Pub Date : 2026-01-23DOI: 10.1016/j.jvscit.2026.102164
Matthew Smeds (Editor)
{"title":"Information for Authors","authors":"Matthew Smeds (Editor)","doi":"10.1016/j.jvscit.2026.102164","DOIUrl":"10.1016/j.jvscit.2026.102164","url":null,"abstract":"","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 1","pages":"Article 102164"},"PeriodicalIF":0.7,"publicationDate":"2026-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146022223","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 : 2026-01-23DOI: 10.1016/S2468-4287(26)00005-5
{"title":"Events of Interest","authors":"","doi":"10.1016/S2468-4287(26)00005-5","DOIUrl":"10.1016/S2468-4287(26)00005-5","url":null,"abstract":"","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 1","pages":"Article 102122"},"PeriodicalIF":0.7,"publicationDate":"2026-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146023039","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 : 2026-01-23DOI: 10.1016/S2468-4287(26)00003-1
{"title":"Information for Readers","authors":"","doi":"10.1016/S2468-4287(26)00003-1","DOIUrl":"10.1016/S2468-4287(26)00003-1","url":null,"abstract":"","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 1","pages":"Article 102120"},"PeriodicalIF":0.7,"publicationDate":"2026-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146022222","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 : 2026-01-07DOI: 10.1016/j.jvscit.2026.102136
Agustin Borjon MD, Luca Di Tonno MD, Anatoly J. Bulkin MD
A 62-year-old woman presented with epigastric pain and elevated liver function test results. Magnetic resonance cholangiopancreatography showed a 10-mm common bile duct, with a 3-cm aneurysm in what was believed to be from the superior mesenteric artery. Follow-up computed tomography angiography showed that this was actually from the inferior pancreaticoduodenal artery. The celiac artery had a flush occlusion. A major collateral pathway was present between the inferior and superior pancreaticoduodenal arteries, which supplied the hepatic and splenic circulation. Open surgery with aneurysm resection and bypass from the infrarenal aorta to the normal inferior pancreaticoduodenal artery using saphenous vein was performed.
{"title":"Treatment of a pancreaticoduodenal artery aneurysm with greater saphenous vein bypass for preservation of hepatic flow in a patient with celiac occlusion","authors":"Agustin Borjon MD, Luca Di Tonno MD, Anatoly J. Bulkin MD","doi":"10.1016/j.jvscit.2026.102136","DOIUrl":"10.1016/j.jvscit.2026.102136","url":null,"abstract":"<div><div>A 62-year-old woman presented with epigastric pain and elevated liver function test results. Magnetic resonance cholangiopancreatography showed a 10-mm common bile duct, with a 3-cm aneurysm in what was believed to be from the superior mesenteric artery. Follow-up computed tomography angiography showed that this was actually from the inferior pancreaticoduodenal artery. The celiac artery had a flush occlusion. A major collateral pathway was present between the inferior and superior pancreaticoduodenal arteries, which supplied the hepatic and splenic circulation. Open surgery with aneurysm resection and bypass from the infrarenal aorta to the normal inferior pancreaticoduodenal artery using saphenous vein was performed.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 2","pages":"Article 102136"},"PeriodicalIF":0.7,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146078611","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 : 2026-01-07DOI: 10.1016/j.jvscit.2026.102140
Neel A. Mansukhani MD, MS , Andre Y. Son MD, MS , Eric B. Pillado MD, MBA , Beth Whippo MSN , Andrew W. Hoel MD , Christopher K. Mehta MD
We present a complex aortic reconstruction for a 60-year-old patient presented with chronic type B aortic dissection, with a large proximal entry tear in zone 3, aneurysmal degeneration in the distal arch, and a small true lumen with a calcified septum. Endovascular options were limited by a poor proximal landing zone, difficulty excluding the arch pseudoaneurysm while maintaining true and false lumen flow, lack of septal fenestrations, and a calcified septum. Open extent 2 thoracoabdominal repair carried a significantly higher risk compared with sternotomy and ascending aortic and arch replacement due to the patient size and underlying chronic obstructive pulmonary disease. The patient was not tested for connective tissue disease given age, comorbid conditions, absence of a family history of aortopathy, and no stigmata of connective tissue disease. We describe a hybrid arch reconstruction with “double-barrel” frozen elephant trunks and extension thoracic endovascular aortic repair to address a complex chronic aortic dissection. This technique may be useful in select cases of complex aortic dissection.
