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1.
Minerva Cardioangiol ; 52(1): 55-60, 2004 Feb.
Article in English, Italian | MEDLINE | ID: mdl-14765039

ABSTRACT

The anatomic anomalies of the supra-aortic trunks and their branches are comparatively frequent observations. They often remain asymptomatic throughout life although in some cases, especially if nothing is known of them, they may complicate surgical interventions involving that anatomical region. The case of a female patient who, during thyroidectomy, suffered the ligature of her external carotid artery which was taken mistakenly for the thyroid, is reported. Dissection of the area made it possible to identify an anomaly of the vascular structures with a carotid bifurcation which turned out to be very low, a very deep internal carotid artery on the prevertebral fascia and an absent lower thyroid artery. In the postoperative period, the patient was subjected to MR of the neck. This showed an anatomical anomaly of the left carotid bifurcation which was much lower than normal. An attempt was made to reconstruct the external carotid artery with a saphenous vein but unsuccessfully. The incident did not have serious complications for the patient but it might be asked whether, given the low cost and the absolute non-invasiveness of the examination, it might not be worth while to carry out a duplex scan of the supra-aortic trunks before going ahead with any operation in the cervical region, in consideration above all of the dangerous nature of these vascular structures and of the usefulness of studying pathologies that often remain silent until the occurrence of an event which might well be catastrophic.


Subject(s)
Carotid Artery, Common/abnormalities , Thyroidectomy , Carotid Artery, External/surgery , Female , Goiter, Nodular/surgery , Humans , Ligation , Magnetic Resonance Angiography , Middle Aged
2.
J Cardiovasc Surg (Torino) ; 44(2): 255-8, 2003 Apr.
Article in English | MEDLINE | ID: mdl-12813394

ABSTRACT

Cystic adventitial disease (CAD) of the popliteal artery is a rare but well-known cause of intermittent claudication, especially in young patients. The etiology of the disease is still controversial and the literature reports various hypotheses for its origin. Diagnosis starts with thorough history taking and physical examination; non invasive diagnostic studies comprise color duplex scanner (ECD), computed tomography (CT), better if elicoidal (3D CT) and magnetic resonance imaging (MRI), which can aid in establishing correct recognition of the disease in most cases. A 48-year-old man presented with intermittent right calf claudication that had begun 4 months earlier; the symptom-free interval was about 100 m. MRI and MR angiography of right popliteal fossa revealed the presence of an oval cystic (maximum diameter 45 mm). The caudal aspect of the cyst showed pedicles protruding between the popliteal vein and the popliteal artery that compressed the artery, causing complete occlusion of its lumen. Surgery was performed through the posterior approach using an S-shaped incision; the affected segment of the popliteal artery was successfully excised and replaced with an autogenous external saphenous vein graft. A follow-up is underway, both clinical and with; no cyst recurrence has so far been detected either clinically or by duplex scanner during the 15-month postoperative follow-up period; the graft is patent and the patient is completely symptom free. Severe claudication in young patients, possibly without significant vascular risk factors, should prompt the clinical suspicion of adventitial cystic disease of the popliteal artery. Medical history, clinical examination and non invasive instrumental investigations, such as duplex scanner, elicoidal CT and/or MRI, may aid in establishing the correct diagnosis.


Subject(s)
Intermittent Claudication/surgery , Peripheral Vascular Diseases/surgery , Popliteal Artery , Humans , Intermittent Claudication/etiology , Magnetic Resonance Angiography , Male , Middle Aged , Peripheral Vascular Diseases/complications , Peripheral Vascular Diseases/diagnosis , Popliteal Artery/diagnostic imaging , Radiography
3.
J Cardiovasc Surg (Torino) ; 44(5): 647-53, 2003 Oct.
Article in English | MEDLINE | ID: mdl-14735054

