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Journal of Vascular Surgery Cases Innovations and Techniques最新文献

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Blunt handlebar injury causing internal avulsion of the common femoral artery in an 11-year-old boy 钝性车把伤导致11岁男孩股总动脉内撕脱
IF 0.7 Q4 SURGERY Pub Date : 2025-12-19 DOI: 10.1016/j.jvscit.2025.102109
Shiza Bari BS , Amber Hendricks MD , Brendan Gontarz MD , James Healy MD , Edward Gifford MD
Pediatric vascular injuries pose a unique set of challenges for surgeons given their rarity. When indicated, vascular reconstruction requires careful consideration of the patient's age and continued growth. This influences the choice of conduit and operative technique. Here we present a case report of an 11-year-old boy with an internal avulsion injury and thrombosis of the right common femoral artery after a blunt handlebar injury from a bicycle crash. Reconstruction was performed using contralateral great saphenous vein in a panel graft fashion.
由于儿科血管损伤的罕见性,它给外科医生带来了独特的挑战。当指征时,血管重建需要仔细考虑患者的年龄和持续生长。这影响了导管和手术技术的选择。在这里,我们提出一个病例报告,11岁的男孩与内部撕脱伤和血栓形成的右股总动脉后钝性车把损伤从自行车碰撞。重建采用对侧大隐静脉板移植方式。
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引用次数: 0
Fibromuscular dysplasia presenting with bronchial artery involvement 纤维肌肉发育不良表现为支气管动脉受累
IF 0.7 Q4 SURGERY Pub Date : 2025-12-19 DOI: 10.1016/j.jvscit.2025.102108
Ibrahim Miyanoorwala BA , Rashid Skeik BA , Jesse Manunga MD , Nedaa Skeik MD, FACC, FSVM, RPVI
Fibromuscular dysplasia (FMD) is a rare noninflammatory, nonatherosclerotic vascular disorder associated with arterial beading, aneurysms, dissections, and rarely rupture, most commonly affecting the renal and carotid arteries in middle-aged women. We report a 75-year-old man with hypertension and hyperlipidemia found on computed tomography angiography to have celiac artery dissection, bilateral renal artery irregularities, and right bronchial artery aneurysms with a beading appearance consistent with FMD. The patient was managed conservatively with blood pressure control, antithrombotic therapy, and imaging surveillance. This case highlights the extremely rare involvement of bronchial artery in patients with FMD.
纤维肌肉发育不良(FMD)是一种罕见的非炎症性、非动脉粥样硬化性血管疾病,与动脉栓塞、动脉瘤、夹层和罕见破裂有关,最常见于中年妇女的肾动脉和颈动脉。我们报告一位75岁的高血压和高脂血症男性患者,在计算机断层血管造影中发现腹腔动脉夹层,双侧肾动脉不规则,右支气管动脉动脉瘤伴有与FMD一致的头部外观。患者接受保守治疗,包括血压控制、抗血栓治疗和影像学监测。本病例强调了口蹄疫患者中极其罕见的支气管动脉受累。
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引用次数: 0
A case of protein S-specific activity triggers detection with potential thrombosis development 蛋白s特异性活性触发检测与潜在的血栓形成的情况
IF 0.7 Q4 SURGERY Pub Date : 2025-12-17 DOI: 10.1016/j.jvscit.2025.102105
Hideaki Yamada MD, PhD , Mitsumasa Ohgi , Naoki Tominaga MD , Akira Tsujimoto MPharm , Akiyoshi Fujishima , Shinya Matsumoto PhD
Protein S gene abnormalities are the most common congenital predisposition to thrombophilia in the Japanese population, but not in the Caucasian population. It is important to measure protein S activity, specific activity, and antigen levels in patients with thrombophilia. A 52-year-old man presented with suspected deep vein thrombosis after previously visiting an orthopedic clinic with right lower extremity swelling after his long-distance walk 5 days prior. His D-dimer level was elevated, and a thrombus was found from the femoral to the below-the-knee veins on ultrasonographic echography. Anticoagulation therapy was initiated. His parents had previously been diagnosed with deep vein thrombosis; therefore, he was examined for thrombophilic predisposition. The results showed normal protein S activity and antigen levels, but decreased protein S-specific activity. Genetic testing revealed the presence of a protein S variant (protein S Tokushima). In addition to measuring protein activity and antigen levels, protein S-specific activity measurements can reveal increased risks of thrombosis.
