J Vasc Surg Cases Innov Tech
December 2023
A 52-year-old man who had received hemodialysis via a left radial-cephalic arteriovenous fistula (AVF) for 18 years presented with severe ischemic symptoms in the left upper arm 12 years after occlusion of the AVF. Diagnostic imaging revealed thrombotic occlusion from a left axillary-brachial artery aneurysm, which required distal bypass surgery. The inflow artery of an AVF can develop aneurysmal degeneration, resulting in upper limb ischemia by embolization or decreased flow, especially with a ligated or occluded AVF or immunosuppressive therapy after renal transplantation.
View Article and Find Full Text PDFGen Thorac Cardiovasc Surg Cases
March 2023
Background: Subcutaneous extension of a perigraft seroma following thoracic aortic surgery is an infrequently encountered complication. For treatment, it is necessary to first exclude the possibility of perigraft fluid collection secondary to infection, a pseudoaneurysm, or impending rupture. However, it is difficult to diagnose collected fluid as indicative of a perigraft seroma, and there is also no standardized treatment for this condition.
View Article and Find Full Text PDFAberrant right subclavian artery is a common aortic arch anomaly that can cause dysphagia as a result of compression by the aberrant artery. For patients with an aneurysm associated with an aberrant right subclavian artery, surgical or endovascular intervention is a well-described treatment. However, for patients with a nonaneurysmal aberrant right subclavian artery, treatment with thoracic endovascular aortic repair has been limited.
View Article and Find Full Text PDFJ Vasc Surg Cases Innov Tech
March 2022
Congenital atresia of the common and external iliac arteries is an extremely rare vascular anomaly, although often associated with limb ischemia and genitourinary malformations. We have presented a rare case of the congenital absence of the left common and external iliac arteries, with no limb ischemic symptoms or organ anomalies present.
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