ABSTRACT

Isolated aneurysms of the hypogastric artery are very rare and account for between 0.04% and 0.4% of all intra-abdominal aneurysms. In 85% of cases they are monolateral and are present in association with an aneurysm of the infrarenal abdominal aorta and of the common and external iliac arteries, they make up part of a poly-aneurysmal disease. Unless the patient is an extremely poor condition, surgical treatment is generally indicated for aneurysms greater than 3 cm; close monitoring of those with smaller aneurysms is recommended. Two patients presented with isolated aneurysm of an internal iliac artery which had developed several years after aortoiliac surgery. The one received surgical treatment; the other, who was in poor general conditions and at high risk for surgery, underwent endovascular embolization. Both procedures were successful, with a current follow-up between 15 and 18 months. Endovascular embolization, as performed in the 2(nd) patient, provided an alternative to the surgical procedure. After injection in the aneurysmal sac of the Gianturco spirals, a covered stent was placed in the iliac axis to exclude the inflow of the hypogastric artery. According to our experience of 2 patients, the one treated surgically and the other submitted to a less invasive endovascular procedure, we can state that both methods are practicable. The final choice lies with the vascular surgeon, after weighing the multiple factors that each case involves.


Subject(s)
Aorta, Abdominal/surgery , Embolization, Therapeutic/methods , Iliac Aneurysm/etiology , Postoperative Complications , Vascular Surgical Procedures/adverse effects , Aged , Angiography , Humans , Iliac Aneurysm/diagnostic imaging , Iliac Aneurysm/therapy , Male , Tomography, X-Ray Computed , Treatment Outcome , Vascular Surgical Procedures/methods
4.
Minerva Cardioangiol ; 49(3): 211-20, 2001 Jun.
Article in English, Italian | MEDLINE | ID: mdl-11382837

ABSTRACT

A syndrome of peripheral obliterating arterial disease characterised by aortoiliac steno-occlusion is reported in the literature under the name small aorta syndrome, occurring in young women of small stature with relatively typical risk factors. Starting from an analysis of the studies reported in the literature and on the basis of our own results, we have attempted to ascertain whether small aorta syndrome represents an independent nosological entity. By analysing studies on the small aorta syndrome and in the light of a recent study made by our group on arterial diameters measured in cadavers, which highlights a significant correlation between aortic diameter and age, it can be affirmed that a pathology of this nature does not respond to absolute criteria for existence. Therefore, the aortoiliac diameter in women suspected of being affected by small aorta syndrome appears to be broadly in proportion to that expected in healthy women of the same age. Small aorta syndrome does not therefore appear to represent a separate nosological entity. It takes the form of a hypoplastic vascular disorder, which is probably congenital, correlated to other arterial districts in the same subject. However, it may encourage the onset of early symptoms in women of small stature.


Subject(s)
Aorta, Abdominal/abnormalities , Aorta, Abdominal/anatomy & histology , Adult , Age Factors , Aged , Angiography , Aorta, Abdominal/diagnostic imaging , Aortography , Diagnosis, Differential , Female , Humans , Iliac Artery/abnormalities , Iliac Artery/diagnostic imaging , Male , Middle Aged , Peripheral Vascular Diseases/diagnosis , Risk Factors , Sex Factors , Syndrome
5.
J Cardiovasc Surg (Torino) ; 42(2): 249-55, 2001 Apr.
Article in English | MEDLINE | ID: mdl-11292945

ABSTRACT

We present two cases of left sided inferior vena cava, one unexpectedly observed during an operation of aorto bifemoral bypass in a patient with severe Leriche syndrome and almost complete obstruction of the infrarenal aorta, the second in a patient with an aneurysm of the abdominal aorta, in whom the anomaly was recognized before the operation. This very rare congenital malformation (0.2-0.5%) was not recognized in the first patient by the duplex scanner performed preoperatively, probably because of the low level of suspicion carried on by an experienced operator. Computer tomography angiography or magnetic resonance angiography, which would have surely shown us the anomaly, were not done in the first patient because, in the lack of an aneurysmal disease or other abdominal pathological situations, these investigations were not required before operation. The possible hazards of such an unrecognized malformation are great, mostly in terms of uncontrollable intraoperative hemorrhages, but the final outcome of this case was positive.


