scholarly journals Cystic Adventitial Disease of Popliteal Artery with Venous Aneurysm of Popliteal Vein: Two-Year Follow-Up after Surgery

2017 ◽  
Vol 2017 ◽  
pp. 1-4
Author(s):  
Koki Takizawa ◽  
Hiroshi Osawa ◽  
Atsuo Kojima ◽  
Samuel J. K. Abraham ◽  
Shigeru Hosaka
Keyword(s):  
Popliteal Artery ◽  
Sudden Onset ◽  
Popliteal Vein ◽  
Venous Aneurysm ◽  
Arterial Lumen ◽  
Adventitial Layer ◽  
Arterial Pulsation ◽  
Peripheral Arterial ◽  
The Right

We report a rare case of cystic adventitial disease of popliteal artery with venous aneurysm of popliteal vein. A 46-year-old woman had sudden-onset intermittent claudication and coldness in her right leg. The right-sided ankle-brachial pressure index (ABI) was 1.01, but peripheral arterial pulsation was decreased at knee venting position. Computed tomography revealed simple cystic lesion of the popliteal artery and stenosis of the arterial lumen in this lesion. The patient was treated by complete resection of the cystic adventitial layer of popliteal artery. A venous aneurysm of popliteal vein was revealed by intraoperative echo and was simply ligated. The patient had uneventful postoperative course and no symptoms of relevance during the two years of follow-up.

Ruptured lenticulostriate artery aneurysm: a report of a case treated with endovascular embolisation

2020 ◽  
Vol 13 (10) ◽  
pp. e236649
Author(s):  
Luca Roccatagliata ◽  
Marco Pileggi ◽  
Alessandro Cianfoni ◽  
Jan Gralla
Keyword(s):  
Internal Carotid ◽  
Artery Aneurysm ◽  
Vascular Anomaly ◽  
Sudden Onset ◽  
Anterior Communicating Artery ◽  
Midline Shift ◽  
Lentiform Nucleus ◽  
Lenticulostriate Artery ◽  
The Right

A 65-year-old woman presented to the emergency department with sudden onset of left-sided weakness, headache and vomiting. A cerebral CT showed an acute intracerebral haemorrhage involving the right caudate nucleus and lentiform nucleus with mild midline shift and intraventricular extension. CT angiography did not reveal aneurysm or other vascular anomaly. Conventional cerebral angiography demonstrated a 3 mm right medial lenticulostriate branch aneurysm, arising from the right anterior cerebral artery (ACA). Endovascular treatment was performed from the left internal carotid via the anterior communicating artery into the right ACA. Complete occlusion was achieved with injection of N-butyl-2-cyanoacrylate. The patient had neurological rehabilitation during hospitalisation followed by outpatient physical therapy. Two years later, clinical follow-up demonstrated excellent recovery.

scholarly journals Development of bullous lung disease in a patient with severe COVID-19 pneumonitis

2020 ◽  
Vol 13 (10) ◽  
pp. e237455
Author(s):  
Samuel Berhane ◽  
Adam Tabor ◽  
Ajay Sahu ◽  
Anand Singh
Keyword(s):  
Chest Pain ◽  
Continuous Positive Airway Pressure ◽  
Lung Disease ◽  
Airway Pressure ◽  
Positive Airway Pressure ◽  
Sudden Onset ◽  
Shortness Of Breath ◽  
The Right ◽  
Safety Netting

A 60-year-old man presented with sudden onset right-sided chest pain and gradually worsening shortness of breath on exertion. Eleven days earlier, he had an admission with COVID-19 pneumonitis requiring 8 days of continuous positive airway pressure. He was tachypnoeic with a respiratory rate of 24 breaths/min, oxygen saturations on room air of 91%. Examination revealed reduced air entry and a resonant percussion note over the right hemithorax. Chest radiograph suggested a complex right pneumothorax; however, a CT chest was notable for widespread right-sided bullous lung disease. After a day of observation on a COVID-19 ward (and a repeat radiograph with a stable appearance), he was discharged with a 2-week follow-up with the respiratory team, safety netting advice and ambulatory oxygen. This case suggests that bullous lung disease may be a complication of severe COVID-19 pneumonitis.

scholarly journals Congenital agenesis of the lung: A case report and literature review

