Pub Date : 2019-01-01DOI: 10.35248/2329-6925.19.7.384
S. Mokhtari, A. Rezziki, A. Benzirar, O. Mahi
Predominantly found in the descending thoracic aorta, Penetrating Atherosclerotic Ulcer (PAU) is uncommon in the infra-renal abdominal aorta. It is defined as atherosclerotic lesions with ulceration of the aortic intima and media, and rupture of the internal elastic lamina. PAU is considered as a rare serious clinical entity that may induce aortic dissection, aortic rupture, and secular aortic aneurysm typically occurs in elderly hypertensive patients with severe systemic atherosclerosis disease. The treatment of PAU remains a subject of considerable controversy. With the development of percutaneous techniques of stent placement, stenting has emerged as a new option in the treatment of abdominal aorta PAU. We report a 68 years old man with PAU being diagnosed with symptoms of intermittent claudication of both lower limbs; that underwent intraluminal stenting. The technical success rate was 100%. We obtained excellent short and medium term clinical success without finding any complications related. Although open surgical repair is an effective therapeutic option, endovascular treatment of abdominal aortic PAU is a safe attractive alternative to surgery therapy that should be considered as the treatment of choice. Keywords: Claudication penetrating atherosclerotic ulcer; Angioplasty; Palmaz stent; Abdominal aorta
{"title":"Percutaneous Transluminal Stenting of Infra-Renal Abdominal Aorta Penetrating Atherosclerotic Ulcer","authors":"S. Mokhtari, A. Rezziki, A. Benzirar, O. Mahi","doi":"10.35248/2329-6925.19.7.384","DOIUrl":"https://doi.org/10.35248/2329-6925.19.7.384","url":null,"abstract":"Predominantly found in the descending thoracic aorta, Penetrating Atherosclerotic Ulcer (PAU) is uncommon in the infra-renal abdominal aorta. It is defined as atherosclerotic lesions with ulceration of the aortic intima and media, and rupture of the internal elastic lamina. PAU is considered as a rare serious clinical entity that may induce aortic dissection, aortic rupture, and secular aortic aneurysm typically occurs in elderly hypertensive patients with severe systemic atherosclerosis disease. The treatment of PAU remains a subject of considerable controversy. With the development of percutaneous techniques of stent placement, stenting has emerged as a new option in the treatment of abdominal aorta PAU. We report a 68 years old man with PAU being diagnosed with symptoms of intermittent claudication of both lower limbs; that underwent intraluminal stenting. The technical success rate was 100%. We obtained excellent short and medium term clinical success without finding any complications related. Although open surgical repair is an effective therapeutic option, endovascular treatment of abdominal aortic PAU is a safe attractive alternative to surgery therapy that should be considered as the treatment of choice. Keywords: Claudication penetrating atherosclerotic ulcer; Angioplasty; Palmaz stent; Abdominal aorta","PeriodicalId":17397,"journal":{"name":"Journal of Vascular Medicine & Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86361645","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-10-05DOI: 10.4172/2329-6925.1000370
S. Benallal, M. N. Bouayed
Behcet’s disease is a chronic inflammatory systemic disease of indeterminate etiology evolving by push, characterized by an oral bipolar aphtosis and ocular involvement. Vascular manifestations or angio-Behcet are dominated by venous thrombosis (80%), arterial involvement is rare, but they are often multifocal revealed much more by aneurysms than thromboses, whose risk is the rupture that can engage the life-threatening. Medical therapy with corticosteroids and immunosuppressants should be considered before and after any surgical treatment. We report the case of a 35-year-old man with a history of Behcet’s disease, admitted as part of the emergency for a preoperative carotid bulb aneurysm, who had undergone a flattening and closure of the internal carotid artery by prosthetic patch reinforced by pladjets. The evolution was good and medical treatment is undertaken.