Subject(s)
Vena Cava, Inferior/abnormalities , Aged , Angiography , Aortic Aneurysm, Abdominal/complications , Aortic Aneurysm, Abdominal/surgery , Humans , Leriche Syndrome/complications , Leriche Syndrome/surgery , Magnetic Resonance Angiography , Male , Tomography, X-Ray Computed , Ultrasonography, Doppler, Duplex
6.
Minerva Cardioangiol ; 49(2): 137-40, 2001 Apr.
Article in Italian | MEDLINE | ID: mdl-11292958

ABSTRACT

The occurrence of a neuritis of the ischiatic nerve and the genito-femoral nerve due to the implant of three stents in the iliac artery, is an extremely rare complication, especially if associated with retroperitoneal fibrosis which caused a nevritis symptomatology. A case of stent migration in the subadventitial space which caused 4 years from angioplasty and stents implant, a nevritis symptomatology. Retroperitoneal fibrosis has been considered as a consequence of the stents presence and of their chronic irritational activity, especially for what concerns the stent migrated in the subadventitial space; the procedure personally performed in this case is reported.


Subject(s)
Foreign-Body Migration/complications , Iliac Artery , Neuritis/etiology , Retroperitoneal Fibrosis/etiology , Sciatic Neuropathy/etiology , Stents/adverse effects , Humans , Male , Middle Aged , Muscle, Smooth, Vascular
7.
Minerva Cardioangiol ; 49(2): 141-6, 2001 Apr.
Article in Italian | MEDLINE | ID: mdl-11292959

ABSTRACT

Two cases of left-sided inferior vena cava observed in a patient affected by Leriche syndrome and the other affected by aortic abdominal aneurysm (AAA) are presented. This very rare congenital malformation (0.2-0.5) was not recognized by the duplex scanner performed preoperatively probably because of the low level of suspicion carried on by an experienced operator. Angio-CT e angio-MR which would have surely showed the anomaly, were not done because in the absence of an aneurysmal disease or other abdominal situations, these investigations were not required before operation. An angio-CT was performed routinely to the patient affected by AAA and so the left-sided vena cava was observed before operation; and then an abdominal arteriography and an ilio-caval venography were required which documented the vena cava anomaly. Surgical interventions didn t have complications. In the case of Leriche syndrome an aorto-bifemoral bypass was performed, and in the case of abdominal AAA an aortic left-iliac right-femoral bypass. Preoperative unrecognizing of this venous malformation is very hazardous mostly in terms of uncontrollable intraoperative hemorrhages. Ultrasonographic diagnosis with duplex scanner has to be very accurate in order to observe not only arterial diseases but also the possible venous anomalies of the abdominal district.


Subject(s)
Aortic Aneurysm, Abdominal/surgery , Leriche Syndrome/surgery , Vena Cava, Inferior/abnormalities , Aged , Aortic Aneurysm, Abdominal/complications , Humans , Leriche Syndrome/complications , Male
8.
Minerva Cardioangiol ; 49(2): 147-51, 2001 Apr.
Article in English, Italian | MEDLINE | ID: mdl-11292960

ABSTRACT

Segmentary isolated stenosis or obstructions of the superficial femoral artery in young people are rarely reported. In patients, most of them women, affected by chronic symptomatology of the lower limbs, the aetiology has been referred to fibromuscular dysplasia with unusual localization. We report a case of acute lower limb thrombosis in a young woman caused by a congenital fibrous ring of the superficial femoral artery and the treatment we performed in this situation including the complication that happened after the percutaneous transluminal angioplasty that we carried out in order to reduce the stenosis of the femoral superficial artery. Histological examination of the lesion demonstrated the nature of the fibrous ring caused by an embryological anomaly, followed by a secondary thrombosis in a woman not using oral contraceptives and without any alteration of the coagulation chain. Fibromuscular dysplasia of the femoral artery is commonly caused by previous thigh injuries, thromboembolic events with recanalization of the artery or arteritis, but in some cases appears to be the consequence of primitive intimal dysplasia. When a fibromuscular dysplasia is suspected, all authors agree on the necessity for a screening of the two preferential localizations of the disease: common carotid artery and renal artery, in the case reported the result was negative.


