Pub Date : 2014-07-01DOI: 10.1016/j.ejvsextra.2014.05.004
M. Shah , N. Agarwal , N.B. Gala , C.J. Prestigiacomo , C.D. Gandhi
Introduction
Dural venous sinus thrombosis (DVST) is a rare but potentially fatal cerebrovascular condition. Pregnant women are at greater risk of DVST because of their hypercoagulable state.
Report
A 20-year-old post-partum woman presented to the emergency department after an episode of seizure and complained only of a headache and chest pain. A T1-weighted magnetic resonance (MR) image of her brain with contrast revealed an empty delta sign in her super sagittal sinus.
Discussion
Management of dural venous sinus thrombosis during or after pregnancy is a difficult issue that requires an approach based on the individual patient profile.
{"title":"Management of Dural Venous Sinus Thrombosis in Pregnancy","authors":"M. Shah , N. Agarwal , N.B. Gala , C.J. Prestigiacomo , C.D. Gandhi","doi":"10.1016/j.ejvsextra.2014.05.004","DOIUrl":"10.1016/j.ejvsextra.2014.05.004","url":null,"abstract":"<div><h3>Introduction</h3><p>Dural venous sinus thrombosis (DVST) is a rare but potentially fatal cerebrovascular condition. Pregnant women are at greater risk of DVST because of their hypercoagulable state.</p></div><div><h3>Report</h3><p>A 20-year-old post-partum woman presented to the emergency department after an episode of seizure and complained only of a headache and chest pain. A T<sub>1</sub>-weighted magnetic resonance (MR) image of her brain with contrast revealed an empty delta sign in her super sagittal sinus.</p></div><div><h3>Discussion</h3><p>Management of dural venous sinus thrombosis during or after pregnancy is a difficult issue that requires an approach based on the individual patient profile.</p></div>","PeriodicalId":100397,"journal":{"name":"EJVES Extra","volume":"27 5","pages":"Pages e41-e42"},"PeriodicalIF":0.0,"publicationDate":"2014-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ejvsextra.2014.05.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86313963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2014-07-01DOI: 10.1016/j.ejvsextra.2014.05.003
T. Aherne , F.M. Shaikh , P. Naughton , H. Mullett , D. Moneley
Introduction
Clinical manifestations of hypertrophic bifurcated distal biceps tendons are rarely described. We report the first known case of brachial arterial entrapment resulting from this unusual anatomical variable.
Report
A 24-year-old gentleman presented with positional upper limb ischaemic symptoms. Initial investigation was unremarkable. Operative exposure of the ante-cubital fossa revealed compression of the brachial artery by a hypertrophic bifurcated distal biceps tendon. Partial division of the tendon led to resolution of symptoms.
Discussion
In challenging cases of upper limb ischaemia surgical, intervention may be justified for both diagnostic and therapeutic purposes.
{"title":"Upper Limb Ischaemia Secondary to a Bifurcated Distal Biceps Tendon: A Case Report","authors":"T. Aherne , F.M. Shaikh , P. Naughton , H. Mullett , D. Moneley","doi":"10.1016/j.ejvsextra.2014.05.003","DOIUrl":"10.1016/j.ejvsextra.2014.05.003","url":null,"abstract":"<div><h3>Introduction</h3><p>Clinical manifestations of hypertrophic bifurcated distal biceps tendons are rarely described. We report the first known case of brachial arterial entrapment resulting from this unusual anatomical variable.</p></div><div><h3>Report</h3><p>A 24-year-old gentleman presented with positional upper limb ischaemic symptoms. Initial investigation was unremarkable. Operative exposure of the ante-cubital fossa revealed compression of the brachial artery by a hypertrophic bifurcated distal biceps tendon. Partial division of the tendon led to resolution of symptoms.</p></div><div><h3>Discussion</h3><p>In challenging cases of upper limb ischaemia surgical, intervention may be justified for both diagnostic and therapeutic purposes.</p></div>","PeriodicalId":100397,"journal":{"name":"EJVES Extra","volume":"27 5","pages":"Pages e39-e40"},"PeriodicalIF":0.0,"publicationDate":"2014-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ejvsextra.2014.05.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83125178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2014-07-01DOI: 10.1016/j.ejvsextra.2014.05.005
I. Ferraz de Oliveira , L. Mendes Pedro , Â. Nobre , J.P. Freire , R. Fernandes e Fernandes , L. Silvestre , J. Cravino , J. Fernandes e Fernandes
Introduction
Intravenous leiomyomatosis is a rare, life-threatening intravenous tumor associated with uterine leiomyomata.
