We report a case of anterior inferior pancreaticoduodenal artery aneurysm fissured to the duodenum, which obliged to an emergency operation. This is an infrequent cause of upper gastrointestinal bleeding. Diagnosis, therapeutic options and prognosis of this pathology are discussed.
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Surgical treatment for the aberrant internal carotid artery in the middle ear with pulsatile tinnitus.
Auris Nasus Larynx
April 2014
Department of Otolaryngology-Head & Neck Surgery, Tohoku University School of Medicine, Sendai, Japan.
Many previous reports have indicated that pulsatile tinnitus caused by an aberrant internal carotid artery (ICA) should not be treated surgically because of the risk of infection or aneurysm formation. We herein describe a case of aberrant ICA treated by middle ear surgery for which we introduced a novel approach. An 84-year-old man was presented with a one-year history of tinnitus in his right ear.
View Article and Find Full Text PDFPersistent primitive olfactory artery: MR angiographic diagnosis.
Surg Radiol Anat
April 2011
Department of Diagnostic Radiology, Saitama Medical University International Medical Center, Hidaka, Saitama, Japan.
Introduction: Persistent primitive olfactory artery (PPOA) is a relatively rare variation of the proximal anterior cerebral artery (ACA) that generally follows an extreme antero-inferior course and takes a hairpin turn. To our knowledge, incidence of PPOA has not been reported, so we researched cases in our institution records to determine incidence and investigated characteristic features of the condition on MR angiography.
Methods: To isolate cases with PPOA, we retrospectively reviewed cranial magnetic resonance (MR) angiographic images of a total of 3,626 patients in our institution and collected similar images from cases with PPOA from our two affliated hospitals.
Ruptured aortic arch aneurysm: transposition of aortic arch branches after insertion of thoracic endovascular stent with extra-anatomic brain perfusion.
Interact Cardiovasc Thorac Surg
June 2007
Department of Cardiac Surgery, Villa Azzurra Hospital, Via Ernesto Cabruna, 21 - 16035 Rapallo (Ge), Italy.
Conventional surgical treatment of a ruptured aortic arch aneurysm is a challenging approach with a high rate of adverse outcomes. The midsternotomy can be complicated by total aortic disruption with often fatal massive hemorrhage. A preliminary cardiopulmonary bypass with peripheral cannulation and cooling is often preferred.
View Article and Find Full Text PDF[Aneurysm of the anterior inferior cerebellar artery: case report].
Arq Neuropsiquiatr
December 2002
Serviço de Neurocirurgia do Hospital Municipal Dr Fernando Mauro Pires da Rocha, São Paulo, SP, Brasil.
The intracranial aneurysms of the posterior circulation have been reported between 5 and 10% of all cerebral aneurysms and the aneurysms of the anterior inferior cerebellar artery (AICA) are considered rare, can cause cerebello pontine angle (CPA) syndrome with or without subarachnoid hemorrhage. Since 1948 few cases were described in the literature. We report on a 33 year-old female patient with subarachnoid hemorrhage due to sacular aneurysm of the left AICA.
View Article and Find Full Text PDFVascular anomalies and the risk of multiple aneurysms development and bleeding.
Interv Neuroradiol
March 2002
Service de Neuroradiologie Diagnostic et Thérapeutique, Hôpital de Bicêtre, Le Kremlin Bicêtre, France.
The pathogenesis of aneurysmal subarachnoid hemorrhage is still debated and the prognosis remains severe, especially in multiple aneurysms, where the therapeutic management is complex. The aim of this study was to look for vascular anomalies and assess their relationship with aneurysm formation and bleeding in patients with multiple intracranial aneurysms. A prospective angiographical review was performed on 141 patients with multiple intracranial aneurysms seen from 1992 to 2000.
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