Subject(s)
Femoral Artery/abnormalities , Thrombosis/etiology , Acute Disease , Adult , Female , Humans
9.
J Cardiovasc Surg (Torino) ; 41(3): 469-74, 2000 Jun.
Article in English | MEDLINE | ID: mdl-10952343

ABSTRACT

Safe surgical repair of an abdominal aortic aneurysm in conjunction both with nephrectomy (for monolateral or bilateral kidney carcinoma) or with radical cystectomy and orthotopic urinary diversion (for bladder carcinoma) can be performed. These combined surgical procedures can be performed without morbidity due to excessive blood loss, increased operative time or vascular graft infection. A nephrectomy associated with abdominal aortic aneurysm repair can be performed both by a median single surgical approach or by a double one during the same intervention. The authors describe and discuss 4 case reports and the techniques required for these combined procedures.


Subject(s)
Aortic Aneurysm, Abdominal/surgery , Blood Vessel Prosthesis Implantation/methods , Carcinoma/surgery , Iliac Aneurysm/surgery , Kidney Neoplasms/surgery , Urinary Bladder Neoplasms/surgery , Urologic Surgical Procedures/methods , Aged , Angiography , Aortic Aneurysm, Abdominal/complications , Aortic Aneurysm, Abdominal/diagnosis , Carcinoma/complications , Carcinoma/diagnosis , Cystectomy , Humans , Iliac Aneurysm/complications , Iliac Aneurysm/diagnosis , Kidney Neoplasms/complications , Kidney Neoplasms/diagnosis , Male , Middle Aged , Nephrectomy , Tomography, X-Ray Computed , Urinary Bladder Neoplasms/complications , Urinary Bladder Neoplasms/diagnosis , Urinary Diversion , Urography
10.
J Cardiovasc Surg (Torino) ; 41(1): 99-103, 2000 Feb.
Article in English | MEDLINE | ID: mdl-10836232

ABSTRACT

The authors report the observation of one case of vagal paraganglioma occurred in a young woman. The tumor manifested itself as a left sub-mandibular tumescence; the very first diagnostic approach was achieved through echography, which showed a mass behind the internal carotid artery and compressing the internal jugular vein. The following examinations, represented by neck CT, NMR, angiography and fine needle aspiration initially directed towards the suspicion of chemodectoma. Only at operation, the anatomical situation of the tumor, which encapsulated the vagus nerve and the subsequent results of the hystological examination revealed the correct diagnosis of vagal paraganglioma.


Subject(s)
Cranial Nerve Neoplasms/surgery , Paraganglioma/surgery , Vagus Nerve Diseases/surgery , Vagus Nerve/surgery , Adult , Angiography , Cranial Nerve Neoplasms/diagnostic imaging , Embolization, Therapeutic , Female , Humans , Paraganglioma/diagnostic imaging , Postoperative Complications/diagnostic imaging , Preoperative Care , Tomography, X-Ray Computed , Vagus Nerve/diagnostic imaging , Vagus Nerve Diseases/diagnostic imaging
11.
J Cardiovasc Surg (Torino) ; 41(5): 763-6, 2000 Oct.
Article in English | MEDLINE | ID: mdl-11149645

ABSTRACT

The authors report a case of acute superior mesenteric and right renal artery embolism that occurred during an interventional radiological procedure on the abdominal aorta of a young diabetic woman. The onset of a severe abdominal pain during the procedure evoked the clinical suspicion of intestinal ischemia related to the dislodgement of atheroembolic material into the mesenteric artery; the event was correctly diagnosed, but the surgical therapy was delayed by many hours because of the fact that the patient was in a peripheral hospital of the region and had to be transferred to our institution. Fortunately in spite of the considerable delay, the operation was fully successful, probably because of the favourable location of the embolus, which allowed collateral splanchnic circulation to maintain a good metabolic balance.