Report
This report describes the case of a 45-year-old woman with a history of weakness and exertional dyspnea, and an extensive intracaval mass extending to the right side of the heart. The tumor was successfully removed in a two-stage surgical procedure with an inferior vena cava (IVC) filter deployed before the second stage. An extensive DVT was observed postoperatively.
Discussion
Surgical removal is the only effective treatment for intravenous leiomyomatosis, and the rate of recurrence remains unclear. An IVC filter should be placed routinely to prevent postoperative or late (in case of recurrence) pulmonary embolism.
{"title":"Surgical Treatment of Intravenous Leiomyomatosis: The Role of the IVC Filter","authors":"I. Ferraz de Oliveira , L. Mendes Pedro , Â. Nobre , J.P. Freire , R. Fernandes e Fernandes , L. Silvestre , J. Cravino , J. Fernandes e Fernandes","doi":"10.1016/j.ejvsextra.2014.05.005","DOIUrl":"10.1016/j.ejvsextra.2014.05.005","url":null,"abstract":"<div><h3>Introduction</h3><p>Intravenous leiomyomatosis is a rare, life-threatening intravenous tumor associated with uterine leiomyomata.</p></div><div><h3>Report</h3><p>This report describes the case of a 45-year-old woman with a history of weakness and exertional dyspnea, and an extensive intracaval mass extending to the right side of the heart. The tumor was successfully removed in a two-stage surgical procedure with an inferior vena cava (IVC) filter deployed before the second stage. An extensive DVT was observed postoperatively.</p></div><div><h3>Discussion</h3><p>Surgical removal is the only effective treatment for intravenous leiomyomatosis, and the rate of recurrence remains unclear. An IVC filter should be placed routinely to prevent postoperative or late (in case of recurrence) pulmonary embolism.</p></div>","PeriodicalId":100397,"journal":{"name":"EJVES Extra","volume":"27 5","pages":"Pages e43-e44"},"PeriodicalIF":0.0,"publicationDate":"2014-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ejvsextra.2014.05.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82197446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2014-07-01DOI: 10.1016/j.ejvsextra.2014.05.002
S. Schimansky , P.A. Naughton
Introduction
Bartonella spp. is a highly unusual cause of mycotic aneurysms. We describe the first case of an infected aortic aneurysm secondary to Bartonella henselae endocarditis in an immunocompromised patient.
Report
A 72-year-old woman presented with severe left lower quadrant pain. Computed tomography angiography showed an infrarenal mycotic aneurysm, and transoesophageal echocardiogram revealed aortic valve vegetation. Serology confirmed the presence of B. henselae endocarditis. Given the patient's comorbidities, the aneurysm was successfully treated by endovascular repair and antibiotic therapy.
Discussion
Endovascular stent-grafting is an alternative treatment option for mycotic aneurysms in high-risk patients who are unsuitable for open repair.
{"title":"A Case of an Infrarenal Mycotic Abdominal Aortic Aneurysm Caused by Bartonella henselae","authors":"S. Schimansky , P.A. Naughton","doi":"10.1016/j.ejvsextra.2014.05.002","DOIUrl":"10.1016/j.ejvsextra.2014.05.002","url":null,"abstract":"<div><h3>Introduction</h3><p><em>Bartonella</em> spp. is a highly unusual cause of mycotic aneurysms. We describe the first case of an infected aortic aneurysm secondary to <em>Bartonella henselae</em> endocarditis in an immunocompromised patient.</p></div><div><h3>Report</h3><p>A 72-year-old woman presented with severe left lower quadrant pain. Computed tomography angiography showed an infrarenal mycotic aneurysm, and transoesophageal echocardiogram revealed aortic valve vegetation. Serology confirmed the presence of <em>B. henselae</em> endocarditis. Given the patient's comorbidities, the aneurysm was successfully treated by endovascular repair and antibiotic therapy.</p></div><div><h3>Discussion</h3><p>Endovascular stent-grafting is an alternative treatment option for mycotic aneurysms in high-risk patients who are unsuitable for open repair.</p></div>","PeriodicalId":100397,"journal":{"name":"EJVES Extra","volume":"27 5","pages":"Pages e37-e38"},"PeriodicalIF":0.0,"publicationDate":"2014-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ejvsextra.2014.05.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75307161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2014-06-01DOI: 10.1016/j.ejvsextra.2014.02.003
J. Lo, J. Jedynak, F. Pond
Introduction
Spinal cord ischaemia (SCI) is a devastating complication of endovascular abdominal aortic aneurysm repair (EVAR), with a reported incidence of 0.2%. Interventions for SCI are largely derived from thoracic and thoracoabdominal aortic repairs.