蛋白S基因异常是日本人群中最常见的先天性血栓形成易感性,但在高加索人群中不常见。在血栓患者中测量蛋白S活性、特异性活性和抗原水平是很重要的。一名52岁男子在5天前长途步行后因右下肢肿胀到骨科就诊,疑似深静脉血栓形成。d -二聚体水平升高,超声检查发现从股静脉到膝下静脉有血栓。开始抗凝治疗。他的父母之前被诊断患有深静脉血栓;因此,他被检查是否有血栓倾向。结果显示蛋白S活性和抗原水平正常,但蛋白S特异性活性下降。基因检测显示存在蛋白S变异(蛋白S Tokushima)。除了测量蛋白质活性和抗原水平外,蛋白质s特异性活性测量还可以揭示血栓形成风险的增加。
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引用次数: 0
Primary aortic angiosarcoma following endovascular aneurysm repair: Case report and review of the literature 血管内动脉瘤修复后的原发性主动脉血管肉瘤:病例报告及文献回顾
IF 0.7 Q4 SURGERY Pub Date : 2025-12-16 DOI: 10.1016/j.jvscit.2025.102095
Samer Koussayer MD , Faisal A. Almudaiheem MBBS , Talia Koussayer MS , Hussein Alkohlani MD , Nizar Zein MB
Angiosarcoma arising in the aortic wall after endovascular aneurysm repair (EVAR) is an exceptionally rare but devastating complication. We report a case of a 76-year-old man who developed progressive systemic symptoms and persistent imaging abnormalities years after EVAR. Despite extensive workup and empirical treatment for graft infection and aortitis, diagnosis was delayed until biopsy revealed angiosarcoma. The clinical course was rapidly progressive and ultimately led to death. Atypical symptoms after EVAR should raise suspicions of malignancy. Early tissue diagnosis is essential for the timely recognition of this aggressive and frequently misdiagnosed entity, which often carries a poor prognosis.
血管肉瘤在血管内动脉瘤修复(EVAR)后产生于主动脉壁是一种非常罕见但具有破坏性的并发症。我们报告一例76岁的男性,他在EVAR后出现进行性全身症状和持续的影像学异常。尽管对移植物感染和主动脉炎进行了广泛的检查和经验性治疗,但诊断一直延迟到活检显示血管肉瘤。临床过程进展迅速,最终导致死亡。EVAR后的非典型症状应引起对恶性肿瘤的怀疑。早期组织诊断对于及时识别这种侵袭性和经常误诊的实体是必不可少的,这种实体通常预后较差。
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引用次数: 0
Physician-modified vascular plug for entry closure of a chronic aneurysmal aortic dissection 医师改良的血管塞用于慢性动脉瘤性主动脉夹层的入口封闭
IF 0.7 Q4 SURGERY Pub Date : 2025-12-16 DOI: 10.1016/j.jvscit.2025.102100
Ryo Nishide MD, Takao Ohki MD, PhD, Kota Shukuzawa MD, PhD, Soichiro Fukushima MD, Hirotsugu Ozawa MD, PhD, Kentaro Kasa MD
For patients with a chronic aneurysmal aortic dissection (CAAD), closure of all entries and reentries, leading to complete exclusion of the false lumen, likely results in shrinkage of the false lumen and aortic remodeling. One technique to interrupt the false lumen blood flow and achieve complete exclusion is to occlude the entry with a vascular plug. However, depending on the size and location of the target entry, sufficient occlusion of the entry and resolution of false lumen blood flow may not be achieved even if the vascular plug is placed in the expected position due to the porous nature of the plug. Herein, we present a technique for entry closure in CAAD using a physician-modified vascular plug, which combines the Amplatzer Vascular Plug and an expanded polytetrafluoroethylene prosthetic patch to create a water-tight seal. This technique enables effective and reliable entry closure in CAAD, even when the entry site is close to a vital side branch, such as the arch vessels and the mesenteric artery, and standard stent graft use is not possible.