Subject(s)
Angioplasty, Balloon/adverse effects , Aorta, Abdominal/pathology , Arteriosclerosis/complications , Embolism/etiology , Mesenteric Vascular Occlusion/etiology , Renal Artery Obstruction/etiology , Diabetic Angiopathies/complications , Embolism/diagnostic imaging , Female , Humans , Intestines/blood supply , Intraoperative Complications , Ischemia/etiology , Mesenteric Artery, Superior , Mesenteric Vascular Occlusion/diagnostic imaging , Middle Aged , Radiography, Interventional , Renal Artery Obstruction/diagnostic imaging , Stents
12.
Minerva Cardioangiol ; 48(10): 287-96, 2000 Oct.
Article in Italian | MEDLINE | ID: mdl-11195858

ABSTRACT

The incidence of vascular complications due to drug abuse is at present increasing due to new types of drugs and to the different ways of intake of such substances. The vascular complications related to drug abuse may affect venous, arterious and lymphatic districts and in particular: ischemia following intra-arterial injections, arterious and venous pseudoaneurysm, vasculitis, aneurysms, aortic dissections, abscesses complicated by erosions of vessels, arteriovenous fistulas, compartment syndrome, superficial and deep venous thrombosis, septic trombophlebitis, puffy hand syndrome. The scientific knowledge in this matter is incomplete because of the new pathological cases and the lack of information regarding the efficacy of different treatments. The authors report four patients affected by vascular pathologies due to drug abuse. In one case, a heroin addict has undergone multiple fasciotomies for compartimental syndrome arising because the patient maintained an innatural posture for several hours during an overdose coma. In a second case, a segmental right subclavear deep venous thrombosis has been treated by pharmacological therapy with satisfactory functional recovery of the arm. A third patient has been successfully submitted to intra-arterial pharmacological vasodilatation for generalised lower limbs vasospasm caused by drug abuse. In the last case, the voluntary swallowing of a great dose of cocaine caused the patient's death after multiple ischemic and hemorrhagic cerebral episodes. After the description of these cases, a review of the recent literature and some observations on this topic are presented. A better knowledge of vascular complications due to drug abuse should improve the therapeutical approach of these patients.


Subject(s)
Arm/blood supply , Brain Ischemia/etiology , Leg/blood supply , Peripheral Vascular Diseases/etiology , Substance-Related Disorders/complications , Acute Kidney Injury/etiology , Adult , Brain Ischemia/diagnosis , Female , Humans , Ischemia/etiology , Ischemia/surgery , Leg/surgery , Male , Peripheral Vascular Diseases/surgery , Thrombosis/drug therapy , Thrombosis/etiology
13.
J Cardiovasc Surg (Torino) ; 38(5): 489-93, 1997 Oct.
Article in English | MEDLINE | ID: mdl-9358807

ABSTRACT

We present a case of left-sided inferior vena cava unexpectedly observed during an operation of aorto bifemoral bypass in a patient with severe Leriche syndrome and almost complete obstruction of the infrarenal aorta. This very rare congenital malformation (0.2-0.5%) was not recognized by the duplex scanner performed preoperatively, probably because of the low level of suspicion carried on by an experienced operator. AngioCT or angioMR, which would have surely shown us the anomaly, were not done because, in the lack of an aneurysmal disease or other abdominal pathological situations, these investigations were not required before operation. The possible hazards of such an unrecognized malformation are great, mostly in terms of incontrollable intraoperative hemorrhages, but the final outcome of this case was positive.


Subject(s)
Aorta, Abdominal/surgery , Blood Vessel Prosthesis Implantation , Iliac Artery/surgery , Vena Cava, Inferior/abnormalities , Aged , Humans , Leriche Syndrome/complications , Leriche Syndrome/surgery , Male , Radiography , Vena Cava, Inferior/diagnostic imaging
14.
Minerva Cardioangiol ; 45(7-8): 383-92, 1997.
Article in Italian | MEDLINE | ID: mdl-9463174