{"title":"Carotid False Aneurysm: Complication of Behcet's Disease","authors":"S. Benallal, M. N. Bouayed","doi":"10.4172/2329-6925.1000370","DOIUrl":"https://doi.org/10.4172/2329-6925.1000370","url":null,"abstract":"Behcet’s disease is a chronic inflammatory systemic disease of indeterminate etiology evolving by push, characterized by an oral bipolar aphtosis and ocular involvement. Vascular manifestations or angio-Behcet are dominated by venous thrombosis (80%), arterial involvement is rare, but they are often multifocal revealed much more by aneurysms than thromboses, whose risk is the rupture that can engage the life-threatening. Medical therapy with corticosteroids and immunosuppressants should be considered before and after any surgical treatment. We report the case of a 35-year-old man with a history of Behcet’s disease, admitted as part of the emergency for a preoperative carotid bulb aneurysm, who had undergone a flattening and closure of the internal carotid artery by prosthetic patch reinforced by pladjets. The evolution was good and medical treatment is undertaken.","PeriodicalId":17397,"journal":{"name":"Journal of Vascular Medicine & Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88071691","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-02-04DOI: 10.4172/2329-6925.1000355
B. Nadia, Ben Mami Faika
Background: Diabetes and cardiovascular mortality in diabetic patients present a major public health problem worldwide. Methods: Framingham Risk Score and European Risk Score to evaluate the cardiovascular status of 100 Tunisian diabetic patients. Results: On the one hand, there was not a difference between the two types of diabetes. On the other hand, there is a difference between the two used scores. Conclusion: Using the score for assessment of cardiovascular risk in diabetic patients must be interpreted by many factors.
{"title":"Cardiovascular Risk in Tunisian Diabetic Patients","authors":"B. Nadia, Ben Mami Faika","doi":"10.4172/2329-6925.1000355","DOIUrl":"https://doi.org/10.4172/2329-6925.1000355","url":null,"abstract":"Background: Diabetes and cardiovascular mortality in diabetic patients present a major public health problem worldwide. \u0000Methods: Framingham Risk Score and European Risk Score to evaluate the cardiovascular status of 100 Tunisian diabetic patients. \u0000Results: On the one hand, there was not a difference between the two types of diabetes. On the other hand, there is a difference between the two used scores. \u0000Conclusion: Using the score for assessment of cardiovascular risk in diabetic patients must be interpreted by many factors.","PeriodicalId":17397,"journal":{"name":"Journal of Vascular Medicine & Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89440632","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-01-18DOI: 10.4172/2329-6925.1000356
O. Karcioglu, N. Koyuncu
Out-of-hospital cardiac arrests (OHCA) is the plague of the modern day and therapeutic hypothermia (TH) is launched to be a remedy against this. TH is practised mainly in the treatment of adult cardiac arrest and neonatal hypoxic-ischemic encephalopathy. Despite the improved benefits of mild TH, there are commonly overlooked complications associated during management. TH may cause an increase in insulin resistance and a reduction in insulin levels which result in hyperglycemia. Studies showed a significantly increased incidence of meningitis, pneumonia and wound infections. Hypothermia was also reportedly associated with increased blood loss and transfusions. In addition, electrolyte abnormalities such as hypokalaemia, hypomagnesaemia, hypophosphatemia, hypo- and hyperglycaemia have been described during TH. The procedure has also been shown to incite mild metabolic acidosis. This article reviews the current literature to provide systematic data regarding adverse and untoward effects attributed to the procedure of TH in the emergency setting.
