Endovascular repair of aortobronchial fistula three decades after open repair of traumatic aortic transection: A case report and 3-year follow-up.

A rare and lethal vascular condition is the communication of the thoracic aorta and tracheobronchial tree. Typically, the development occurs after open or endovascular aortic repair that has been complicated by infection and usually presents with hemoptysis as the heralding event, which can lead to massive hemorrhage. Computed tomography angiography remains the diagnostic imaging modality of choice.

Current status of endovascular aneurysm repair: 20 years of learning.

Parodi first introduced endovascular aneurysm repair (EVAR) in 1991 and since that time it has been shown to have a lower 30-day morbididty and mortality compared to open surgery. Anatomic constraints governed by the need for adequate access vessels, and sufficient proximal and distal landing zones, as well as the need for long-term surveillance, have been the main limitations of this technology. Anatomic factors were initially estimated to exclude 40% of patients with abdominal aortic aneurysm (AAA).

Innominate artery aneurysm: axial reconstruction via a cervical approach.

True aneurysms of the innominate artery are rare. Successful axial reconstruction in the past has required a combined cervical and transthoracic approach with placement of a prosthetic graft. We describe herein the occurrence of an innominate artery aneurysm that extended to and involved the proximal common carotid artery and subclavian artery in a 63-year-old woman.

Renal interventions after abdominal aortic aneurysm repair using an aortic endograft with suprarenal fixation.

Background: Our aim was to determine whether suprarenal fixation in endografts compromises renal artery (RA) flow and whether subsequent RA intervention is precluded by the stent struts.

Methods: Prospectively acquired data from 104 patients with endovascular aneurysm repair (EVAR) of an abdominal aortic aneurysm using the Zenith endograft (Cook, Inc., Bloomington, IN) were analyzed.

Discretionary carotid patch angioplasty leads to good results.

Background: This study evaluated the type and need for angioplasty in 253 consecutive carotid endarterectomies.

Methods: Polyester knitted gelatin sealed patch (DP) and polytetrafluoroethylene (PTFE) patches were used in, respectively, 159 and 29 patients, with 65 vessels closed primarily (no patch [NP]).

Results: Surgical results, estimated blood loss, and surgical time were similar in each group.