Artery Aneurysm Presenting Research Articles

Large Right Subclavian Artery Aneurysm Presenting in a Young Patient.

Subclavian artery aneurysms are extremely rare, accounting for less than 1% all of peripheral aneurysms. They are often due to atherosclerosis or thoracic outlet syndrome and present at an average age of 47years. Here, we present an incidental finding of an 18mm rapidly increasing aneurysm involving the first and second part of the right subclavian artery in a woman in her 20s. To our knowledge, this is the youngest patient presenting with a right subclavian artery aneurysm who underwent surgical resection of the aneurysm with repair using interposition graft and successful re-implantation of the vertebral artery with antegrade flow. This report highlights the multidisciplinary care between vascular, interventional radiology and cardiothoracic teams at our tertiary hospital due to the complex nature of the aneurysm.

Repair of inflammatory celiac artery aneurysm presenting with insidious onset of abdominal pain: A case report

BackgroundVisceral artery aneurysms (VAAs) are rare but potentially devastating given the high mortality associated with rupture. Current Society of Vascular Surgery guidelines recommend repair of these at 2.5 cm. Surgical intervention includes endovascular embolization and/or stenting versus open revascularization. This case presents a patient with a large celiac artery aneurysm (CAA) who underwent open ligation of the celiac artery at the origin. Splenectomy was performed given the need for ligation of the splenic artery. He had a replaced right hepatic artery from the SMA; thus, no revascularization was needed. Ultimately, the aneurysm was found to be inflammatory in etiology. Case reportA 41-year old male with history of seizure disorder, smoking, and newly diagnosed hypertension presented with abdominal pain for six months. His-laboratory work was significant for a leukocytosis of 17, 740, mildly elevated C- Reactive Protein (CRP) at 1.63, and normal erythrocyte sedimentation rate (ESR). CT angiogram revealed a 5.2 × 4.2 cm celiac artery aneurysm with stranding. Given its appearance and concern for infection, he underwent emergent laparotomy and ligation. Blood cultures and intraoperative tissues revealed no microorganism growth. Pathology was remarkable only for periarterial abscess with acute and chronic inflammation and focal tissue necrosis, compatible with aneurysm. ConclusionThis case report presents a rare inflammatory CAA, which presented with six months of abdominal pain, and its subsequent management with open intervention. In this case, his vessel anatomy was favorable for open repair with ligation of the celiac axis due to the presence of a replaced right hepatic artery. This also highlights the importance of anatomic vessel variants when making surgical decisions.

Intravascular ultrasound-guided percutaneous exclusion of a complicated coronary artery aneurysm presenting as ST-segment elevation myocardial infarction.

Intravascular ultrasound-guided percutaneous exclusion of a complicated coronary artery aneurysm presenting as ST-segment elevation myocardial infarction.

Femoropopliteal Bypass With Interval Coil and Gelfoam Embolization for Persistent Sciatic Artery Aneurysm Presenting as Acute Limb Ischemia

Femoropopliteal Bypass With Interval Coil and Gelfoam Embolization for Persistent Sciatic Artery Aneurysm Presenting as Acute Limb Ischemia

A Giant Popliteal Artery Aneurysm Presenting as Popliteal Mass: Surgery as a Getaway in the Endovascular Era

A Giant Popliteal Artery Aneurysm Presenting as Popliteal Mass: Surgery as a Getaway in the Endovascular Era

Internal Carotid Artery Aneurysm Presenting as Lower Cranial Nerve Palsies

The signs of lower cranial nerve palsies are rare and are often caused by tumors. A 49-year-old woman was admitted to our hospital with progressive right-sided atrophy of the tongue, sternocleidomastoid and trapezius, dysarthria, and dysphagia for 3 years. Brain magnetic resonance imaging revealed a circular lesion adjacent to the lower cranial nerves. Cerebral angiography confirmed that the lesion was an unruptured aneurysm in the C1 segment of the right internal carotid artery. After endovascular treatment, the symptoms of this patient had partially improved.

