ABSTRACT
Aneurysms of the brachiocephalic trunk are rare but their clinical outcomes are potentially devastating; they include rupture, cerebral or arm ischemia secondary to thromboembolism, and compression of the surrounding structures. Although open repair has proven successful, it is associated with significant morbidity and mortality rates. Endovascular treatment, if anatomically feasible, may offer a safer and less invasive approach to these lesions, especially in high-surgical-risk patients. We report the good long-term outcome of endovascular repair of a large innominate artery true aneurysm due to Takayasu's arteritis. A stent graft was safely and successfully deployed to exclude the aneurysm; assessment by vascular imaging at 8-year follow-up demonstrated the efficacy of the procedure.
Subject(s)
Aneurysm/etiology , Aneurysm/surgery , Blood Vessel Prosthesis Implantation , Brachiocephalic Trunk , Takayasu Arteritis/complications , Adolescent , Brachiocephalic Trunk/diagnostic imaging , Brachiocephalic Trunk/surgery , Carotid Artery Diseases/diagnostic imaging , Carotid Artery Diseases/etiology , Female , Humans , Magnetic Resonance Angiography , Radiography , StentsABSTRACT
Leiomyosarcomas are rare malignant tumors that particularly affect women. In 2% of all cases, they involve the veins, and in 60% of the cases affecting veins, an involvement of the inferior vena cava (IVC) has been demonstrated. We report a case of IVC leiomyosarcoma operated by resection and reconstruction with a Dacron bypass and apposition of an Adams-DeWeese IVC filter. The latter procedure has never been reported before in association with a graft applied for this disease. Technical and clinical details are described.