ABSTRACT

BACKGROUND: Mesoglycan is a natural glycosaminoglycans preparation, with antithrombotic and pro-fibrinolytic activities, which has been shown to be clinically effective in a number of vascular atherosclerotic disorders with thrombotic risk. METHODS: In the present investigation we studied the effect of mesoglycan in patients with acute episodes of relative lower limb ischemia (Stage IIb according to Leriche-Fontaine classification) coming to our observation. Mesoglycan was administered according to the following schedule: a 10-days period of endovenous mesoglycan (90 mg/day), given in day-hospital regimen, followed by a 20-days period of oral mesoglycan (100 mg/day). The treatment schedule was repeated for two months and then patient continued with oral mesoglycan. We present the preliminary results obtained on 36 patients which were followed for a mean period of 12 months. RESULTS: From February 1995 thirty-six patients, 24 males and 12 females, aged between 45 and 83 years (mean +/- SD: 69.8 +/- 7.5) coming to our observation for acute relative lower limb ischemia were enrolled. At baseline, the diagnosis was Fontaine's IIb stage (walking distance < or = 200 m) in all patients, 17 patients presenting walking distance < 100 m. After 3 and 6 months of mesoglycan treatment a significant improvement of symptoms and signs was observed in all patients but one. At the end of the 6-months period, 29 patients (81% of the study population) became to a Fontaine's IIa degree, with a significant increase in walking distance (in 70% three times their basal value) and improvement of symptoms and recovery time. After treatment, Winsor Index was not significantly modified. Similar results were obtained after 12 months of follow-up. During the study period only one patient included in the trial needed surgical revascularisation. The administration of mesoglycan was well tolerated, with only minor complaints in two patients (one case of headache and one of diarrhea). During the endovenous administration of mesoglycan most patients (81%) presented values of aPTT almost double than baseline, which returned to normal values at the end of the administration. CONCLUSIONS: The present preliminary results show that, in patients with acute episodes of relative lower limb ischemia, mesoglycan (administered according to the described protocol) is an effective and safe agent able to improve symptoms (walking distance, pain, leg appearance) and to possibly delay the need of surgical interventions.


Subject(s)
Glycosaminoglycans/therapeutic use , Ischemia/drug therapy , Leg/blood supply , Adult , Aged , Aged, 80 and over , Clinical Protocols , Female , Humans , Male , Middle Aged , Treatment Outcome
15.
J Cardiovasc Surg (Torino) ; 38(2): 177-80, 1997 Apr.
Article in English | MEDLINE | ID: mdl-9201132

ABSTRACT

The objective of this article is the presentation of a new device, simple, easy to use, at low cost, for the prevention of postoperative haematoma following surgery of varicose veins of the lower limbs. It consists in a two-part device that functions as an elastic and pneumatic bandage, that wraps thigh and leg, with the knee articulation free and that is placed immediately before the stripping of the saphenous vein when all the surgical wounds are closed, except the supramalleolar one. While the head of the stripper is pulled, the device is inflated by air with a compression of 40-50 mmHg and the last surgical wound is sutured. Pneumatic compression is held for 24-36 hours, allowing the patients to walk and, in the meantime, to control the colour and the temperature of the foot. The advantages of this device are: easy use and low costs; compression on the area of the saphenous vein and of the main collaterals; uniform but moderate pressure on all the limb circumference.


Subject(s)
Hematoma/prevention & control , Postoperative Complications/prevention & control , Varicose Veins/surgery , Equipment Design , Humans , Pressure
16.
J Cardiovasc Surg (Torino) ; 37(4): 359-62, 1996 Aug.
Article in English | MEDLINE | ID: mdl-8698780

ABSTRACT

A case of post stenotic aneurysm of the inferior mesenteric artery (IMA) is reported. This case underlines the importance of a correct diagnosis by instrumental methods such as Duplex Scanner, CT and Arteriography, mainly when the first diagnosis is aneurysm of the abdominal aorta (AAA). Our patient showed, furthermore, the occlusion of the celic axis, of the superior mesenteric artery and of both hypogastric arteries; thus his intestinal vascularization was represented, from the gastric fundus until the rectum, only by the inferior mesenteric artery and its collateral network. The operation consisted in the resection and reimplantation of the vessel on the left side of the terminal abdominal aorta, after removal of the dilated segment. This location was chosen because of the coexistence of a mild dilatation of the aorta of 2.8 cm and considering possible aortic surgery for AAA in the future.