“Floating” Stent in a Coronary Aneurysm Presenting as ST-Elevation Myocardial Infarction

Coronary artery aneurysm (CAA) presenting as an ST-elevation myocardial infarction (STEMI) represents a clinical challenge due to the technical difficulties in the percutaneous management of this specific situation. Appropriate treatment for CAA depends on the precise clinical situation and consists of medical management, surgical resection, or/and stent placement. The high rate of complications during percutaneous intervention (distal thrombus embolization, no-reflow phenomenon, stent malposition, or dissection) makes emergent surgery a frequent situation in these cases. We present the case of a 50-year-old man with a STEMI due to thrombotic occlusion of CAA. Specific angiographic techniques and intracoronary imaging help with the percutaneous management of acute thrombotic occlusions in CAA, providing a less invasive approach than emergent surgery.

Coronary artery aneurysm presenting as ST-elevation myocardial infarction in a man with coronavirus disease 2019: a case report

BackgroundPatients with underlying cardiovascular risk factors have worse clinical outcomes when they have coronavirus disease. In addition, a reduced workload of cardiovascular emergencies has been reported during the coronavirus pandemic due to patients’ reluctance to attend hospitals for fear of contracting the disease. Regional health service reorganization, separating hospitals into coronavirus and non-coronavirus can mitigate this effect. However, the effectiveness of this approach on outcomes and patient satisfaction is unknown.Case presentationA 35-year-old Pakistani man with acute ST myocardial infarction was found to have thrombosis of the right coronary artery aneurysm and concomitant coronavirus disease. He had percutaneous coronary angiography and thrombus removal, and was transferred to a coronavirus hospital for the management of the infection. Due to the large size of the aneurysm, he was considered for surgical intervention. Following discharge from the coronavirus hospital and a period of stay at the isolation center, he failed to keep his cardiology follow-up appointment.ConclusionThis case illustrates an unusual cause of myocardial infarction in a patient with coronavirus infection whose care may have been adversely affected by the healthcare system restructuring.

Gastroduodenal artery aneurysm presenting as gastric outlet obstruction.

A 30-year-old female with a history of acute biliary pancreatitis two months ago, presented with a four-week history of recurrent vomiting, occurring one to two hours after meals. The patientunderwent an endoscopy, showing a 3 cm mass arising from the posterior wall of the duodenal bulb impinging the pyloric opening (Fig. 1A), with overlying normal mucosa. In view of a suspected subepithelial lesion, an endoscopic ultrasound was performed, showing a 3.2 × 2.6 cm aneurysm (Long arrow, Fig. 1B) arising from the gastroduodenal artery (GDA) (Short arrow, Fig. 1B).

Spontaneous rupture of a large splenic artery aneurysm in a 59-year-old male patient with pemphigus vulgaris: a case report

BackgroundThere is currently no information on the anatomical risk factors for splenic artery aneurysm rupture, specifically the location or size of the lesion; therefore, reporting this entity to obtain data and ultimately reduce morbidity and mortality is essential. Here we report a case of a male patient with spontaneous rupture of a large splenic artery aneurysm presenting with abdominal pain.Case presentationA 59-year middle-eastern male, with known pemphigus vulgaris presented with a chief complaint of headache and syncope, followed by abdominal pain along with severe metabolic acidosis. A contrast-enhanced computed tomography scan of the abdomen and pelvic showed a splenic artery aneurysm of 33 × 30 mm with a 150 × 90 mm hematoma formation around the aneurysm site. The patient underwent an operation and splenectomy, with confirmation of the diagnosis of ruptured splenic artery aneurysm.ConclusionIt is essential to consider splenic aneurysm rupture as a second-line differential diagnosis, especially among patients with comorbid diseases, as this can lead to timely and appropriate lifesaving intervention.

Analysis of a delayed diagnosis of carotid artery aneurysm presenting as a parapharyngeal space infection.

It is very rare for extracranial carotid artery dissection to present as a carotid pseudoaneurysm. A delayed diagnosis and delayed treatment will lead to rupture of carotid pseudoaneurysm and massive hemorrhage and death. In this paper, we reviewed the progress of the disease in one patient and reviewed the relevant literature reports to understand the characteristics of the disease. The patient had two consultations within the otolaryngology department. The patient later showed signs of infection in the parapharyngeal space and then died of an aneurysmal rupture and massive hemorrhage.

