Case Reports
First reported case of successfully deploying the GORE Thoracic Branch Endoprosthesis under local anaesthesia
Abstract Thoracic endovascular aneurysm repair (TEVAR) is an effective treatment option for thoracic aortic penetrating atherosclerotic ulcers (PAU) in both elective and emergency situations. The benefits of TEVAR over open surgery include reduced morbidity, length of hospital stay and short-term mortality. The GORE Thoracic Branch Endoprosthesis (TBE) increases the breadth of pathology that can be…
Infection of small abdominal aortic aneurysm following a diagnosis of large vessel vasculitis and initiation of immunosuppression: presentation, diagnosis and management
Abstract Large vessel vasculitis is characterised by inflammation of the aorta and its major branches. This article presents the case of a patient with a 3.9 cm infrarenal abdominal aortic aneurysm at the time of diagnosis with large vessel vasculitis. Three weeks following diagnosis and initiation of immunosuppression, the patient required an emergency open repair…
Traumatic superficial temporal artery pseudoaneurysm managed with ultrasound-guided compression
Abstract Superficial temporal artery aneurysms are rare, accounting for approximately 1% of all arterial aneurysms, with 95% of these being pseudoaneurysms. They are most commonly caused by trauma to the temporal region. Although ultrasound-guided compression has been described as a management technique, it has been believed to be ineffective. This report describes the case of…
A rare case of true tibioperoneal trunk aneurysm resulting in foot drop
Abstract A 75-year-old man presented with a six-week history of his right foot “making a slapping sound” whilst he walked and consequently having to adopt a “high-stepping gait”. Examination revealed a pulsatile swelling in his right popliteal fossa and signs of a peroneal nerve palsy. Computed tomography angiography (CTA) revealed a 2.5 cm tibioperoneal trunk…
Axillary EndoVac procedure: a novel hybrid procedure for an infected axillary-profunda bypass
Abstract This paper reports an axillary artery EndoVac procedure for the management of an infected left axillary-profunda polytetrafluoroethylene (PTFE) bypass. Our patient presented with peri-graft infection and dehiscence of the distal anastomosis. Three separate surgical procedures subsequently took place over a seven-day period: day 1 required profunda artery ligation with sub-total explantation of the mid…
A rare congenital abnormality mimicking the appearance of a type A aortic dissection
Abstract Type A aortic dissection is a tear in the wall of the ascending aorta and/or arch between the tunica intima and tunica media layers. This is a surgical emergency and requires immediate surgical repair. Aortic CT angiography is essential for classification, assessing extent of the disease and planning the management. An intimal flap on…