{"title":"Complex aortic reconstruction using double-barrel frozen elephant trunks","authors":"Neel A. Mansukhani MD, MS , Andre Y. Son MD, MS , Eric B. Pillado MD, MBA , Beth Whippo MSN , Andrew W. Hoel MD , Christopher K. Mehta MD","doi":"10.1016/j.jvscit.2026.102140","DOIUrl":"10.1016/j.jvscit.2026.102140","url":null,"abstract":"<div><div>We present a complex aortic reconstruction for a 60-year-old patient presented with chronic type B aortic dissection, with a large proximal entry tear in zone 3, aneurysmal degeneration in the distal arch, and a small true lumen with a calcified septum. Endovascular options were limited by a poor proximal landing zone, difficulty excluding the arch pseudoaneurysm while maintaining true and false lumen flow, lack of septal fenestrations, and a calcified septum. Open extent 2 thoracoabdominal repair carried a significantly higher risk compared with sternotomy and ascending aortic and arch replacement due to the patient size and underlying chronic obstructive pulmonary disease. The patient was not tested for connective tissue disease given age, comorbid conditions, absence of a family history of aortopathy, and no stigmata of connective tissue disease. We describe a hybrid arch reconstruction with “double-barrel” frozen elephant trunks and extension thoracic endovascular aortic repair to address a complex chronic aortic dissection. This technique may be useful in select cases of complex aortic dissection.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 2","pages":"Article 102140"},"PeriodicalIF":0.7,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146078608","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 : 2026-01-05DOI: 10.1016/j.jvscit.2026.102129
Christian H. Summa DO , Christopher A. DeMaioribus MD , Daniel Swink MD , Joseph AbouAyash BS , Shivprasad Nikam MD , Boyoung Song MD , Evan J. Ryer MD , Melissa A. Obmann DO
Kommerell's diverticulum (KD) is a rare aortic arch anomaly associated with aberrant subclavian arteries and risk of rupture. We present an 80-year-old woman with a right-sided aortic arch and aberrant left subclavian artery arising from a 5.0-cm KD. A staged hybrid repair was performed: right carotid-subclavian bypass, thoracic endovascular aortic repair, and embolization of the aberrant subclavian artery. Postoperative imaging confirmed complete exclusion of the diverticulum and a patent bypass graft. This case illustrates the safety and effectiveness of hybrid repair for KD in complex arch anatomy, offering a less invasive alternative to open surgery.
