1/7. Three ventriculoplasty techniques applied to three left-ventricular pseudoaneurysms in the same patient.A 59-year-old male patient underwent surgery for triple-vessel coronary artery disease and left-ventricular aneurysm in 1994. Four months after coronary artery bypass grafting and classical left-ventricular aneurysmectomy (with Teflon felt strips), a left-ventricular pseudoaneurysm developed due to infection, and this was treated surgically with an autologous glutaraldehyde-treated pericardium patch over which an omental pedicle graft was placed. Two months later, under emergent conditions, re-repair was performed with a diaphragmatic pericardial pedicle graft due to pseudoaneurysm reformation and rupture. A 3rd repair was required in a 3rd episode 8 months later. Sternocostal resection enabled implantation of the left pectoralis major muscle into the ventricular defect. Six months after the last surgical intervention, the patient died of cerebral malignancy. Pseudoaneurysm reformation, however, had not been observed. To our knowledge, our case is the 1st reported in the literature in which there have been 3 or more different operative techniques applied to 3 or more distinct episodes of pseudoaneurysm formation secondary to post-aneurysmectomy infection. We propose that pectoral muscle flaps be strongly considered as a material for re-repair of left-ventricular aneurysms.- - - - - - - - - - ranking = 1keywords = vessel (Clic here for more details about this article) |
2/7. Fatal fungal infection complicating aortic dissection following coronary artery bypass grafting.The case of a 52-year-old man with severe coronary atheroma/ischaemic heart disease, who underwent successful triple vessel coronary artery bypass grafting is described. One month later this was complicated by aortic dissection arising at the aortic cannulation site. An emergency resection and Dacron graft placement were performed. Five weeks later he represented with haemoptysis. Despite inconclusive investigations the patient went on to suffer a massive fatal haemoptysis. autopsy revealed candida infection of the graft with a secondary aortobronchial fistula.- - - - - - - - - - ranking = 1keywords = vessel (Clic here for more details about this article) |
3/7. fluorescein angiographic findings in an infected scleral buckle.This report presents fluorescein angiographic (FA) findings in a patient with scleral buckle infection. Ten days following scleral buckling surgery, FA demonstrated dilated choroidal vessels over the buckle with leakage of fluorescein into the subretinal space. Irregular diffuse scleral thickening was noted on the computed tomography (CT). The findings of focal choroiditis with dilated leaky choroidal vessels seen on FA, or diffuse scleral thickening demonstrated by a CT may aid in establishing the diagnosis of scleral buckle infection.- - - - - - - - - - ranking = 2keywords = vessel (Clic here for more details about this article) |
4/7. Use of a local fasciocutaneous flap for treatment of exposed vascular grafts to the dorsalis pedis artery.Exposed or infected peripheral vascular grafts pose a significant challenge to the vascular surgeon. Although graft removal and extraanatomic bypass is feasible in selected circumstances, this procedure is generally not applicable for bypass to the pedal vessels. Preservation of patent grafts is almost always required for limb salvage. We present a case report of an exposed vein graft to the dorsalis pedis artery. We conclude that a local fasciocutaneous flap is an excellent treatment option, and describe the procedure in detail.- - - - - - - - - - ranking = 1keywords = vessel (Clic here for more details about this article) |
5/7. Use of superficial femoral artery to treat an infected great vessel prosthetic graft.We report a patient treated for infection of an ascending aorta to bilateral common carotid artery bypass graft. The superficial femoral arteries were used for the reconstruction after local treatment failed. The patient is free from infection and the grafts are patent 4 years after operation. We believe this is the only report in the literature in which the superficial femoral arteries were used to reconstruct an infected great vessel graft.- - - - - - - - - - ranking = 5keywords = vessel (Clic here for more details about this article) |
6/7. Endovascular native vessel recanalization to maintain limb perfusion after infected prosthetic vascular graft excision.Prosthetic vascular graft infection is an uncommon yet serious condition. Traditional management has included debridement, excision of the infected graft, and revascularization as needed. We report on two cases in which limb viability was maintained by using endovascular native vessel recanalization after excision of infected prosthetic grafts. This approach was successful in maintaining adequate limb perfusion in both cases. Endovascular native vessel recanalization should be considered as an option to maintain limb viability after excision of infected prosthetic vascular grafts, especially when autogenous conduit is lacking or limitation of the extent of surgery is desirable.- - - - - - - - - - ranking = 6keywords = vessel (Clic here for more details about this article) |
7/7. Exposed prosthesis of a complex reconstruction of the ascending aorta and aortic arch in a sternal wound infection: Successful treatment by a pectoral muscle flap.A local wound infection developed in a 42-year-old female patient after replacement of ascending aorta, aortic arch and supra-aortic vessels, following aortic dissection. Because of the high risk of infection due to the vascular prosthesis and its location at the upper part of the sternum, a right pectoral muscular flap, detached from the humerus and vascularized by medial perforators originating from the internal mammary artery, was isolated. The postoperative course was uneventful and the patient remains well 16 months after the operation.- - - - - - - - - - ranking = 1keywords = vessel (Clic here for more details about this article) |