Compressive Optic Neuropathy Caused by Internal Carotid Artery Aneurysm Presenting with Concurrent Neuromyelitis Optica

Purpose: To report a case of compressive optic neuropathy caused by an internal carotid artery aneurysm accompanied by concurrent neuromyelitis optica (NMO).Case summary: A 48-year-old female presented with sudden painless blurry vision in the inferior visual field of her right eye for 2 days. The corrected visual acuity was 0.7 in the right eye, and a relative afferent pupillary defect was observed. The visual field test demonstrated an inferior altitudinal defect in the right eye, while the color vision test was normal. However, after 5 days, she developed decreased color vision. Optic nerve enhancement in the right eye was observed on orbital magnetic resonance imaging, and anti-aquaporin-4 antibody was positive. She was diagnosed with NMO, and high-dose steroids were administered intravenously. In addition, brain magnetic resonance angiography showed a 5-mm aneurysm in the ophthalmic segment of the right internal carotid artery, which was compressing the optic nerve. Coil embolization of the aneurysm was performed. On the fourth day of steroid therapy and the first day after coiling, the corrected visual acuity in the right eye improved to 1.0. At 6-week follow-up, color vision and visual field defect also showed complete recovery.Conclusions: In this rare case of internal carotid artery aneurysm combined with NMO, early active treatment led to complete recovery of visual acuity and field defects.

TCTAP C-155 Thrombosed Giant Coronary Artery Aneurysms Presenting With Ventricular Tachycardia

TCTAP C-155 Thrombosed Giant Coronary Artery Aneurysms Presenting With Ventricular Tachycardia

Rupture of the common iliac artery aneurysm presenting with abdominal pain and fever

Rupture of the common iliac artery aneurysm presenting with abdominal pain and fever

Compression of the medulla oblongata by a fusiform vertebral artery aneurysm presenting as Babinski-Nageotte syndrome in a Filipino male: A case report

Babinski-Nageotte Syndrome (BNS) is one of the brainstem syndromes presenting with classic Wallenberg findings with associated contralateral motor deficit. Based on our literature review, only few cases have been reported and none of them was due to aneurysmal compression of the medulla oblongata. This paper aims to present a case of a 42-year old Filipino male, married, construction worker who manifested with sudden onset of severe headache with associated vertiginous dizziness, dysphagia, dysphonia, nausea, vomiting, and right extremity numbness and hemiparesis.

S2347 Spontaneous Ruptured Splenic Artery Aneurysm Presenting as an Acute Abdominal Mass

S2347 Spontaneous Ruptured Splenic Artery Aneurysm Presenting as an Acute Abdominal Mass

Anesthesia in A Patient With an Internal Carotid Artery Aneurysm Presenting as Massive Recurrent Projectile Epistaxis: A Case Report

Severe projectile epistaxis due to non-traumatic internal carotid artery aneurysms is potentially life threatening but extremely rare, with hardly any report existing in the literature. We present the case of a 21-year old male with a history of recurrent torrential epistaxis associated with headache and dizziness. Catheter angiography revealed two aneurysmal dilatations at the cavernous and supraclinoid segments of the right internal carotid artery.

An Unusual Approach for Giant Right Coronary Artery Aneurysm Presenting With Acute Myocardial Infarction.

An Unusual Approach for Giant Right Coronary Artery Aneurysm Presenting With Acute Myocardial Infarction.

Non-traumatic ulnar artery aneurysm in a middle-aged male

Aneurysms in the extremity arteries are rare and usually occur as pseudoaneurysms secondary to trauma or iatrogenic interventions. True spontaneous non-traumatic aneurysms in the extremities are extremely rare with no consensus on their aetiology or optimum management strategy. Here, we discuss a case of a young man with an isolated spontaneous non-traumatic ulnar artery aneurysm presenting with acute pain and discomfort.

A case of posterior communicating artery aneurysm presenting as cranial nerve 3 palsy in a young female patient with migraines

A case of posterior communicating artery aneurysm presenting as cranial nerve 3 palsy in a young female patient with migraines