Kommerell憩室（KD）是一种罕见的主动脉弓异常，与锁骨下动脉异常有关，有破裂的危险。我们报告一位80岁的女性，右侧主动脉弓和由5.0 cm KD引起的左侧锁骨下动脉异常。进行了分阶段的混合修复：右颈动脉-锁骨下搭桥，胸血管内主动脉修复，以及异常的锁骨下动脉栓塞。术后影像学证实憩室完全排除，旁路移植通畅。该病例说明了复合修复复杂弓解剖KD的安全性和有效性，为开放手术提供了一种侵入性较小的选择。
{"title":"Hybrid repair of Kommerell's diverticulum with aberrant subclavian artery","authors":"Christian H. Summa DO , Christopher A. DeMaioribus MD , Daniel Swink MD , Joseph AbouAyash BS , Shivprasad Nikam MD , Boyoung Song MD , Evan J. Ryer MD , Melissa A. Obmann DO","doi":"10.1016/j.jvscit.2026.102129","DOIUrl":"10.1016/j.jvscit.2026.102129","url":null,"abstract":"<div><div>Kommerell's diverticulum (KD) is a rare aortic arch anomaly associated with aberrant subclavian arteries and risk of rupture. We present an 80-year-old woman with a right-sided aortic arch and aberrant left subclavian artery arising from a 5.0-cm KD. A staged hybrid repair was performed: right carotid-subclavian bypass, thoracic endovascular aortic repair, and embolization of the aberrant subclavian artery. Postoperative imaging confirmed complete exclusion of the diverticulum and a patent bypass graft. This case illustrates the safety and effectiveness of hybrid repair for KD in complex arch anatomy, offering a less invasive alternative to open surgery.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 2","pages":"Article 102129"},"PeriodicalIF":0.7,"publicationDate":"2026-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146038724","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 : 2026-01-05DOI: 10.1016/j.jvscit.2026.102127
Kathryn Pillai BS , Andrew Son MD , Sheela Patel MD , Ahmed M. Abou-Zamzam Jr. MD
Isolated profunda femoris artery aneurysms (PFAAs) are rare among all peripheral artery aneurysms. True PFAAs are often associated with atherosclerosis, whereas PFA pseudoaneurysms are related to trauma. The optimal treatment for PFAAs is unclear, but a variety of methods have been used, such as open resection with or without revascularization, stent graft placement, and coil embolization. We present an interesting case of a PFAA initially treated with endovascular means with a late failure requiring open surgery nearly 3 years after the initial treatment.
{"title":"Late failure of endovascular repair of an isolated true aneurysm of the profunda femoris artery","authors":"Kathryn Pillai BS , Andrew Son MD , Sheela Patel MD , Ahmed M. Abou-Zamzam Jr. MD","doi":"10.1016/j.jvscit.2026.102127","DOIUrl":"10.1016/j.jvscit.2026.102127","url":null,"abstract":"<div><div>Isolated profunda femoris artery aneurysms (PFAAs) are rare among all peripheral artery aneurysms. True PFAAs are often associated with atherosclerosis, whereas PFA pseudoaneurysms are related to trauma. The optimal treatment for PFAAs is unclear, but a variety of methods have been used, such as open resection with or without revascularization, stent graft placement, and coil embolization. We present an interesting case of a PFAA initially treated with endovascular means with a late failure requiring open surgery nearly 3 years after the initial treatment.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 2","pages":"Article 102127"},"PeriodicalIF":0.7,"publicationDate":"2026-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146038722","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 : 2026-01-05DOI: 10.1016/j.jvscit.2026.102132
Calvin L. Chao MD, Nidhi K. Reddy MD, Sara A. Gaines MD, Mark K. Eskandari MD, Neel A. Mansukhani MD, MS, Anand Brahmandam MD
Infected aortic endografts and mycotic aneurysms are a significant source of morbidity and mortality. Many patients are not suitable for open repair with endograft explant and aortic reconstruction. Advances in endovascular approaches with standardization of antibiotic soaking protocols may provide a palliative treatment option for patients at prohibitive risk for open surgery. Here, we describe the treatment of a rapidly expanding symptomatic infected aortic aneurysm with in situ laser fenestrated endovascular aneurysm repair using a rifampin-soaked endograft and the associated outcome.
