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Background: Coronary artery pseudoaneurysm (PSA) is a rare occurrence linked to percutaneous coronary interventions (PCIs), infection, or chest trauma, lacking established management guidelines due to its low incidence.

Case Summary: A 78-year-old male with a medical history of triple vessel disease, post coronary artery bypass grafting, heart failure, and chronic obstructive pulmonary disease, presented with intractable left-sided chest pain following a mechanical fall. The initial workup was positive for mildly elevated high-sensitivity troponin and brain natriuretic peptide raising suspicion for a pulmonary embolism; but chest computed tomography angiography revealed an enlarging pericardial haematoma.

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Article Synopsis
  • Anastomotic pseudoaneurysms of interposition vein grafts are rare but serious complications in vascular surgery, particularly concerning the carotid arteries, requiring urgent intervention to avoid critical issues like rupture and thromboembolism.
  • A case report details a 49-year-old male who developed a false aneurysm after a carotid surgery complication and successfully underwent open surgical repair involving the removal of the affected graft and reconstruction using a vein graft from the subclavian artery.
  • The conclusion emphasizes that while endovascular techniques exist, open surgical repair remains the standard treatment for these pseudoaneurysms due to its ability to effectively address infection and ensure better long-term outcomes, suggesting that further research should continue to refine surgical strategies.
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Bony exostoses, or osteochondromas, are benign bone tumors that usually develop at growth plates during the growth period. Large exostosis can compress nearby vascular structures, causing occlusion, perforation, or pseudoaneurysm. We report a case of a middle-aged woman with rheumatoid arthritis (RA) and atherosclerotic risk factors who had an unusual presentation of chronic limb-threatening ischemia (CLTI) of the left leg combined with a flare-up of RA.

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Experience of vascular injuries at a military hospital in Korea.

J Trauma Inj

September 2024

Division of Vascular Surgery, Department of Surgery, Armed Forces Capital Hospital, Seongnam, Korea.

Purpose: Vascular injuries require immediate surgical treatment with standard vascular techniques. We aimed to identify pitfalls in vascular surgery for trauma team optimization and to suggest recommendations for trauma and vascular surgeons.

Methods: We reviewed 28 victims and analyzed the patterns of injuries, methods of repair, and outcomes.

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A 47-year-old male presented with a right-sided Shamblin type 2 carotid body tumor measuring 5*5 cm. After preoperative embolization, a sub adventitial resection of the tumor was done. He was discharged after postoperative day 5 and presented again to emergency 10 days later with a bleeding pseudoaneurysm at the surgical site causing dysphagia and dyspnea.

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