Report
We report a case of acute neurological injury complicating an EVAR that was altered by spinal drain insertion and removal.
Discussion
This case highlights the need for appropriate consent of EVAR patients and the early utilisation of a spinal drain in the management of SCI.
{"title":"Spinal Cord Ischaemia Following Endovascular Repair of Abdominal Aortic Aneurysm: Result of Spinal Drain Insertion in a Rare Complication","authors":"J. Lo, J. Jedynak, F. Pond","doi":"10.1016/j.ejvsextra.2014.02.003","DOIUrl":"10.1016/j.ejvsextra.2014.02.003","url":null,"abstract":"<div><h3>Introduction</h3><p>Spinal cord ischaemia (SCI) is a devastating complication of endovascular abdominal aortic aneurysm repair (EVAR), with a reported incidence of 0.2%. Interventions for SCI are largely derived from thoracic and thoracoabdominal aortic repairs.</p></div><div><h3>Report</h3><p>We report a case of acute neurological injury complicating an EVAR that was altered by spinal drain insertion and removal.</p></div><div><h3>Discussion</h3><p>This case highlights the need for appropriate consent of EVAR patients and the early utilisation of a spinal drain in the management of SCI.</p></div>","PeriodicalId":100397,"journal":{"name":"EJVES Extra","volume":"27 4","pages":"Pages e29-e31"},"PeriodicalIF":0.0,"publicationDate":"2014-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ejvsextra.2014.02.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87550550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2014-06-01DOI: 10.1016/j.ejvsextra.2014.02.002
R. Chung, R. Morgan
Introduction
Lumbar arteries are a common cause of type 2 endoleaks. Standard transarterial embolisation and direct aneurysm sac puncture techniques are well described, but technical success of the former is frequently limited by tortuous and small communicating vessels, precluding microcatheter advancement into the endoleak nidus.
Report
We describe a technique of successful lumbar endoleak nidus embolisation from a remote arterial location with low viscosity Onyx, despite inability to physically catheterise the endoleak nidus.
Discussion
Onyx is a versatile embolic agent, and in conjunction with our described technique, should increase the technical success rates of these procedures.
{"title":"Technical Note: “Remote” Transarterial Embolisation Technique of Lumbar Artery Type 2 Endoleaks with Onyx","authors":"R. Chung, R. Morgan","doi":"10.1016/j.ejvsextra.2014.02.002","DOIUrl":"10.1016/j.ejvsextra.2014.02.002","url":null,"abstract":"<div><h3>Introduction</h3><p>Lumbar arteries are a common cause of type 2 endoleaks. Standard transarterial embolisation and direct aneurysm sac puncture techniques are well described, but technical success of the former is frequently limited by tortuous and small communicating vessels, precluding microcatheter advancement into the endoleak nidus.</p></div><div><h3>Report</h3><p>We describe a technique of successful lumbar endoleak nidus embolisation from a remote arterial location with low viscosity Onyx, despite inability to physically catheterise the endoleak nidus.</p></div><div><h3>Discussion</h3><p>Onyx is a versatile embolic agent, and in conjunction with our described technique, should increase the technical success rates of these procedures.</p></div>","PeriodicalId":100397,"journal":{"name":"EJVES Extra","volume":"27 4","pages":"Pages e32-e33"},"PeriodicalIF":0.0,"publicationDate":"2014-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ejvsextra.2014.02.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73379493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2014-06-01DOI: 10.1016/j.ejvsextra.2014.05.001
S.J. Go , S.G. Lee , M.-S. Lee , B.S. Cho , M.K. Lee , Y.J. Choi , C.N. Kim , Y.J. Kang , J.S. Park , H.Y. Han
Introduction
There are few reports in the literature of gastroepiploic artery aneurysm (GEAA). Therefore, there are still no established guidelines for its management.