2017 ◽  
Vol 1 ◽  
pp. 12
Author(s):  
Rajesh Gupta ◽  
Anjali Gupta ◽  
Aradhana Singh
Keyword(s):  
Respiratory Distress ◽  
Sudden Onset ◽  
Age Group ◽  
X Ray ◽  
Adult Age ◽  
Foreign Body Bronchus ◽  
Group A ◽  
Congenital Agenesis ◽  
The Right

Developmental malformations of the lung are common but complete agenesis of the lung is quite rare and usually the patients presented are in early childhood; though according to literature, a few cases have come to light even in the adult age group. A 10-month-old male child presented with a sudden onset of respiratory distress with opacity of the right hemithorax on X-ray, raising suspicion of foreign body bronchus. Subsequent CT scans and bronchoscopy revealed agenesis of the right lung. Patient was managed conservatively and his parents were counseled about the anomaly. The child is doing well and is in a regular follow-up with us. Agenesis of the lung should be suspected in children with recurrent respiratory distress with opacity of the hemithorax on X-ray and herniation of the opposite lung across the mediastinum.

Bilateral carotid webs

2021 ◽  
pp. 197140092110177
Author(s):  
Muhammed Amir Essibayi ◽  
Deena Nasr ◽  
Giuseppe Lanzino
Keyword(s):  
Blood Stasis ◽  
Sudden Onset ◽  
Sensory Loss ◽  
Right Visual Field ◽  
Left Middle Cerebral Artery ◽  
Bilateral Carotid ◽  
Carotid Bulb ◽  
Magnetic Resonance Imaging Mri ◽  
The Right

Carotid web is thought to be a focal intimal variant of fibromuscular dysplasia, which comprises a high risk of stroke because of blood stasis and subsequent coagulative reactions that occur distal to the web. These lesions generally involve the posterolateral wall of the carotid and their developmental pathogenesis is controversial. This case report describes a 51-year-old woman who presented to the hospital with sudden onset aphasia, right hemi-sensory loss, and right visual field cut. Magnetic resonance imaging (MRI) of the brain demonstrated a left middle cerebral artery (MCA) distribution embolic ischemic infarct with shelf-like linear filling defects in the carotid bulb bilaterally on a computed tomography angiography (CTA) of the head and neck consistent with bilateral carotid webs that were confirmed by catheter angiography. The carotid webs were projecting on the left posteriorly and on the right anteriorly into the inferior aspects of the bilateral proximal internal carotid arteries. The patient was started on clopidogrel and a high-intensity statin and remained on Plavix monotherapy for a 10-month follow up without a recurrent ischemic event.

PERIMESENCEPHALIC NONANEURYSMAL SUBARACHNOID HEMORRHAGE CAUSED BY JUGULAR VENOUS OCCLUSION

Neurosurgery ◽  
2008 ◽  
Vol 63 (6) ◽  
pp. E1202-E1203 ◽  
Author(s):  
Meharpal S. Sangra ◽  
Evelyn Teasdale ◽  
Mohammed A. Siddiqui ◽  
Kenneth W. Lindsay
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Ct Angiography ◽  
Venous Occlusion ◽  
Sudden Onset ◽  
Jugular Veins ◽  
Cerebral Angiogram ◽  
Computed Tomographic ◽  
The Right ◽  
Nonaneurysmal Subarachnoid Hemorrhage

Abstract OBJECTIVE The cause of perimesencephalic nonaneurysmal subarachnoid hemorrhage remains unknown. We describe a patient in whom jugular venous occlusion preceded the occurrence of perimesencephalic nonaneurysmal subarachnoid hemorrhage. This finding supports the theory that the source of the hemorrhage is venous in origin. CLINICAL PRESENTATION A 25-year-old man presented with sudden onset of headache after his head was held in a headlock during a playful fight 48 hours before the ictus. His computed tomographic (CT) scan on admission demonstrated a perimesencephalic pattern of subarachnoid hemorrhage. CT angiography excluded the presence of an underlying aneurysm or vascular malformation but showed bilateral jugular venous obstruction with hematoma surrounding the right internal jugular vein. Magnetic resonance imaging and a 4-vessel cerebral angiogram confirmed the CT angiographic findings. INTERVENTION The patient was observed as an inpatient and had no complication of his hemorrhage. Follow-up at 5 months with CT angiography showed resolution of his neck hematoma and reopening of his internal jugular veins. CONCLUSION The presence of acute jugular venous occlusion as a cause of perimesencephalic nonaneurysmal subarachnoid hemorrhage supports a venous origin of hemorrhage.

