Surgical management of a congenital arteriovenous fistula of the forearm.

Congenital arteriovenous fistula (AVF) is a rare vascular disease, which may occur anywhere in the body. The forearm is a very rare location. Clinical manifestations are not very specific and can vary from an asymptomatic fistula to a life-threatening congestive heart failure. Although embolization can be an alternative treatment for AVF of the forearm, surgery is still considered as the standard treatment. Herein, we report the case of a 7-year-old boy with a congenital AVF between the radial artery and the superficial cephalic vein in the forearm without any dysmorphic features treated surgically.

External jugular vein spontaneous aneurysm: a case report.

Venous aneurysm of external jugular vein is very rare clinical entity. Often asymptomatic, the diagnosis may be suggested by clinical features and is usually confirmed by imaging. Surgical excision is indicated in symptomatic aneurysms and for esthetic reasons, other treatments such as endovascular treatment are being evaluated. We report a case of a 27-year-old woman with a saccular aneurysm of the right external jugular vein diagnosed by computerized tomogram angiography. The patient received successful surgical treatment.

Acute Limb Ischemia in COVID-19 Patients: A Single University Center Experience.

Introduction Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection is currently known to lead to high rates of thrombotic complications. Of those, acute limb ischemia (ALI) was most frequently reported. Several case reports or case series had already described high mortality and amputation rates. The purpose of our study was to highlight the epidemiological, clinical, and management characteristics of coronavirus disease 2019 (COVID-19)-related ALI patients. Methods This was a monocentric, observational, and retrospective study. Records of all patients ≥18 years of age admitted with ALI and a confirmed diagnosis of COVID-19 infection between March 2020 and December 2021 were retrospectively examined. Data collected included demographics, co-morbidities, biological findings, COVID-19 pneumonia and ALI severity, anatomical location of arterial thromboembolism, treatments, and outcomes. Results During the study period, 22 patients with ALI infected with COVID-19 were evaluated. The median age was 67 years (45-88) and 18 (81.8%) were men. The main comorbidities were diabetes mellitus (36.4%), smoking (22.7%), and arterial hypertension (18.2%). All 22 patients were already diagnosed positive for SARS-CoV-2. The median duration between COVID-19 diagnosis and ALI symptom onset was six days (1-13 days). The computed tomography (CT) extent of pulmonary lesions was assessed according to the French Society of Chest Imaging. The ischemic syndrome was classified on Rutherford Stage IIA (30.4%) and IIB (43.5%). Regarding thrombotic locations, ALI had occurred essentially in the lower limbs (95% vs. 5%). A revascularization procedure was performed in 14 patients (63.6%) of the patients, and primary amputation was unavoidable in five patients (22.7%). Three patients (13.6%) did not undergo operative management, two because of their hemodynamic instability and one rejected surgery. We performed 23 revascularization procedures for 14 patients and three primary amputations. Thromboembolectomy (TE) was the technique of choice (92.8%). Below-the-knee (BTK) femoropopliteal bypass was performed in one patient. Selective tibial vessel thrombectomy was performed in four patients (28.6%). The mortality rate was 27.3%. Among survivors, two secondary amputations were needed with a limb salvage rate of 68.2%. Conclusion By the apparent end of the pandemic, our study further supports the increased risk of ALI in COVID-19-positive patients. Moreover, the results affirm the unfavorable outcomes highly impacted by rethrombosis, reinterventions, and consequently high rates of amputations and mortality.

Non-traumatic acute ischemia of the lower limbs: Report of 112 cases.

INTRODUCTION: Acute limb ischemia is a common pathology. Etiological diagnosis is not always easy to make, and the prognosis depends mainly on the underlying cause and time management. AIM: To report the experience of our service, and analyze the different aspects of ischemia and their support in the light of a review of the literature. METHODS: It is a retrospective study, from January 2009 to December 2013, with 112 hospitalized patients in our service for management of acute lower limb ischemia. Were excluded all patients admitted for trophic disorders and ischemia secondary to trauma. Were analyzed elements diagnosis and etiologic and therapeutic means. RESULTS: Epidemiological data were collected. The reason for consultation was a coldness of member in 70% cases, pain in 79% cases, cyanosis in 56% of cases, pallor in 32% of patients and paralysis in 12% cases. In 25% of cases it was a consumed ischemia. Involvement of the left lower limb was dominant with 58% and bilateral involvement is reported in two cases. Doppler ultrasound was performed in 55% and CT angiography in 20% of cases. The origin was embolic in 85% of cases, atherosclerotic vascular disease in 8 case and a blue phlebitis in 6 case. We realized 28 amputations and we deplore seven deaths. CONCLUSION: Acute ischemia of the lower limbs are more frequent than those of the upper limbs, they are serious and unpredictable course. An active and early approach to this pathology improves prognosis and avoid a disastrous outcome.

Ruptured Profunda Femoris Artery Aneurysm: A Case Report.

Aneurysms of the profunda femoris artery (PFA) are exceptionally rare but dreadful because of their high rate of rupture. In this report, we describe the case of a 70-year-old man presented to the emergency department with a ruptured PFA aneurysm. The patient underwent successful aneurysmorrhaphy and distal reconstruction with a vein graft.

Fibrodysplasic aneurysms of the extracranial internal carotid artery: a new case report.

The other reports a case of fibrodysplasic aneurysm of the extracranial internal carotid artery that was successfully treated by resection and direct end-to-end anastomosis of the internal carotid artery.

Isolated infrarenal abdominal aorta aneurysm in a 42-year-old patient with Marfan's syndrome: Case report.

Marfan's syndrome is an autosomal dominant disorder of connective tissue characterized by a large number of possible mutations and by heterogeneity of clinical presentation primarily in skeletal, ocular and cardiovascular organ systems. Cardiovascular complications of the disease are responsible for high mortality. The case of a 42-year-old patient with a progressive advanced abdominal aorta dilatation visualized on computed tomography images is presented. Pathogenesis, diagnosis and management of patients with Marfan's syndrome are also discussed.

Intraoperative rupture of popliteal artery pseudoaneurysm secondary to distal femur osteochondroma: case report and review of the literature.

Vascular complications from osteochondroma are rare and include essentially stenosis, occlusion, and pseudoaneurysms. The authors report an original case of intraoperative rupture of undiagnosed popliteal artery pseudoaneurysm during resection surgery for a distal femur osteochondroma.