinical aspects of these tumors. The pre-operative diagnosis being most often one of common and benign lesion, like a pilonidal cyst, they emphasize the necessity of an histologic examination of every resected lesion of the sacro-coccygeal region.