Laser Fenestration for Complex Aortic Repair: Versatile Option in Difficult Anatomy, Emergencies and Bailouts.

Background: Branched and fenestrated endovascular aortic repair (b/fEVAR) for thoracoabdominal aortic disease as well as thoracic disease branched and fenestrated thoracic endovascular aortic repair (b/fTEVAR) has been well described. Its utilization has also grown over time with the need for solutions having outpaced technologies available in the United States. As more practitioners utilize these and other complex aortic repairs, there is a growing utilization of adjunctive modalities expanding the capabilities of current devices.

Primary Functioning Neuroendocrine Tumor of the Appendix with Hypoglycemia Syndrome: A Case Report and Review of Neuroendocrine Tumors.

Introduction: Primary neuroendocrine tumors (NETs) of the appendix are uncommon, but when present are usually not hyperfunctioning. This case represents an extraordinarily rare primary hyperfunctioning NET of the appendix with a clinical presentation of symptomatic hypoglycemia in an otherwise healthy man.

Case Presentation: A previously healthy 34-year-old man was found to be symptomatically hypoglycemic in early 2018.