scholarly journals Evaluation of Lower Limb Arteriovenous Diameters in Indoor Soccer Athletes: Arterial Doppler Ultrasound Study

2021 ◽  
Vol 12 ◽  
Author(s):  
Sónia Mateus ◽  
Rui Paulo ◽  
Patrícia Coelho ◽  
Francisco Rodrigues ◽  
Vasco Marques ◽  
...  
Keyword(s):  
Doppler Ultrasound ◽  
Femoral Artery ◽  
Popliteal Artery ◽  
Lower Limb ◽  
Femoral Vein ◽  
Common Femoral Artery ◽  
Lower Limbs ◽  
Popliteal Vein ◽  
Ultrasound Study ◽  
The Right

The purpose of this study was to analyze the arterial and venous diameters of lower limbs in indoor soccer athletes and non-athletes using Doppler ultrasound to identify the differences in the variation of arterial and venous diameters between groups. Additionally, we intended to verify the differences of arterial and venous diameters between the skilled member (right member) and the not skilled member in each group. 74 male volunteers, aged between 19 and 30 years old, were divided in a group of athletes (n = 37, 24 ± 2.7 years, soccer players from national championship), and a group of non-athletes (n = 37, 26 ± 2.83 years). Vascular lower limb was assessed using Doppler ultrasound (Philips HD7 echograph with linear transducer 7–12 MHz). The athletes showed higher diameters of right common femoral artery (p = 0.009; moderate), left common femoral artery (p = 0.005; moderate), right deep femoral artery (p = 0.013; moderate), right popliteal artery (p = 0.003; moderate), and left popliteal artery (p = 0.017; small) than non-athletes. Veins’ diameters were also higher in athletes, specifically the right deep femoral vein (p ≤ 0.001; large), left deep femoral vein (p ≤ 0.001; large), right popliteal vein (p ≤ 0.001; large), and left popliteal vein (p ≤ 0.001; large). Differences were found between the skilled and non-skilled leg in athletes in the popliteal vein (7.68 ± 1.44 mm vs. 7.22 ± 1.09 mm, respectively, p < 0.003). It seems that futsal athletes have superior mean diameters of lower limbs arteries and veins of the deep venous system to non-athletes. Moreover, the veins presented greater dilation, namely of the leg of the skilled lower limb.

An “Occult” Popliteal Vein Aneurysm Causing Pulmonary Embolism

2021 ◽  
Author(s):  
Adedapo Oladiran ◽  
Dale Maharaj ◽  
Dinesh Ariyanayagam ◽  
Ralph Clement Darling
Keyword(s):  
Anticoagulation Therapy ◽  
Sudden Onset ◽  
Popliteal Vein ◽  
Pulmonary Emboli ◽  
Significant Morbidity ◽  
Duplex Scan ◽  
Pulmonary Angiogram ◽  
History Of ◽  
Patch Graft

AbstractPopliteal vein aneurysm (PVAs), though uncommon, can be a cause of pulmonary emboli. They can also result in pulmonary vein embolism despite the use of anticoagulation therapy.We report the case of an otherwise fit, 64-year-old male who had a history of sudden onset of dyspnea on exercise with near syncope.A computed tomography pulmonary angiogram confirmed filling defects in the lung bases in keeping with pulmonary emboli. He was anticoagulated and a venous duplex scan revealed a fusiform suprageniculate PVA with no evidence of thrombus in the lumen. He underwent resection of the aneurysm with lateral vein patch graft repair and was placed on anticoagulation for 6 months with no recurrence after 2 years of follow-up.PVAs are rare and can either be symptomatic or asymptomatic. We advise early surgical treatment to prevent the significant morbidity and mortality associated with thromboembolization.Written consent was obtained from the patient for publication of case and use of images.

Bilateral Vein Compression by Popliteal Artery Aneurisms Mimicking Post-Thrombotic Syndrome

2020 ◽  
pp. 153857442097555
Author(s):  
Mauricio Gonzalez-Urquijo ◽  
Gabriela Cassagne ◽  
Gerardo Lozano-Balderas ◽  
Mario Alejandro Fabiani
Keyword(s):  
Popliteal Artery ◽  
Artery Aneurysm ◽  
Signs And Symptoms ◽  
Popliteal Vein ◽  
Maximum Diameter ◽  
Arterial Aneurysm ◽  
Popliteal Artery Aneurysm ◽  
Post Thrombotic Syndrome ◽  
History Of