Report
A 55-year-old woman presented to the emergency department with abdominal pain. Computed tomography revealed a large hematoma around the stomach with contrast extravasation at the right GEAA. An emergency laparoscopic aneurysmectomy was performed.
Discussion
We report our experience of successful laparoscopic aneurysmectomy for a ruptured GEAA.
{"title":"Ruptured Gastroepiploic Artery Aneurysm as an Unusual Cause of Hemoperitoneum","authors":"S.J. Go , S.G. Lee , M.-S. Lee , B.S. Cho , M.K. Lee , Y.J. Choi , C.N. Kim , Y.J. Kang , J.S. Park , H.Y. Han","doi":"10.1016/j.ejvsextra.2014.05.001","DOIUrl":"10.1016/j.ejvsextra.2014.05.001","url":null,"abstract":"<div><h3>Introduction</h3><p>There are few reports in the literature of gastroepiploic artery aneurysm (GEAA). Therefore, there are still no established guidelines for its management.</p></div><div><h3>Report</h3><p>A 55-year-old woman presented to the emergency department with abdominal pain. Computed tomography revealed a large hematoma around the stomach with contrast extravasation at the right GEAA. An emergency laparoscopic aneurysmectomy was performed.</p></div><div><h3>Discussion</h3><p>We report our experience of successful laparoscopic aneurysmectomy for a ruptured GEAA.</p></div>","PeriodicalId":100397,"journal":{"name":"EJVES Extra","volume":"27 4","pages":"Pages e27-e28"},"PeriodicalIF":0.0,"publicationDate":"2014-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ejvsextra.2014.05.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83226115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2014-06-01DOI: 10.1016/j.ejvsextra.2014.02.001
M. Woods, D. Moneley
Introduction
Occipital artery pseudoaneurysm is an extremely rare complication of head trauma with fewer than 15 reported cases in the literature.
Report
A 91-year-old man presented with a pulsatile, bleeding occipital mass 4 weeks following a fall. A clinical diagnosis of occipital artery pseudoaneurysm was made. The lesion was treated with surgery under local anaesthetic without complication.
Discussion
Occipital artery pseudoaneurysm following trauma can be diagnosed clinically or radiologically. Proposed treatments include conservative management, surgery, or endovascular treatment. In our case we made a clinical diagnosis and found surgery under local anaesthetic to be a very effective treatment.
{"title":"Occipital Artery Pseudoaneurysm: A Rare Complication of Head Trauma","authors":"M. Woods, D. Moneley","doi":"10.1016/j.ejvsextra.2014.02.001","DOIUrl":"10.1016/j.ejvsextra.2014.02.001","url":null,"abstract":"<div><h3>Introduction</h3><p>Occipital artery pseudoaneurysm is an extremely rare complication of head trauma with fewer than 15 reported cases in the literature.</p></div><div><h3>Report</h3><p>A 91-year-old man presented with a pulsatile, bleeding occipital mass 4 weeks following a fall. A clinical diagnosis of occipital artery pseudoaneurysm was made. The lesion was treated with surgery under local anaesthetic without complication.</p></div><div><h3>Discussion</h3><p>Occipital artery pseudoaneurysm following trauma can be diagnosed clinically or radiologically. Proposed treatments include conservative management, surgery, or endovascular treatment. In our case we made a clinical diagnosis and found surgery under local anaesthetic to be a very effective treatment.</p></div>","PeriodicalId":100397,"journal":{"name":"EJVES Extra","volume":"27 4","pages":"Pages e34-e35"},"PeriodicalIF":0.0,"publicationDate":"2014-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ejvsextra.2014.02.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77402716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2014-03-01DOI: 10.1016/j.ejvsextra.2014.01.002
E.M. San Norberto, J.A. Brizuela, J.H. Taylor, S. Carrera, M.A. Ibáñez, C. Vaquero
Introduction
There is no evidence on which to base the ideal technique for the treatment of aorto-enteric fistulas (AEFs).
