1/14. thyroid gland hematoma after blunt cervical trauma.Thyroid hematoma is a rare cause of airway obstruction in victims of blunt trauma. The case of a 34-year-old woman who developed orthopnea after a low-energy motor vehicle accident is described. Presenting greater than 24 hours after her accident, the patient noted dysphagia, tracheal deviation, and postural dyspnea. The diagnosis of thyroid gland hematoma was made with a combination of fiberoptic laryngoscopy, cervical computed tomography, and great vessel and carotid angiography. Invasive airway management was not required. The patient underwent a total thyroidectomy and recovered without complications.- - - - - - - - - - ranking = 1keywords = vessel (Clic here for more details about this article) |
2/14. Esophageal involvement in Wegener's granulomatosis: a case report and review of the literature.Wegener's granulomatosis is characterized by a granulomatous arteritis involving the upper and lower respiratory tracts, progressive glomerulonephritis and systemic symptoms attributable to small vessel vasculitis. Although multisystemic manifestations are frequent, involvement of the gastrointestinal tract is uncommon. Cases have been reported of intestinal perforation, ulceration and hemorrhage. A patient whose initial presentation of Wegener's granulomatosis was odynophagia secondary to esophageal vasculitis is described. endoscopy revealed multiple punched out ulcerations in the esophagus, which resolved with standard therapy for systemic Wegener's granulomatosis. There are only two previous reports of symptomatic esophageal vasculitis in patients with Wegener's granulomatosis. These reports illustrate the need to consider odynophagia as a reflection of disease activity as opposed to complications of immunosuppressive therapy.- - - - - - - - - - ranking = 1keywords = vessel (Clic here for more details about this article) |
3/14. Dysphagia lusoria: a complication following gastric bypass surgery?A 23-year-old Caucasian female presented with progressive dysphagia beginning 5 months following laparoscopic gastric bypass for morbid obesity. She was diagnosed with an aberrant right subclavian artery and underwent a combined right supraclavicular approach and left thoracotomy for resection, with reimplantation of the vessel to the ipsilateral carotid artery. The patient had complete resolution of symptoms.- - - - - - - - - - ranking = 1keywords = vessel (Clic here for more details about this article) |
4/14. Arteria lusoria as a cause of dysphagia.Aberrant right subclavian artery is a rare vascular anomaly. Dysphagia caused by this anomaly usually develops in older patients due to increased rigidity of the oesophagus itself or vessel wall and elongation of the aorta. In this paper, a 10-year-old boy patient suffering from difficulty in swallowing since his infancy is presented. barium contrast examination of the oesophagus showed indentation on the oesophagus and MRI angiography revealed an aberrant right subclavian artery. Surgical correction totally relieved the symptom of the dysphagia. It was concluded that this kind of vascular anomalies should be kept in mind in the differential diagnosis of dysphagia in childhood.- - - - - - - - - - ranking = 1keywords = vessel (Clic here for more details about this article) |
5/14. esophageal stenosis after coil embolization of an aortopulmonary collateral artery: report of a very unusual cause.A 10-year-old boy who had previously undergone surgery for tetralogy of fallot, pulmonary atresia, and ventricular septal defect was admitted with difficulty in swallowing and significant failure to thrive. His history included that he had 2 angiographically detected aberrant pulmonary arteries extending from the descending aorta to the right and left lungs, respectively. Both collaterals had been ligated during the corrective surgery; however, early postoperative evaluation revealed that the vessel that crossed behind the esophagus to the left lung had become recanalized. Coil embolization was performed to occlude this collateral. The patient had begun to develop swallowing difficulties 2 years after the embolization. Esophagography revealed a significant stricture in the middle of the esophagus, just anterior to the location of the coil in the vessel behind. The patient underwent a program of esophageal dilatation. This was successful, and he regained normal swallowing ability. To our knowledge, no similar case of esophageal stenosis has been reported in the English literature. We believe that inflammation surrounding the coiled aberrant artery, presumably caused by injury during the corrective surgery and resulting in hemorrhage, led to fibrosis around the vessel. This fibrosis also involved the adjacent esophageal wall, thus causing progressive stenosis.- - - - - - - - - - ranking = 3keywords = vessel (Clic here for more details about this article) |
