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1.
Ann Vasc Surg ; 56: 353.e13-353.e17, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30500654

RESUMO

Atherosclerotic superficial femoral artery (SFA) true aneurysm is rare and often associated with other aortic or peripheral aneurysms, usually discovered when it reaches a considerable diameter or becomes symptomatic. We present the case of a 92-year-old woman admitted in the emergency department with a huge ruptured SFA aneurysm. The patient underwent successful aneurysmectomy, followed by bypass grafting. Degenerative SFA aneurysms differ from other peripheral aneurysms, being usually larger and symptomatic at presentation, occurring in old people, and representing life-threatening situations. The commonest symptom is rupture.


Assuntos
Aneurisma Roto/cirurgia , Implante de Prótese Vascular , Artéria Femoral/cirurgia , Idoso de 80 Anos ou mais , Aneurisma Roto/diagnóstico por imagem , Prótese Vascular , Implante de Prótese Vascular/instrumentação , Angiografia por Tomografia Computadorizada , Feminino , Artéria Femoral/diagnóstico por imagem , Humanos , Ligadura , Resultado do Tratamento
2.
Ann Vasc Surg ; 26(4): 572.e5-9, 2012 May.
Artigo em Inglês | MEDLINE | ID: mdl-22321474

RESUMO

The popliteal artery (PA) entrapment syndrome, a rare cause of arterial thrombosis, is most often encountered in young male athletes. Here, we report a very unusual case of PA entrapment syndrome in a 14-year-old girl who presented with a 1-month history of calf claudication to our observation facility. Diagnostic work-up revealed obesity, sedentary lifestyle, and an aberrant accessory slip of the medial head of gastrocnemius around the PA. Arterial echo color Doppler ultrasonography and computed tomographic angiography studies were performed. Surgical treatment involved revascularization with resection of the medial head of gastrocnemius, the cause of the arterial entrapment, and enlargement angioplasty using an autologous saphenous vein patch, in combination with antiplatelet therapy, resulting in restitution ad integrum of the affected limb and, finally, an improved quality of life of the patient. This case underscores the importance of clinical suspicion, diagnosis, and treatment of lower-limb claudication in very young patients presenting with unusual symptoms. If missed, the condition may evolve dramatically. Prompt diagnosis and surgical treatment are key to complete recovery and the prevention of irreversible complications that may result in limb loss.


Assuntos
Claudicação Intermitente/etiologia , Artéria Poplítea , Procedimentos Cirúrgicos Vasculares/métodos , Angiografia Digital , Diagnóstico Diferencial , Feminino , Seguimentos , Humanos , Claudicação Intermitente/diagnóstico , Claudicação Intermitente/cirurgia , Angiografia por Ressonância Magnética , Índice de Gravidade de Doença , Síndrome , Tomografia Computadorizada por Raios X , Ultrassonografia Doppler em Cores , Adulto Jovem
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