{"title":"Untoward Effects in the Practice of Therapeutic Hypothermia: A Literature Update","authors":"O. Karcioglu, N. Koyuncu","doi":"10.4172/2329-6925.1000356","DOIUrl":"https://doi.org/10.4172/2329-6925.1000356","url":null,"abstract":"Out-of-hospital cardiac arrests (OHCA) is the plague of the modern day and therapeutic hypothermia (TH) is launched to be a remedy against this. TH is practised mainly in the treatment of adult cardiac arrest and neonatal hypoxic-ischemic encephalopathy. Despite the improved benefits of mild TH, there are commonly overlooked complications associated during management. TH may cause an increase in insulin resistance and a reduction in insulin levels which result in hyperglycemia. Studies showed a significantly increased incidence of meningitis, pneumonia and wound infections. Hypothermia was also reportedly associated with increased blood loss and transfusions. In addition, electrolyte abnormalities such as hypokalaemia, hypomagnesaemia, hypophosphatemia, hypo- and hyperglycaemia have been described during TH. The procedure has also been shown to incite mild metabolic acidosis. This article reviews the current literature to provide systematic data regarding adverse and untoward effects attributed to the procedure of TH in the emergency setting.","PeriodicalId":17397,"journal":{"name":"Journal of Vascular Medicine & Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83857128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-01-01DOI: 10.4172/2329-6925.1000E122
J. Krupiński
{"title":"Vascular Injury-Platelet or Endothelial","authors":"J. Krupiński","doi":"10.4172/2329-6925.1000E122","DOIUrl":"https://doi.org/10.4172/2329-6925.1000E122","url":null,"abstract":"","PeriodicalId":17397,"journal":{"name":"Journal of Vascular Medicine & Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80118593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-01-01DOI: 10.4172/2329-6925.1000359
Rezziki Abdellah, Anane Oussama, Abuatayef Taha, Alzaarir Houssam, Benzirar Adnane, E. Omar, J. Dark
Introduction: The incidence of stenosis of the subclavian artery represents 3-4% of the general population; atherosclerosis is the most common cause. We conducted this study to review the stenocclusive pathology of the subclavian artery, and to expose our experience in surgical and endovascular management. Material and methods: It is a retrospective and analytical study conducted within the department of vascular surgery of Mohammed VI CHU concerning four observations of patients hospitalized between September 2014 and October 2016 for symptomatic subclavian artery stenosis. Results: The average age of our patients was 78 years, 3 women and one man; atheroma was the cause of the stenosis in all cases. Surgical treatment consisted of subclavio-carotid transposition in 2 cases, carotid-bypass grafting in one case and angioplasty with stent placement in the latter case. Conclusion: It is important for the surgeon to have a thorough understanding of the anatomy and etiology of subclavian artery stenosis, while considering the surgical options. This case series presents some of the treatment options available to vascular surgeons for the management of symptomatic subclavian artery disease.
{"title":"Revascularization of the Subclavian Artery","authors":"Rezziki Abdellah, Anane Oussama, Abuatayef Taha, Alzaarir Houssam, Benzirar Adnane, E. Omar, J. Dark","doi":"10.4172/2329-6925.1000359","DOIUrl":"https://doi.org/10.4172/2329-6925.1000359","url":null,"abstract":"Introduction: The incidence of stenosis of the subclavian artery represents 3-4% of the general population; atherosclerosis is the most common cause. We conducted this study to review the stenocclusive pathology of the subclavian artery, and to expose our experience in surgical and endovascular management. Material and methods: It is a retrospective and analytical study conducted within the department of vascular surgery of Mohammed VI CHU concerning four observations of patients hospitalized between September 2014 and October 2016 for symptomatic subclavian artery stenosis. Results: The average age of our patients was 78 years, 3 women and one man; atheroma was the cause of the stenosis in all cases. Surgical treatment consisted of subclavio-carotid transposition in 2 cases, carotid-bypass grafting in one case and angioplasty with stent placement in the latter case. Conclusion: It is important for the surgeon to have a thorough understanding of the anatomy and etiology of subclavian artery stenosis, while considering the surgical options. This case series presents some of the treatment options available to vascular surgeons for the management of symptomatic subclavian artery disease.","PeriodicalId":17397,"journal":{"name":"Journal of Vascular Medicine & Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72746276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-01-01DOI: 10.4172/2329-6925.1000364
M. Talle, F. Buba, Ahmed A. Abulfathi, M. Baba
Sinus of Valsalva Aneurysm (SVA) is a rare cardiac condition that is commonly congenital. Acquired SVA is very rare, resulting from infections affecting the aortic wall, degenerative diseases or traumatic injury to the chest. Left SVAs are usually acquired, especially when associated with rupture into the left heart. We present a case of ruptured left SVA in a female Nigerian Septuagenarian who presented with congestive cardiac failure.