Report
A 54-year-old man presented with an AEF. He had previously undergone aortobifemoral bypass with an end-to-side proximal anastomosis. An Endurant II aorto-uni-iliac endograft and a Complete SE stent soaked in rifampicin were implanted. After 12 hours, a second staged intervention was performed. The original graft was removed and the communication with the duodenum was repaired.
Discussion
A staged combination of endovascular repair for acute bleeding control and open surgical treatment, combined with systemic and local antibiotics might be considered the option of choice.
{"title":"Endovascular Treatment is an Accurate Option for Aortoenteric Secondary Fistulae in TASC D Patients","authors":"E.M. San Norberto, J.A. Brizuela, J.H. Taylor, S. Carrera, M.A. Ibáñez, C. Vaquero","doi":"10.1016/j.ejvsextra.2014.01.002","DOIUrl":"10.1016/j.ejvsextra.2014.01.002","url":null,"abstract":"<div><h3>Introduction</h3><p>There is no evidence on which to base the ideal technique for the treatment of aorto-enteric fistulas (AEFs).</p></div><div><h3>Report</h3><p>A 54-year-old man presented with an AEF. He had previously undergone aortobifemoral bypass with an end-to-side proximal anastomosis. An Endurant II aorto-uni-iliac endograft and a Complete SE stent soaked in rifampicin were implanted. After 12 hours, a second staged intervention was performed. The original graft was removed and the communication with the duodenum was repaired.</p></div><div><h3>Discussion</h3><p>A staged combination of endovascular repair for acute bleeding control and open surgical treatment, combined with systemic and local antibiotics might be considered the option of choice.</p></div>","PeriodicalId":100397,"journal":{"name":"EJVES Extra","volume":"27 3","pages":"Pages e24-e26"},"PeriodicalIF":0.0,"publicationDate":"2014-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ejvsextra.2014.01.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82076771","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2014-03-01DOI: 10.1016/j.ejvsextra.2013.11.003
B. Green, A. Brown, S. England, K. Overbeck
Introduction
Aortoduodenal syndrome is exceedingly rare and characterized by duodenal obstruction from a large abdominal aortic aneurysm. Traditionally, treatment is by open aneurysm repair, aneurysmorraphy, and duodenal release. This approach carries a significant mortality. Endovascular aneurysm repair has not been used before in this condition as it was felt that the duodenal obstruction would still require surgical decompression.
Report
We report two patients with aortoduodenal syndrome successfully treated by endovascular stent graft alone.
Discussion
The pathophysiology of this syndrome is reviewed and a new hypothesis of a dynamic element in aortoduodenal syndrome presented.
{"title":"Endovascular Management of Aortoduodenal Syndrome: A Novel Treatment for a Rare Condition","authors":"B. Green, A. Brown, S. England, K. Overbeck","doi":"10.1016/j.ejvsextra.2013.11.003","DOIUrl":"10.1016/j.ejvsextra.2013.11.003","url":null,"abstract":"<div><h3>Introduction</h3><p>Aortoduodenal syndrome is exceedingly rare and characterized by duodenal obstruction from a large abdominal aortic aneurysm. Traditionally, treatment is by open aneurysm repair, aneurysmorraphy, and duodenal release. This approach carries a significant mortality. Endovascular aneurysm repair has not been used before in this condition as it was felt that the duodenal obstruction would still require surgical decompression.</p></div><div><h3>Report</h3><p>We report two patients with aortoduodenal syndrome successfully treated by endovascular stent graft alone.</p></div><div><h3>Discussion</h3><p>The pathophysiology of this syndrome is reviewed and a new hypothesis of a dynamic element in aortoduodenal syndrome presented.</p></div>","PeriodicalId":100397,"journal":{"name":"EJVES Extra","volume":"27 3","pages":"Pages e17-e18"},"PeriodicalIF":0.0,"publicationDate":"2014-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ejvsextra.2013.11.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77474193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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