Subject(s)
Aneurysm/complications , Mesenteric Artery, Inferior , Mesenteric Vascular Occlusion/complications , Aneurysm/diagnosis , Aneurysm/surgery , Aortic Aneurysm, Abdominal/diagnosis , Constriction, Pathologic , Diagnosis, Differential , Humans , Male , Mesenteric Artery, Inferior/surgery , Mesenteric Vascular Occlusion/diagnosis , Mesenteric Vascular Occlusion/surgery , Middle Aged
17.
J Cardiovasc Surg (Torino) ; 36(5): 493-5, 1995 Oct.
Article in English | MEDLINE | ID: mdl-8522570

ABSTRACT

In a patient already operated for abdominal aortic aneurysm fifteen months previously, because of the onset of aspecific vertigo, instrumental investigations of the supra aortic vessels showed us the presence of a non palpable mass, in the left side of the neck. Duplex Scanner, angio-CT and Angiography let us suspect the presence of an aneurysm located somewhere in the course of the thyrocervical trunk. At the operation the aneurysm, which we originally suspected to be a false and a possibly iatrogenic one, in the reality was a true aneurysm and was located at the termination of the thyrocervical trunk, just in the first segment of the inferior thyroid artery. The case is reported because of its rarity and the difficulties in the preoperative diagnosis.


Subject(s)
Aneurysm , Thyroid Gland/blood supply , Aged , Aneurysm/diagnosis , Aneurysm/surgery , Humans , Male
18.
Minerva Chir ; 48(20): 1227-32, 1993 Oct 31.
Article in Italian | MEDLINE | ID: mdl-8121596

ABSTRACT

In a recent publication, reporting the sixth case of aortic angiosarcoma, probably induced by the implantation of a dacron vascular prosthesis, Weiss et al. have done a literature review concerning the association between the presence of vascular prostheses and the onset of mesenchymal neoplasms. Although they consider the incidence of this association very low, they also point out the hypothesis, largely supported by experimental studies, that vascular prostheses can play the role of aetiological co-factor or factor in the onset of these tumors. We consider useful to report a case of malignant fibro histiocytoma arising around a femoral vascular prosthesis in a patient operated on for aneurysm of the femoral artery.


Subject(s)
Blood Vessel Prosthesis/adverse effects , Femoral Artery , Histiocytoma, Benign Fibrous/etiology , Polyethylene Terephthalates , Soft Tissue Neoplasms/etiology , Aged , Humans , Male , Vascular Diseases/etiology
19.
Minerva Cardioangiol ; 41(7-8): 331-4, 1993.
Article in Italian | MEDLINE | ID: mdl-8233016

ABSTRACT

The diagnosis of Buerger's disease, like that of all arteritis, especially in the onset phase, can be difficult. The general criteria proposed by several authors, with the aim of codifying the verification of the disease, are sometimes too schematic and this collides with the existence of very variegated and polymorphous clinical situations, as well as totally atypical and unusual clinical patterns. On this subject we consider useful to report a case of Buerger's disease that presented some peculiar characteristics, the most important of which was the existence of an aneurysm of the left superficial temporal artery.


Subject(s)
Temporal Arteries/surgery , Thromboangiitis Obliterans/surgery , Aneurysm/diagnostic imaging , Aneurysm/pathology , Aneurysm/surgery , Angiography , Humans , Male , Middle Aged , Temporal Arteries/diagnostic imaging , Temporal Arteries/pathology , Thromboangiitis Obliterans/diagnostic imaging , Thromboangiitis Obliterans/pathology
20.
J Cardiovasc Surg (Torino) ; 34(1): 63-5, 1993 Feb.
Article in English | MEDLINE | ID: mdl-8482707

ABSTRACT

The Authors report their experience in the treatment of venous and arteriovenous malformations, which in this paper are divided into two subgroups, pure venous malformations (VMs) and arteriovenous malformations (AVMs). A pure surgical indication was evident in less than 50% of cases (48.1%), while more conservative treatments were performed in remaining patients. Considering the particular characteristics of the disease, a complete surgical radicality isn't always possible, so surgery must be considered in selected cases.


Subject(s)
Angiodysplasia/therapy , Arteriovenous Malformations/therapy , Veins/abnormalities , Adolescent , Adult , Angiodysplasia/surgery , Arteriovenous Malformations/surgery , Child , Child, Preschool , Embolization, Therapeutic , Female , Humans , Infant , Male , Middle Aged , Sclerotherapy , Treatment Outcome , Veins/surgery
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