{"title":"Ruptured Left Sinus of Valsalva Aneurysm in a Female Nigerian Septuagenarian","authors":"M. Talle, F. Buba, Ahmed A. Abulfathi, M. Baba","doi":"10.4172/2329-6925.1000364","DOIUrl":"https://doi.org/10.4172/2329-6925.1000364","url":null,"abstract":"Sinus of Valsalva Aneurysm (SVA) is a rare cardiac condition that is commonly congenital. Acquired SVA is very rare, resulting from infections affecting the aortic wall, degenerative diseases or traumatic injury to the chest. Left SVAs are usually acquired, especially when associated with rupture into the left heart. We present a case of ruptured left SVA in a female Nigerian Septuagenarian who presented with congestive cardiac failure.","PeriodicalId":17397,"journal":{"name":"Journal of Vascular Medicine & Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83207292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-01-01DOI: 10.4172/2329-6925.1000361
L. Fondjo, Owiredu Wkba, S. Sakyi, C. Obirikorang, D. Wilfred, R. Ephraim
Background: Pregnant women with hypertension are at an increased risk of renal impairment. This study assessed the use of CKD-EPI and 4v-MDRD for early diagnosis of renal impairment in pregnant women with hypertension. Methods: This case-control study was conducted at Suntreso Government Hospital Kumasi, Ghana. In all, 220 pregnant women were recruited, 84 had Gestational Hypertension, 36 had Preeclampsia, with 100 normotensive pregnant women as controls. Structured Questionnaires were used to obtain socio-demographic and clinical information. 4 mL of venous blood was collected for estimation of electrolytes, urea, creatinine and uric acid; urine was collected for estimation of protein using dipstick. The Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) and Modification of Diet in Renal Disease (MDRD-4) equations were used to assess and classify renal impairments. Results: Prevalence of renal impairment using CKD-EPI and MDRD-4 was 4.1% and 0.5% respectively. CKDEPI identified 22.2% of women with preeclampsia as having renal impairment whereas MDRD-4 identified 2.8%. Using CKD-EPI and MDRD-4, eGFR was significantly higher in the controls compared to the cases, (p<0.001). Sodium, chloride, urea, creatinine, uric acid was significantly increased in the hypertensive women. Conclusion: Renal impairment is common in hypertensive pregnant women. CKD-EPI is better equation in early detection of renal impairment in pregnant women and should be adopted as the tool for assessing renal dysfunction during routine antenatal examinations to prevent end-stage renal diseases.
{"title":"CKD-EPI is a Better Tool for Detecting Renal Dysfunction in Hypertensive Pregnancy: A Case-Control Study in Ghana","authors":"L. Fondjo, Owiredu Wkba, S. Sakyi, C. Obirikorang, D. Wilfred, R. Ephraim","doi":"10.4172/2329-6925.1000361","DOIUrl":"https://doi.org/10.4172/2329-6925.1000361","url":null,"abstract":"Background: Pregnant women with hypertension are at an increased risk of renal impairment. This study assessed the use of CKD-EPI and 4v-MDRD for early diagnosis of renal impairment in pregnant women with hypertension. Methods: This case-control study was conducted at Suntreso Government Hospital Kumasi, Ghana. In all, 220 pregnant women were recruited, 84 had Gestational Hypertension, 36 had Preeclampsia, with 100 normotensive pregnant women as controls. Structured Questionnaires were used to obtain socio-demographic and clinical information. 4 mL of venous blood was collected for estimation of electrolytes, urea, creatinine and uric acid; urine was collected for estimation of protein using dipstick. The Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) and Modification of Diet in Renal Disease (MDRD-4) equations were used to assess and classify renal impairments. Results: Prevalence of renal impairment using CKD-EPI and MDRD-4 was 4.1% and 0.5% respectively. CKDEPI identified 22.2% of women with preeclampsia as having renal impairment whereas MDRD-4 identified 2.8%. Using CKD-EPI and MDRD-4, eGFR was significantly higher in the controls compared to the cases, (p<0.001). Sodium, chloride, urea, creatinine, uric acid was significantly increased in the hypertensive women. Conclusion: Renal impairment is common in hypertensive pregnant women. CKD-EPI is better equation in early detection of renal impairment in pregnant women and should be adopted as the tool for assessing renal dysfunction during routine antenatal examinations to prevent end-stage renal diseases.","PeriodicalId":17397,"journal":{"name":"Journal of Vascular Medicine & Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87891559","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-01-01DOI: 10.4172/2329-6925.1000357
J. Špegár, T. Irvine, C. Roysam, J. Dark
A 53 year old gentleman with previous tissue AVR and mitral valve repair in 2011 was admitted for redo AVR and MVR. On perioperative TOE we noted an echogenic structure projecting into the left atrium just above the anterior mitral valve leaflet. It was difficult to characterise on 2D TOE but 3D TOE views immediately revealed it was the mitral annuloplasty ring which had detached from the posterior annulus.