对于慢性动脉瘤性主动脉夹层(CAAD)患者,关闭所有入口和再入口,导致假腔完全排除,可能导致假腔缩小和主动脉重塑。阻断假腔血流并实现完全排除的一种技术是用血管塞堵塞入口。然而,根据目标入口的大小和位置,由于血管塞的多孔性,即使将血管塞放置在预期的位置,也可能无法实现对入口的充分闭塞和假腔血流的解决。在此,我们提出了一种使用医生改良的血管塞来关闭CAAD入口的技术,该技术将Amplatzer血管塞和膨胀的聚四氟乙烯假体贴片结合在一起,以形成水密密封。该技术可以有效可靠地关闭CAAD的入口,即使入口位置靠近重要的侧支,如弓血管和肠系膜动脉,而标准支架移植是不可能的。
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引用次数: 0
Report of a human avian-type aortic arch variant with a descending thoracic aortic aneurysm 报告一例人禽型主动脉弓变异伴降胸主动脉瘤
IF 0.7 Q4 SURGERY Pub Date : 2025-12-16 DOI: 10.1016/j.jvscit.2025.102099
Tuna Aras MD, FEBVS , Julia Khabyuk MD , Adel Aswad MD , Martin Scaal MD , Payman Majd MD
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引用次数: 0
Coil embolization for type IA endoleak after thoracic branched endoprosthesis placement in type B dissection B型夹层胸椎支状假体置入术后IA型内漏的线圈栓塞治疗
IF 0.7 Q4 SURGERY Pub Date : 2025-12-16 DOI: 10.1016/j.jvscit.2025.102101
Marvi Tariq MD , Kyle W. Eudailey MD , Halim Yammine MD , Adam W. Beck MD
Although the use of thoracic branched endoprosthesis to treat thoracic aortic pathologies is increasing, literature regarding the management of associated complications is limited. A large left subclavian artery infundibulum can lead to type IA endoleaks around the base of the graft branch/left subclavian artery due to a decreased seal zone along the greater aortic curvature. Here we present three cases of successful coil embolization to treat type IA endoleak after thoracic branched endoprosthesis.
尽管胸支假体治疗胸主动脉病变的应用越来越多,但有关相关并发症处理的文献却很有限。由于沿主动脉大弯曲的封闭区减少,较大的左锁骨下动脉漏斗可导致移植支/左锁骨下动脉底部周围发生IA型内漏。在此,我们报告三例成功的线圈栓塞治疗胸支假体术后IA型内漏。
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引用次数: 0
Open treatment of superior mesenteric artery pseudoaneurysm due to infective endocarditis 感染性心内膜炎所致肠系膜上动脉假性动脉瘤的开放性治疗
IF 0.7 Q4 SURGERY Pub Date : 2025-12-15 DOI: 10.1016/j.jvscit.2025.102104
Nicola Basile MD , Marco Panagrosso MD , Eduardo Cavallo MD , Marco Di Francesco MD , Francesca Carbone MD, PhD , Giorgio Giudice MD
In this work, we describe the case of a 63-year-old man, with a history of infective endocarditis, who presented with abdominal pain, significant weight loss, and recurrent diarrheal episodes over the preceding months. Contrast-enhanced computed tomography angiography demonstrated a large pseudoaneurysm of the superior mesenteric artery, located in the mid-segment of the vessel, with poor opacification of the distal branches. The patient underwent surgical management via midline laparotomy. This case report aims to highlight the role of open surgical repair in the management of visceral artery pseudoaneurysms, as this approach allows preservation of major collateral branches and enables thorough histopathological examination to assess the underlying etiology of the lesion.
