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Background: Extracranial carotid artery aneurysm (ExCAA) is a very rare pathology. However, due to local compression symptoms, risk of CNS ischemia, and the potential risk of rupture, it constitutes a significant clinical problem. The small number of cases, substantial differences in etiology and morphology, and various treatment methods of ExCAA disturb the analysis of this pathology.

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Impact of Open Surgical Descending Repair on Aortic Stiffness in an Ex Vivo Porcine Model.

Ann Vasc Surg

December 2024

Section of Vascular Surgery, Cardio Thoracic Vascular Department, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, Milan, Italy; Department of Clinical Sciences and Community Health, Università degli Studi di Milano, Milan, Italy.

Background: Previous studies have strongly suggested that stent-graft deployment and acute arch angulation increase aortic stiffness, the impact of surgical interposition grafting remains unclear. We investigated the impact of open surgery on aortic stiffness and compared this with stent-graft induced aortic stiffening, utilising an ex vivo model.

Methods: Porcine thoracic aortas were connected to a mock circulatory loop.

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Polyethylene terephthalate nanoplastics (PET-NPs) are one of the most frequently distributed nanoplastics in daily life. Betaine is thought to be a promising hepatoprotective agent. The current investigation focused on whether orally administered PET-NPs caused hepatotoxicity and ameliorative effect of betaine.

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Introduction And Aims: Arterial pseudoaneurysm is a rare yet potentially life-threatening complication that can arise as a late sequelae of penetrating injuries or orthopaedic procedures. We aim at sharing our institutional experience of managing 18 cases of lower limb arterial pseudoaneurysms in orthopaedic practice and to provide technical tips for emergency management of severe bleeding. A comprehensive literature review resulting from fractures and orthopaedic surgeries is also presented.

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Article Synopsis
  • A 36-year-old adult was diagnosed with an unusual heart condition where the right pulmonary artery originated from the aorta, along with pulmonary hypertension and moderate mitral regurgitation.
  • During a preoperative procedure, an echocardiogram revealed a right pulmonary arteriovenous fistula, indicating abnormal blood flow between the pulmonary artery and left atrium.
  • After surgical reconstruction of the right pulmonary artery with a Dacron graft, significant improvements were observed; six months later, the fistula decreased, and both pulmonary arterial pressure and mitral regurgitation improved dramatically.
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