The authors report their experiences in two kinds of late complications of direct reconstructive surgery: infections and anastomotic false aneurysms. Such complications occurred after operations calling for the use of alloplastic prostheses, with an incidence of 2.8% out of all other operations in which prosthesic grafts have been used. All the patients have undergone second surgery with good results in 16 cases out of 19 (84.3%), 1 patient underwent amputation (5.2%) and 2 patients, suffering for infected false aneurysms of the aorta, died (10.5%).
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Neuroradiology
January 2025
Department of Radiology, Jinling Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, 210002, Jiangsu, China.
Purpose: We aimed to validate a clinically available artificial intelligence (AI) model to assist general radiologists in the detection of intracranial aneurysm (IA) in a multi-reader multi-case (MRMC) study, and to explore its performance in routine clinical settings.
Methods: Two distinct cohorts of head CT angiography (CTA) data were assembled to validate an AI model. Cohort 1, comprising gold-standard consecutive CTA cases, was used in an MRMC study involving six board-certified general radiologists.
Background: The rupture of intracranial aneurysms (IAs) leads to aneurysmal subarachnoid hemorrhage (aSAH), which is associated with significant disability and mortality rates. This study aims to identify metabolic markers causally linked to the occurrence of IAs and aSAH through Mendelian randomization (MR), thereby offering novel predictive and therapeutic targets.
Methods: We conducted a genome-wide association study (GWAS) on IAs and aSAH, analyzing 1,400 metabolomic indices from the Canadian Longitudinal Study on Aging (CLSA) cohort (n = 8,299).
Background: 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 PDFBMJ Case Rep
January 2025
Urology, Ranchi Urology Centre, Ranchi, Jharkhand, India.
Pseudoaneurysm is a common vascular abnormality marked by arterial wall disruption, with complications that can arise unpredictably and carry high morbidity and mortality rates. This case study emphasises the management of recurrent haematuria and clot retention in a young man presenting to the emergency department. It underscores the importance of early recognition and management of recurrent haematuria and clot retention caused by pseudoaneurysm, emphasising the critical role of multidisciplinary collaboration in optimising patient outcomes.
View Article and Find Full Text PDFMultimed Man Cardiothorac Surg
January 2025
Pediatric and Adult Cardiothoracic and Vascular, Oncohematologic and Emergency Radiology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Italy
Aortic pseudoaneurysm is a rare but life-threatening complication following aortic surgery. Although surgical repair remains the gold standard for treatment, alternative approaches such as transcatheter strategies are increasingly considered viable options, particularly in patients with high surgical risk due to comorbidities, anatomical challenges or technical constraints. We present the case of a 72-year-old male patient who developed a subaortic pseudoaneurysm during radiological follow-up after a previous Bentall operation.
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