{"title":"In situ laser fenestration for endovascular aortic repair of infected endograft and juxtrarenal aortic aneurysm","authors":"Calvin L. Chao MD, Nidhi K. Reddy MD, Sara A. Gaines MD, Mark K. Eskandari MD, Neel A. Mansukhani MD, MS, Anand Brahmandam MD","doi":"10.1016/j.jvscit.2026.102132","DOIUrl":"10.1016/j.jvscit.2026.102132","url":null,"abstract":"<div><div>Infected aortic endografts and mycotic aneurysms are a significant source of morbidity and mortality. Many patients are not suitable for open repair with endograft explant and aortic reconstruction. Advances in endovascular approaches with standardization of antibiotic soaking protocols may provide a palliative treatment option for patients at prohibitive risk for open surgery. Here, we describe the treatment of a rapidly expanding symptomatic infected aortic aneurysm with in situ laser fenestrated endovascular aneurysm repair using a rifampin-soaked endograft and the associated outcome.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 2","pages":"Article 102132"},"PeriodicalIF":0.7,"publicationDate":"2026-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146038723","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 : 2026-01-05DOI: 10.1016/j.jvscit.2026.102126
Grant Stoltman BA , Rashid Skeik BS , Jesse Manunga MD , Nedaa Skeik MD
VEXAS syndrome (vacuoles, E1 enzyme, X-linked, autoinflammatory, somatic) is a recently described adult-onset autoinflammatory condition characterized by somatic mutations in the X-linked UBA1 gene. UBA1 mutations cause defective protein ubiquitination, driving widespread inflammation and hematologic dysregulation. VEXAS predominantly affects males aged >50 years, with a prevalence of approximately 1 in 4000 in this population.1 Diagnosis requires strong clinical suspicion and is confirmed via genetic testing. Currently, no standardized treatment exists, and patients often fail conventional immunosuppression. We present a VEXAS case complicated by recurrent thromboinflammatory events and progressive vascular involvement leading to a fatal outcome despite optimal multidisciplinary care. The patient consented to have his case published.
{"title":"A fatal case of VEXAS syndrome with a brief review","authors":"Grant Stoltman BA , Rashid Skeik BS , Jesse Manunga MD , Nedaa Skeik MD","doi":"10.1016/j.jvscit.2026.102126","DOIUrl":"10.1016/j.jvscit.2026.102126","url":null,"abstract":"<div><div>VEXAS syndrome (vacuoles, E1 enzyme, X-linked, autoinflammatory, somatic) is a recently described adult-onset autoinflammatory condition characterized by somatic mutations in the X-linked UBA1 gene. UBA1 mutations cause defective protein ubiquitination, driving widespread inflammation and hematologic dysregulation. VEXAS predominantly affects males aged >50 years, with a prevalence of approximately 1 in 4000 in this population.<span><span><sup>1</sup></span></span> Diagnosis requires strong clinical suspicion and is confirmed via genetic testing. Currently, no standardized treatment exists, and patients often fail conventional immunosuppression. We present a VEXAS case complicated by recurrent thromboinflammatory events and progressive vascular involvement leading to a fatal outcome despite optimal multidisciplinary care. The patient consented to have his case published.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 2","pages":"Article 102126"},"PeriodicalIF":0.7,"publicationDate":"2026-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146038725","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}
Thoracic endovascular aortic repair is increasingly applied beyond standard instructions for use, driven by complex patient anatomy and clinical urgency. This case series presents three patients treated with off-label stent graft placement in the thoracic aorta. Each case required deviation from conventional instructions for use owing to anatomical or pathological challenges. By detailing these interventions, we aimed to illustrate the clinical decision-making involved in off-label thoracic endovascular aortic repair and to support a broader understanding of its role in managing complex aortic diseases.
{"title":"Exploring uncharted territory: A case series on endovascular thoracic stent grafting in unconventional clinical scenarios","authors":"Nurshan Rustum MD, Eyal Rosenthal MD, Basheer Shieck-Yousif MD","doi":"10.1016/j.jvscit.2026.102125","DOIUrl":"10.1016/j.jvscit.2026.102125","url":null,"abstract":"<div><div>Thoracic endovascular aortic repair is increasingly applied beyond standard instructions for use, driven by complex patient anatomy and clinical urgency. This case series presents three patients treated with off-label stent graft placement in the thoracic aorta. Each case required deviation from conventional instructions for use owing to anatomical or pathological challenges. By detailing these interventions, we aimed to illustrate the clinical decision-making involved in off-label thoracic endovascular aortic repair and to support a broader understanding of its role in managing complex aortic diseases.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 2","pages":"Article 102125"},"PeriodicalIF":0.7,"publicationDate":"2026-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146078609","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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