RESUMO
BACKGROUND: Radiation-induced necrosis and arteriopathy are well-known iatrogenic pathologic entities. However, radiation-induced rupture of the superficial femoral artery is an exceptional life-threatening event. REPORT: We hereby report a case of radiation-induced rupture of the superficial femoral artery that was successfully treated by fascial stitching then by an endovascular approach by stenting. RESULTS: Infection, skin stiffness, and major tissue loss in a previously irradiated field are important limiting factors to an open surgical approach. CONCLUSION: It is important to consider using a combined approach for selected patients.
Assuntos
Artéria Femoral/efeitos da radiação , Lesões por Radiação/complicações , Doenças Vasculares/etiologia , Neoplasias Vulvares/radioterapia , Angiografia , Diagnóstico Diferencial , Feminino , Humanos , Pessoa de Meia-Idade , Lesões por Radiação/diagnóstico , Ruptura Espontânea , Tomografia Computadorizada por Raios X , Doenças Vasculares/diagnóstico , Doenças Vasculares/cirurgia , Procedimentos Cirúrgicos Vasculares/métodosRESUMO
A 43-year-old man had weakness of the extensor muscles in the right forearm and could not extend the right wrist. The apparent disorder was caused by radial nerve compression by a large aneurysm in the cephalic vein in the antecubital fossa. Surgical resection of the aneurysm resolved the symptoms. This exceedingly rare complication of venous aneurysm is discussed. Venous aneurysm should be included in the differential diagnosis of a subcutaneous mass, and diagnosis is best made with Duplex ultrasound scanning. Surgical excision is the appropriate treatment.
Assuntos
Aneurisma/complicações , Aneurisma/cirurgia , Síndromes de Compressão Nervosa/etiologia , Neuropatia Radial/etiologia , Veia Subclávia , Adulto , Aneurisma/diagnóstico por imagem , Eletromiografia , Seguimentos , Humanos , Masculino , Síndromes de Compressão Nervosa/diagnóstico , Neuropatia Radial/diagnóstico , Recuperação de Função Fisiológica , Medição de Risco , Resultado do Tratamento , Ultrassonografia Doppler Dupla , Procedimentos Cirúrgicos Vasculares/métodos , Punho/fisiopatologiaRESUMO
Biopsy of anterior mediastinal or aortopulmonary nodes is usually accomplished through a left anterior mediastinostomy. Cosmetic concerns expressed by patients about scars in the neck or the upper chest led us to consider a new periareolar approach for mediastinoscopy. This technique has been used successfully in 10 patients.
Assuntos
Biópsia/métodos , Mediastinoscopia/métodos , Mediastino/patologia , Adulto , Feminino , Humanos , Linfonodos/patologia , Doenças do Mediastino/diagnóstico , MamilosRESUMO
Cardiac papillary fibroelastomas are rare tumors of the heart and affect primarily the cardiac valves. These lesions are responsible for embolic accidents that clinically manifest as neurological and cardiovascular symptoms. We describe the case of a 40-yr-old woman who presented with a neurological deficit caused by a papillary tumor of the aortic valve. Diagnosis was made by transesophageal echocardiaphy and the tumor was surgically removed.