6/14. Traumatic dissection of the internal maxillary artery associated with isolated glossopharyngeal nerve palsy: case report.OBJECTIVE AND IMPORTANCE: Spontaneous or traumatic dissection of the internal carotid artery with resultant lower cranial nerve palsies is well documented. However, dissection of the external carotid artery with lower cranial palsies has not been reported previously. CLINICAL PRESENTATION: A 42-year-old man experienced an epidural hematoma as the result of a fall and underwent a craniotomy and hematoma removal. Subsequently, he developed dysgeusia and difficulty in swallowing. brain magnetic resonance imaging showed a dilated linear structure, with isosignal intensity on T1-weighted images and hyperintense signal intensity on T2-weighted images. Strong enhancement was seen on postcontrast T1-weighted images, indicating a dissected internal maxillary artery. This was confirmed on selective angiography of the left common carotid artery. INTERVENTION: Guglielmi detachable coils were introduced into the false lumen of the dissected artery. Subsequently, 0.5 ml of glue mixed with Lipiodol (Lafayette Pharmacal, Lafayette, IN) was packed into the remnant of the false lumen. Repeat angiograms demonstrated complete occlusion of the dissected vessel. The patient's postoperative course was uneventful, and the neurological deficits gradually improved. CONCLUSION: We describe the first reported case of internal maxillary artery dissection and pseudoaneurysm presenting with isolated glossopharyngeal nerve palsy. The association between cranial nerve palsy and dissection of the external carotid artery branch may be the result of a compressive mechanism, as suggested by its anatomic relationships, the characteristics of the dissection, and the good prognosis. Endovascular embolization of the external carotid artery dissection and pseudoaneurysm is suggested as an effective therapeutic method for improving or alleviating neurological deficits produced by mass effect.- - - - - - - - - - ranking = 1keywords = vessel (Clic here for more details about this article) |
7/14. 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) |
8/14. Aberrant right subclavian artery: varied presentations and management options.Although an aberrant right subclavian artery arising from the proximal portion of the descending thoracic aorta is the most common aortic arch anomaly, few patients have clinical symptoms directly attributable to it. When symptoms do occur they are usually causally related to aneurysmal or occlusive sequelae of atherosclerotic disease of the anomalous vessel. More unusual manifestations peculiar to the anomalous artery include aneurysmal degeneration of the origin of the vessel from the aortic arch, with its inherent risk of rupture, or symptoms of compression of the trachea or more commonly the esophagus by the anomalous vessel as it traverses the superior mediastinum. In patients with symptoms a variety of operative approaches and management strategies have been used. Our recent experience with treatment of two patients with clinical symptoms caused by an aberrant right subclavian artery illustrate the varied surgical options and prompted a review of the surgical management of this unusual anomaly.- - - - - - - - - - ranking = 3keywords = vessel (Clic here for more details about this article) |
9/14. Extensive brain calcification and progressive dysarthria and dysphagia associated with chronic hypoparathyroidism.An 81-year-old woman with a 13-year history of hypoparathyroidism developed dysarthria and dysphagia. Cranial computed tomography demonstrated extensive calcification involving the basal ganglia, corona radiata, and deep cerebellar structures. The cerebral small-vessel calcification that occurs in chronic hypoparathyroidism may produce the syndrome of progressive dysarthria and dysphagia.- - - - - - - - - - ranking = 1keywords = vessel (Clic here for more details about this article) |
10/14. Surgical treatment of the aberrant retroesophageal right subclavian artery in adults (dysphagia lusoria). Report of two new cases and review of the literature.Two cases of an aberrant right subclavian artery causing dysphagia lusoria in the adult are presented. The first patient was treated by dividing the aberrant vessel through a right posterolateral thoracotomy and anastomosing the divided subclavian artery to the ascending aorta with a Dacron graft. The second patient, had a simple division of the anomalous vessel through a left posterolateral thoracotomy, but developed a subclavian steal syndrome. These symptoms were relieved by anastomosing the stump of the artery to the ascending aorta with the use of a graft. The world literature is reviewed with reference to the operative treatment of the dysphagia lusoria in adults. A total of twenty surgically treated patients have been recorded. The mechanisms involved in the production of symptoms and the surgical approaches are reviewed and discussed.- - - - - - - - - - ranking = 2keywords = vessel (Clic here for more details about this article) |
| | Next -> |