1/27. Atherosclerotic disruption of the aortic arch during coronary artery bypass operation.A 70-year-old-man presented with a symptomatic three vessel coronary artery disease and was scheduled for myocardial revascularization. During extracorporeal circulation an intrathoracal bleeding occurred and aortic rupture was suspected. An iatrogenic plaque rupture in the concavity of the aortic arch was found due to cannulation attempts. The aortic arch was grafted in the so-called elephant trunk technique. Thereafter bypass grafts were anastomosed to the stenosed coronary arteries. The patient was discharged from hospital after 2 weeks in good condition.- - - - - - - - - - ranking = 1keywords = vessel (Clic here for more details about this article) |
2/27. Evidence for early vessel involvement in the dysfunctional myocardium of Takayasu's arteritis.A 15-year-old girl presented with persistent fevers, night sweats, leukocytosis, an elevated erythrocyte sedimentation rate, and a 13-pound weight loss over 2 months. Duplex Doppler scans, computed tomographic scan, and magnetic resonance imaging studies were suggestive of Takayasu's arteritis. Left ventricular dysfunction occurred during the episode of active disease, and an endomyocardial biopsy demonstrated increased HLA-DR (human leukocyte antigen-DR) on the endothelium and evidence of immune complex deposition in the walls of small vessels. One year later, after treatment with corticosteroids and resolution of clinical symptoms, repeat endomyocardial biopsy revealed focal interstitial fibrosis and persistent immune complex deposition. These results indicate that the inflammatory, vasculitic process affecting the large vessels in Takayasu's arteritis may also involve the endomyocardium and its small vessels resulting in ventricular dysfunction.- - - - - - - - - - ranking = 7keywords = vessel (Clic here for more details about this article) |
3/27. Surgical one-stage approach for coronary artery disease and occlusive disease of all aortic arch branches.A 52-year-old man, who presented with two-vessel coronary artery disease and severe arterial occlusive disease with occlusions and/or stenoses of all aortic arch branches, underwent simultaneously coronary artery bypass grafting and bilateral aortic-subclavian as well as left-sided aortic-carotidal bypass grafting.- - - - - - - - - - ranking = 1keywords = vessel (Clic here for more details about this article) |
4/27. Fetal echocardiographic diagnosis of vascular rings.OBJECTIVE: The purpose of this series is to describe the prenatal echocardiographic findings of vascular rings. methods: The 3-vessel and trachea view consists of the axial view of the upper mediastinum. The normal left aortic arch appears as a V-shaped confluence of the ductus arteriosus and aortic arch, with the trachea situated posterior and to the right. No vessel should encircle the trachea. The diagnoses of vascular rings were made prenatally and were confirmed in all patients postnatally. RESULTS: Six fetuses had diagnoses of vascular rings. The mean gestational age at diagnosis was 23.3 weeks (range, 18-31 weeks). The indications for fetal echocardiography were family history of congenital heart disease, echogenic focus in the left ventricle, and abnormal 4-chamber view. There were 2 fetuses with a double aortic arch; 3 fetuses with a right aortic arch, an aberrant left subclavian artery, and a left ductus arteriosus; and 1 with a right circumflex aortic arch with a left ductus arteriosus and an aberrant left subclavian artery. Two fetuses had associated structural cardiac defects, 1 with an unbalanced atrioventricular septal defect and trisomy 21 and the other with a double-outlet right ventricle, pulmonary atresia, and multiple other congenital anomalies. CONCLUSIONS: Vascular rings can be accurately diagnosed prenatally with recognition of a vascular structure that courses around the trachea and absence of the usual V-shaped relationship of the aortic and ductal arches. The color Doppler findings and the presence of a ductus arteriosus aid in identifying various components of the vascular ring.- - - - - - - - - - ranking = 2keywords = vessel (Clic here for more details about this article) |
5/27. Dilated aberrant right subclavian artery (arteria lusoria), as a rare cause of dysphagia in a patient with abdominal aortic aneurysm.A rare case of a 70 years old man with dysphagia secondary to compression of the oesophagus by dilated aberrant right subclavian artery (ARSA, Arteria lusoria) is presented. Contrast enhanced computed tomography of the mediastinum in our patient revealed this anomalous vessel arising from the aortic arch distal to the left subclavian artery which passed behind the esophagus as it traveled to the right axilla. It had proximal dilated segment compressing the esophagus. The co-existence of this anomaly with aneurysm of abdominal aorta was a unique finding in our patient. ARSA should be taken into account in patients with dysphagia when more common lesions are excluded.- - - - - - - - - - ranking = 1keywords = vessel (Clic here for more details about this article) |
6/27. Early onset sarcoidosis with aortitis--"juvenile systemic granulomatosis?".A syndrome of granulomatous arthritis-uveitis-rash has been described in children. Since the clinical features of arthritis in this syndrome closely resemble those seen in early onset sarcoidosis, and since large vessel vasculitis has been seen in children with sarcoidosis, it is possible that early onset sarcoidosis and granulomatous arthritis-uveitis-rash syndrome are part of the same clinical spectrum. Clinical features of a child with sarcoidosis and takayasu arteritis described in this report support this hypothesis.- - - - - - - - - - ranking = 1keywords = vessel (Clic here for more details about this article) |
7/27. Takayasu's arteritis associated with idiopathic ulcerative colitis.Two patients with ulcerative colitis associated with Takayasu's arteritis are described. gangrene of a limb was the presenting feature in one patient and renovascular disease in the other. angiography showed vascular occlusions affecting several medium or large sized vessels in both patients.- - - - - - - - - - ranking = 1keywords = vessel (Clic here for more details about this article) |
8/27. diagnosis, complications and treatment of Takayasu's arteritis.Takayasu's arteritis is a large vessel vasculitis involving the aorta and it's major branches. Clinical diagnosis in the early stage is important as the disease may then be treatable. We present the first two cases ever reported in the Irish literature.- - - - - - - - - - ranking = 1keywords = vessel (Clic here for more details about this article) |
9/27. Takayasu's disease. A report of 3 cases.Three patients with Takayasu's disease are described. In 2 cases aortography demonstrated an occlusion of the great vessels at the origin of the arch of the aorta. In 1 patient there was concomitant aneurysmal dilatation of the brachiocephalic trunk. Common and internal carotid artery stenosis occurred in 1 patient and was associated with hemiplegia and blindness. All 3 patients had constitutional symptoms and signs of the disease as well as markedly elevated erythrocyte sedimentation rates; 2 patients had moderate clinical responses to steroid administration in the short term and 1 developed bilateral calf vein thrombosis, which responded satisfactorily to conservative management.- - - - - - - - - - ranking = 1keywords = vessel (Clic here for more details about this article) |
10/27. Ulcerative colitis in association with Takayasu's disease.A case of total ulcerative colitis associated with large-vessel disease consistent with a diagnosis of Takayasu's disease is described in a 21-year-old Pakistani female. The possible relationship between the two disorders is discussed.- - - - - - - - - - ranking = 1keywords = vessel (Clic here for more details about this article) |
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