[Stenting of uncomplicated type B aortic dissection].

Conservative treatment of uncomplicated type B aortic dissection is associated with low short-term mortality. However long-term mortality and complication rates are high, suggesting the need for more aggressive treatment. Studies suggest that combining medical treatment with thoracic endovascular aortic repair (TEVAR) is associated with a better prognosis.

Perigraft seroma penetrating the aortic sac and rupturing into the intraperitoneal cavity.

We present a case of a 66-year-old woman who developed perigraft seroma after having undergone elective, open abdominal aortic aneurysm repair with a polytetrafluoroethylene graft 5 years previously. One year after graft implantation, she started to suffer from abdominal discomfort and was therefore offered surgical intervention, which she declined owing to the fear of postoperative complications. Instead, an observational strategy was used.

Current management of inguinal false aneurysms.

False aneurysms are formed as a result of bleeding causing a hematoma to compress the surrounding tissue. The majority of false aneurysms presenting to the vascular surgeon are caused by iatrogenic injury to an artery. Although anastomotic failure occurs, a much higher number is caused by bleeding from puncture sites after percutaneous intervention.

Mycotic aneurysm caused by Burkholderia pseudomallei in a previously healthy returning traveller.

Burkholderia pseudomallei is a common cause of serious, difficult to treat infections in South-East Asia and Northern Australia, but is a rare imported pathogen in the USA and Europe. We report a case of a patient with a mycotic aneurysm caused by B. pseudomallei in a previously healthy returning traveller.

Femoral vein repair of arterial infections: technical tips to reduce procedure time.

Introduction: Success with the neoaortoiliac system (NAIS) bypass has previously been reported. Drawbacks to this procedure include prolonged operative times and significant morbidity. The aim of this study was to evaluate whether a 2-team approach in addition to a consistent anastomosis technique reduces the operative time of the NAIS procedure.