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Cavernous Sinus Syndrome in a Traumatic Dissecting Aneurysm of the Internal Carotid Artery.
Cureus
December 2024
Department of Ophthalmology, Hospital University Kebangsaan Malaysia, Kuala Lumpur, MYS.
We report a rare case of a missed intracavernous internal carotid artery dissecting aneurysm occurring as a complication of the base of skull fracture with severe brain injury causing acute cavernous sinus syndrome with permanent vision loss. A 31-year-old Myanmar lady had an alleged motor vehicle accident and suffered severe traumatic brain injury with multiple intracranial bleeds, multiple facial bone and base of skull fractures, and limb fractures. At one week post-trauma, she had severe right eye proptosis with vision loss, ophthalmoplegia, chemosis, and high intraocular pressure.
View Article and Find Full Text PDFMassive Hemoptysis of Pulmonary Vein Origin in the Inner Wall of a Lung Abscess.
Ann Thorac Surg Short Rep
September 2023
Division of General Thoracic Surgery, Shiga University of Medical Science, Shiga, Japan.
Hemoptysis of pulmonary vein origin is extremely rare and difficult to manage. A 73-year-old man with a history of chronic heart failure presented with massive hemoptysis. Computed tomography showed an enhancing mass in the upper lobe of the left lung.
View Article and Find Full Text PDFBackground: Traumatic arteriovenous fistulas (AVFs) are rare entities, especially when referring to visceral arterioportal AVFs. Currently, there are no large epidemiological studies looking specifically at traumatic visceral AVFs. When traumatic AVFs have been discussed in the literature, it is in the form of case reports or case series and focused on peripheral AVFs.
View Article and Find Full Text PDFTreatment of Tracheoesophageal Fistula With Occluder Device Assisted by Three-Dimensional Printing.
Ann Thorac Surg Short Rep
December 2023
Department of Interventional Radiology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou City, Henan, China.
Tracheoesophageal fistula is a pathologic communication between the trachea and the esophagus that can cause severe complications and progress rapidly, potentially leading to death in a short period. This report describes a case of malignant tracheoesophageal fistula treated with an atrial septal defect occluder under digital subtraction angiography guidance using 3-dimensional printing assistance. Postoperative computed tomography and bronchoscopy showed good recovery, significant relief of infection symptoms, and marked improvement in airway irritation symptoms.
View Article and Find Full Text PDFStrutting Through: Migration of Fractured Inferior Vena Cava Filter Through the Right Ventricle.
Ann Thorac Surg Short Rep
March 2023
Department of Cardiothoracic and Vascular Surgery, Saint Luke's Mid America Heart Institute, Kansas City, Missouri.
A 68-year-old woman who had a retrievable inferior vena cava filter implanted 10 years ago presented with sudden-onset back pain. Initial computed tomography angiography demonstrated migration of a fractured strut that appeared embedded in the anterior right ventricular free wall without pericardial effusion. Subsequent gated computed tomography of the chest demonstrated further migration of the fragment, which was now penetrating the right ventricular free wall and extending into the pericardial sac.
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