{"title":"Imaging of a Detached Mitral Annuloplasty Ring by Intra-Operative 3D Transoesophageal Echocardiography: A Case Report","authors":"J. Špegár, T. Irvine, C. Roysam, J. Dark","doi":"10.4172/2329-6925.1000357","DOIUrl":"https://doi.org/10.4172/2329-6925.1000357","url":null,"abstract":"A 53 year old gentleman with previous tissue AVR and mitral valve repair in 2011 was admitted for redo AVR and MVR. On perioperative TOE we noted an echogenic structure projecting into the left atrium just above the anterior mitral valve leaflet. It was difficult to characterise on 2D TOE but 3D TOE views immediately revealed it was the mitral annuloplasty ring which had detached from the posterior annulus.","PeriodicalId":17397,"journal":{"name":"Journal of Vascular Medicine & Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77341165","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-01-01DOI: 10.4172/2329-6925.1000362
Najdat Bazarbashi, S. Siddique, Abdelhameed Elsayed, T. Mohammed, Ahmad Alshammari, C. Alexiou
Thymomas are one of the most common tumors of the anterior mediastinum afflicting adult population. Approximately half of the patients have no complaints, and the diagnosis is, made incidentally on the chest radiograph done for different issues. However, symptoms may arise from compression of the mass on the trachea, the recurrent laryngeal nerve, the esophagus, the superior vena cava or other mediastnal structures. Invasive thymoma with transcaval extension to the right atrium is a rare cause of superior vena cava syndrome. We present a case of a 63-year-old man presenting with dyspnea on exertion and facial and upper extremity swelling. Physical examination showed marked edema of face, upper torso and distention of superficial veins of the anterior chest wall and jugular veins. On elaborate investigations, it was revealed to be a case of Type B1 Masoka IVA invasive thymoma. The mass was removed employing open-heart surgery along with SVC reconstruction.
{"title":"Thymoma Inducing Superior Vena Caval Syndrome","authors":"Najdat Bazarbashi, S. Siddique, Abdelhameed Elsayed, T. Mohammed, Ahmad Alshammari, C. Alexiou","doi":"10.4172/2329-6925.1000362","DOIUrl":"https://doi.org/10.4172/2329-6925.1000362","url":null,"abstract":"Thymomas are one of the most common tumors of the anterior mediastinum afflicting adult population. Approximately half of the patients have no complaints, and the diagnosis is, made incidentally on the chest radiograph done for different issues. However, symptoms may arise from compression of the mass on the trachea, the recurrent laryngeal nerve, the esophagus, the superior vena cava or other mediastnal structures. Invasive thymoma with transcaval extension to the right atrium is a rare cause of superior vena cava syndrome. We present a case of a 63-year-old man presenting with dyspnea on exertion and facial and upper extremity swelling. Physical examination showed marked edema of face, upper torso and distention of superficial veins of the anterior chest wall and jugular veins. On elaborate investigations, it was revealed to be a case of Type B1 Masoka IVA invasive thymoma. The mass was removed employing open-heart surgery along with SVC reconstruction.","PeriodicalId":17397,"journal":{"name":"Journal of Vascular Medicine & Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90208974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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