Purpose: To report a case of a 79-year-old man who presented a bilateral popliteal artery aneurysm compressing both popliteal veins mimicking signs and symptoms of post-thrombotic syndrome. Case Report: A 79-year-old male patient, was seen in the ambulatory clinic with a 2-year history of bilateral leg swelling, calf pain, chronic ulceration, and hyperpigmentation. Upon physical examination, lower extremities were edematous, with a 3 cm suppurative ulcer on each leg. Image studies showed a popliteal right arterial aneurysm of maximum diameter of 41.7 mm, extrinsically compressing the ipsilateral popliteal vein. Likewise, on the left leg, a popliteal arterial aneurysm of maximum diameter of 47.9 mm was encountered triggering the same phenomenon. Bilateral endovascular treatment deploying stent grafts was auspiciously performed. At 36-months follow up, his symptoms are completely resolved, and his ulcers healed. US follow up showed exclusion of the aneurysms with progressive shrinkage of both residual sacs. Conclusion: Popliteal artery aneurysm compressing and constraining flow in the popliteal vein must be included as a differential diagnosis among the causes of chronic venous syndromes. Prompt diagnosis with its appropriate treatment is needed for reducing severe complications caused by PAA, such as the venous disorder our patient had.

scholarly journals Peripapillary Choroidal Neovascular Membrane Secondary to Sarcoidosis-Related Panuveitis: Treatment with Aflibercept and Ranibizumab with a 50-month Follow-Up

2021 ◽  
pp. 186-192
Author(s):  
Artemis Matsou ◽  
Maria Dermenoudi ◽  
Despina Tzetzi ◽  
Tryfon Rotsos ◽  
Olga Makri ◽  
...  
Keyword(s):  
Sudden Onset ◽  
Functional Improvement ◽  
Choroidal Neovascular Membrane ◽  
Anti Vegf ◽  
Systemic Corticosteroids ◽  
Rapid Enlargement ◽  
Diagnostic Work ◽  
The Right ◽  
Endothelial Growth Factor

A case of peripapillary choroidal neovascular membrane (PCNM) secondary to sarcoidosis-related panuveitis successfully treated with anti-vascular endothelial growth factor (anti-VEGF) agents and systemic immunomodulatory therapy is reported. Diagnosis and follow-up were based on fundoscopic, optical coherence tomography as well as fluorescein angiography findings. A 45-year-old female patient presented with sudden onset bilateral blurring of vision. Fundoscopy revealed bilateral granulomatous panuveitis with solitary peripheral granuloma in the right eye and PCNM in the left eye. Diagnostic work-up including conjunctival biopsy confirmed the diagnosis of sarcoidosis. Topical and systemic corticosteroids controlled the inflammation. Within 4 weeks, PCNM showed rapid enlargement (best-corrected visual acuity [BCVA]: 6/60) with foveal involvement. Monthly intravitreal aflibercept injections and systemic methotrexate were administered. After 5 aflibercept injections, anatomical and functional improvement was noted (BCVA: 6/6). Due to aflibercept unavailability, further treatment included ranibizumab injections. During a 50-month follow-up period, every anti-VEGF injection was followed by total NV regression and 6/6 BCVA. Both aflibercept and ranibizumab appear to be effective in the treatment of PCNM secondary to sarcoidosis.

Popliteal artery thrombosis secondary to a tibial osteochondroma

VASA ◽  
2011 ◽  
Vol 40 (3) ◽  
pp. 251-255 ◽  
Author(s):  
Gruber-Szydlo ◽  
Poreba ◽  
Belowska-Bien ◽  
Derkacz ◽  
Badowski ◽  
...  
Keyword(s):  
Case Report ◽  
Magnetic Resonance Angiography ◽  
Popliteal Artery ◽  
Doppler Ultrasonography ◽  
Histopathological Examination ◽  
Previous History ◽  
Plain Radiography ◽  
Artery Thrombosis ◽  
History Of ◽  
The Right

Popliteal artery thrombosis may present as a complication of an osteochondroma located in the vicinity of the knee joint. This is a case report of a 26-year-old man with symptoms of the right lower extremity ischaemia without a previous history of vascular disease or trauma. Plain radiography, magnetic resonance angiography and Doppler ultrasonography documented the presence of an osteochondrous structure of the proximal tibial metaphysis, which displaced and compressed the popliteal artery, causing its occlusion due to intraluminal thrombosis..The patient was operated and histopathological examination confirmed the diagnosis of osteochondroma.

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