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[Branched and fenestrated endovascular aortic repair in complex aortic diseases: innovative progress and clinical application].
Zhonghua Wai Ke Za Zhi
January 2025
Department of Vascular and Endovascular Surgery, the First Medical Center, Chinese Chinese People's Liberation Army General Hospital, Beijing 100853, China.
Recently, significant progress has been made in the field of endovascular repair of complex aortic disease involving the major branches (aortic arch disease and complex abdominal aortic aneurysms). Open surgery was considered the "gold standard" for the treatment of these complicated aortic diseases, but was challenged by the huge surgical trauma and high risk of post-operative complications. However, the rapid development of branched and fenestrated endografts has provided an alternative safe and effective minimally invasive treatment for patients who cannot tolerate open surgery.
View Article and Find Full Text PDFThe Definition, Diagnosis, and Management of Giant Splenic Artery Aneurysms and Pseudoaneurysms: A Systematic Review.
J Clin Med
September 2024
Department of Surgery, Sapienza University of Rome, Viale Regina Elena 324, 00161 Rome, Italy.
: Giant splenic artery aneurysms (SAAs) and pseudoaneurysms (SAPs) represent rare conditions, characterized by a diameter greater than or equal to 5 cm. The risk of rupture is increased compared to common SAAs and SAPs, necessitating urgent treatments to prevent it. : This systematic review was conducted through a comprehensive search involving the PubMed, Google Scholar, and Scopus databases.
View Article and Find Full Text PDFExtrinsic compression of the right coronary artery by a huge aortic wall aneurysm of an aortico-left ventricular tunnel: A case report.
Heliyon
October 2024
Department of Cardiology, Changde Hospital, Xiangya School of Medicine, Central South University, 818 Renmin Avenue, Changde City, 415003, China.
Article Synopsis
- A case is reported of a 57-year-old woman experiencing unstable angina due to compression of the right coronary artery by a large aneurysmal ALVT, which was not detected by preoperative imaging.
- This case emphasizes the need for careful evaluation of unusual anatomical features in ALVT, requiring a combination of imaging and surgical exploration for diagnosis and effective treatment, leading to resolution of the patient's symptoms after surgery.
A huge coronary artery aneurysm with ST-elevation myocardial infarction: A case report and review of literature.
Heliyon
October 2024
Cardiovascular Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
Background: Giant coronary artery aneurysms (GCAA), are rare findings often discovered incidentally in adults. GCAAs are defined by a significant enlargement of coronary arteries, posing a heightened risk of myocardial infarction and thrombosis.
Case Presentation: A 52-year-old male known case of ischemic heart disease (IHD), presented with chest pain and signs of anterior ST-elevation MI (STEMI).
A case of a huge aortic pseudo-aneurysm following aortic bioprosthetic endocarditis: the key role of 3D echocardiography.
Monaldi Arch Chest Dis
September 2024
Department of Cardiology, AORN Ospedali dei Colli-Cotugno, Naples.
Infective endocarditis (IE) is a life-threatening condition with high morbidity and mortality rates, making early diagnosis and intervention crucial. This report details the case of a 47-year-old male with a history of mechanical prosthetic aortic valve replacement, presenting with pyrexia and diagnosed with aortic bioprosthetic endocarditis leading to a massive aortic pseudoaneurysm. This shows that 3D transesophageal echocardiography is much more useful than regular 2D imaging for finding problems with IE, which makes surgical planning and intervention more precise.
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