Case Reports
Pseudoaneurysm of the anterior tibial artery following arthrodesis on a background of ankle joint tuberculosis
Abstract A 65-year-old man presented with a 6-week history of worsening right anterior ankle swelling following an ankle arthrodesis. Examination revealed a warm pulsatile 8 cm swelling on the dorsum of the foot. Ultrasound doppler and computed tomography angiography revealed an 8 cm pseudoaneurysm arising from the anterior tibial artery. Fluoroscopic-guided embolisation successfully treated the…
A deformed Lunderquist wire in a percutaneous endovascular aortic aneurysm repair procedure
Abstract Introduction: An endovascular aortic aneurysm repair (EVAR) is a minimally invasive procedure for repairing an abdominal aneurysm. The advantage of this procedure is that EVAR does not require a laparotomy, hence reducing the physical insult to the body with a quicker recovery time for the patient. Percutaneous EVAR (PEVAR) involves accessing the femoral arteries…
Traumatic thigh AV fistula leading to aneurysmal changes in aorta and iliac arteries
Abstract Penetrating traumatic arteriovenous fistulas (AVFs) have the tendency to be clinically silent for many years and could be misdiagnosed as deep venous thrombosis (DVT) on initial presentation. A 52-year-old male underwent a duplex scan to evaluate swelling of the limb, which detected an AVF in the thigh. He was stabbed in the lateral aspect…
Congenital absence of splenic artery: a rare cause of upper gastrointestinal bleed
Abstract A 21-year-old woman presented as an emergency with upper abdominal discomfort and one episode of haematemesis. Physical examination, blood results and oesophagogastroduodenoscopy (OGD) were unremarkable. The patient collapsed following a large haematemesis 24 hours later and was intubated, ventilated and resuscitated. Repeat OGD demonstrated multiple areas of gastric angiodysplasia with active bleeding. Attempted haemostasis…
Blue toe syndrome secondary to multiple spontaneous aortic thrombi following pneumonia
Abstract A 65-year-old man presented with bilateral ischaemic toes 11 days following hospital discharge for pneumonia. His initial admission was complicated by atrial fibrillation requiring rivaroxaban on discharge. A thromboembolic cause of his toe ischaemia was suspected. An echocardiogram demonstrated only moderate atherosclerosis. However, repeat echocardiogram revealed five thrombi within the descending aorta. Medical management…
Carotid EndoVAC: a novel hybrid technique for carotid Dacron patch infection
Abstract This paper reports the use of the EndoVAC technique in a case of left carotid artery Dacron patch infection. The EndoVAC technique involves a sequence of endovascular relining with a stent graft, surgical debridement with explantation of infected graft material and secondary intention wound healing with a vacuum-assisted closure (VAC) device and long-term antibiotic…
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