Endovascular repair of abdominal aortic aneurysms: vascular anatomy, device selection, procedure, and procedure-specific complications.

Abdominal aortic aneurysm (AAA) is abnormal dilatation of the aorta, carrying a substantial risk of rupture and thereby marked risk of death. Open repair of AAA involves lengthy surgery time, anesthesia, and substantial recovery time. Endovascular aneurysm repair (EVAR) provides a safer option for patients with advanced age and pulmonary, cardiac, and renal dysfunction.

Liver infarct after sigmoid resection: an unusual case of mesenteric ischemia.

Hepatic infarction is an unusual event. A patient is described who had a hepatic infarct after a sigmoid resection. She was found to have occluded superior mesenteric and celiac arteries, with visceral circulation dependent on the inferior mesenteric artery.

Cephalic migration of the bird's nest inferior vena caval filter: report of two cases.

The Bird's Nest inferior vena caval filter (Cook, Bloomington, Ind) has been approved for clinical use since 1989. The authors report two cases of cephalic migration of the filter. Both cases of migration occurred in association with a massive thromboembolism after placement of the filter.

Treatment of an esophageal perforation with enteral alimentation and transgastric drainage: case report.

Esophageal perforation with abscess formation has traditionally been approached surgically. A case report of percutaneous drainage of an esophageal perforation is presented. The drainage was performed in conjunction with a percutaneous gastrostomy.

Transcatheter embolization of a ruptured superior mesenteric artery aneurysm with Gianturco coils: a case report.

Reports of superior mesenteric artery embolization without the sequela of bowel ischemia or infarction are sparse. We report embolization of the main trunk of the superior mesenteric artery for control of a ruptured aneurysm without subsequent ischemia.

Intracardiac extension of intravenous leiomyomatosis.

A 42-year-old woman was found to have intravenous leiomyomatosis of the uterus with extension into the inferior vena cava and right atrium. Intravenous leiomyomatosis is a rare neoplastic disease characterized by invasion of venous channels by a benign smooth muscle tumor arising either from the wall of a vessel or from a uterine myoma. Intracardiac extension is often initially misdiagnosed as a right atrial myxoma and may cause death by mechanical obstruction.