在这项工作中,我们描述了一个63岁的男性,有感染性心内膜炎的病史,在过去的几个月里,他表现出腹痛、体重明显减轻和反复腹泻。增强计算机断层血管造影显示肠系膜上动脉一巨大假性动脉瘤,位于血管中段,远端分支混浊性差。患者通过中线剖腹手术治疗。本病例报告旨在强调开放性手术修复在内脏动脉假性动脉瘤治疗中的作用,因为这种方法可以保留主要侧支,并进行彻底的组织病理学检查以评估病变的潜在病因。
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引用次数: 0
Baker's cyst leading to complete popliteal artery occlusion 贝克囊肿导致腘动脉完全闭塞
IF 0.7 Q4 SURGERY Pub Date : 2025-12-15 DOI: 10.1016/j.jvscit.2025.102103
Taylor Nordan MD , Amber B. Kernodle MD, PhD, MPH , Jeffrey Lange MD , Zachary Feldman MD , Matthew T. Menard MD
Baker's cysts are usually an indolent pathology that is managed nonoperatively, with intervention reserved for rare patients with compressive symptoms. We present a patient with a Baker's cyst that led to disabling claudication requiring vascular surgical intervention. Initially, an endovascular approach was undertaken; however, the patient experienced early stent failure from the Baker's cyst's mechanical compressive effects necessitating open revascularization. This case highlights Baker's cysts as a rare source of claudication and emphasizes favorability of prompt open revascularization rather than endovascular management as primary therapy in conjunction with orthopedic surgery.
贝克囊肿通常是一种惰性病理,非手术治疗,对有压迫症状的罕见患者进行干预。我们提出一个贝克囊肿导致致残性跛行需要血管手术干预的病人。最初,采用血管内入路;然而,由于贝克囊肿的机械压迫作用,患者经历了早期支架失效,需要开放血运重建术。本病例强调了贝克囊肿是一种罕见的跛行来源,并强调了及时开放血运重建术的优势,而不是将血管内管理作为与骨科手术相结合的主要治疗方法。
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引用次数: 0
Case report of the management of intravascular leiomyomatosis including uterine surgery, vascular surgery, hormonal management, and in vitro fertilization 血管内平滑肌瘤病的治疗包括子宫手术、血管手术、激素治疗和体外受精
IF 0.7 Q4 SURGERY Pub Date : 2025-12-15 DOI: 10.1016/j.jvscit.2025.102097
Sarah C. Rubin MD , Rachel Stern MD , Carolyn Robb BA , Martin Keltz MD
Intravascular leiomyomatosis (IVL) is a rare smooth muscle tumor extending into uterine veins and beyond, usually treated with hysterectomy. We present a 33-year-old Gravida (G) 2 Para (P) 0 patient with suspected uterine sarcoma on imaging, later diagnosed intraoperatively with IVL during abdominal myomectomy. Postoperatively, pulmonary embolism required thrombectomy, followed by long-term gonadotropin-releasing hormone (GnRH) agonist therapy that reduced tumor burden until open vascular resection of the inferior vena cava was completed. Two embryo banking cycles with preimplantation genetic testing for aneuploidy were performed, leading to autologous transfer of a euploid embryo and live birth, complicated by placenta accreta requiring cesarean hysterectomy. Fertility preservation with multimodal IVL management is feasible.
血管内平滑肌瘤病(IVL)是一种罕见的平滑肌肿瘤,其范围延伸至子宫静脉及子宫外,通常采用子宫切除术治疗。我们报告了一位33岁的妊娠(G) 2 Para (P) 0患者,在影像学上怀疑子宫肉瘤,后来在腹部子宫肌瘤切除术中被诊断为术中IVL。术后,肺栓塞需要取栓,随后进行长期促性腺激素释放激素(GnRH)激动剂治疗,以减少肿瘤负荷,直到完成下腔静脉开放血管切除术。进行了两次胚胎库周期,并进行了非整倍体的植入前基因检测,导致整倍体胚胎的自体移植和活产,并伴有需要剖宫产子宫切除术的胎盘增生。多模态IVL管理保留生育能力是可行的。
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引用次数: 0
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Journal of Vascular Surgery Cases Innovations and Techniques
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