Aortoaesophageal Fistula Caused by a Thoracic Aortic Aneurysm

peer reviewedPrimary aorto-oesophageal fistula, secondary to an aneurysm of the thoracic aorta, are almost fatal. In the literature, only twenty six successfully operated cases have been reported. We report the case of a 78-year-old man with a thoracic aortic aneurysm eroded into the mid oesophagus. Prompt diagnosis of an aorto-oesophageal fistula resulted from clinical history, CT-imaging and oesophagoscopy. The patient was successfully operated by exclusion of the thoracic aneurysm (insertion of a straight cryopreserved arterial allograft), oesophagectomy and cervical oesophagostomy and jejunostomy. The continuity of the digestive tube was later restored after preliminary aortic valve remplacement (stenosis of 0.8 cm2). This case report is the second in which a cryopreserved allograft was successfully implanted in the management of a primary aorto-oesophageal fistula

Endoleak, a specific complication of the endovascular treatment of aortic aneurysms

peer reviewedEndoleaks represent the most common complication of endovascular aortic aneurysm repair. With the increasing use of endovascular techniques for aortic aneurysm repair, the prevalence of endoleaks has risen. While maintaining pressurization of the aneurysm sac, endoleaks expose to persistent risks of an evolution towards rupture. Long-term surveillance with imaging studies is necessary to reduce the incidence of these specific complications that may require intervention. The objective of this article is to draw the attention to the possible occurrence of these complications and to report the elements of diagnosis and treatment

Symptomatic huge thrombus of the ascending aorta

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Aneurysmal degeneration of vein graft 34 years after common carotid bypass for blunt trauma

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Image of the Month. Massive Intramediastinal Aortic Rupture

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Characterization of deep-sea benthic invertebrate megafauna of the Galapagos Islands

© The Author(s), 2020. This article is distributed under the terms of the Creative Commons Attribution License. The definitive version was published in Salinas-de-León, P., Martí-Puig, P., Buglass, S., Arnés-Urgellés, C., Rastoin-Laplane, E., Creemers, M., Cairns, S., Fisher, C., O'Hara, T., Ott, B., Raineault, N. A., Reiswig, H., Rouse, G., Rowley, S., Shank, T. M., Suarez, J., Watling, L., Wicksten, M. K., & Marsh, L. Characterization of deep-sea benthic invertebrate megafauna of the Galapagos Islands. Scientific Reports, 10(1), (2020): 13894, doi:10.1038/s41598-020-70744-1.The deep sea represents the largest and least explored biome on the planet. Despite the iconic status of the Galapagos Islands and being considered one of the most pristine locations on earth, the deep-sea benthic ecosystems of the archipelago are virtually unexplored in comparison to their shallow-water counterparts. In 2015, we embarked on a multi-disciplinary scientific expedition to conduct the first systematic characterization of deep-sea benthic invertebrate communities of the Galapagos, across a range of habitats. We explored seven sites to depths of over 3,300 m using a two-part Remotely Operated Vehicle (ROV) system aboard the E/V Nautilus, and collected 90 biological specimens that were preserved and sent to experts around the world for analysis. Of those, 30 taxa were determined to be undescribed and new to science, including members of five new genera (2 sponges and 3 cnidarians). We also systematically analysed image frame grabs from over 85 h of ROV footage to investigate patterns of species diversity and document the presence of a range of underwater communities between depths of 290 and 3,373 m, including cold-water coral communities, extensive glass sponge and octocoral gardens, and soft-sediment faunal communities. This characterization of Galapagos deep-sea benthic invertebrate megafauna across a range of ecosystems represents a first step to study future changes that may result from anthropogenic impacts to the planet’s climate and oceans, and informed the creation of fully protected deep-water areas in the Galapagos Marine Reserve that may help preserve these unique communities in our changing planet.We are thankful to the Ocean Exploration Trust as well as the pilots and crew aboard the E/V Nautilus during cruise NA064 for their assistance in sample collection and exploration using the Hercules ROV. Thank you to the NOAA Office of Exploration and Research for funding the E/V Nautilus Exploration Program (NA15OAR0110220). Further acknowledgements and thanks go out to the Charles Darwin Foundation and the Galapagos National Park Directorate for their collaboration and assistance in the exploration of the Galapagos Platform conducted under research permits PC-26–15 & PC-45-15. We also gratefully recognize the Government of Ecuador via the Ecuadorian Navy for permission to operate in their territorial waters. This research was supported by a grant from the Helmsley Charitable Trust and the Gordon and Betty Moore Foundation. This publication is contribution number 2354 of the Charles Darwin Foundation for the Galapagos Islands

Endovascular stent-graft for thoracic aorta aneurysm caused by Salmonella

We describe the placement of an endovascular stent-graft in a patient with mycotic aneurysm of the descending thoracic aorta caused by Salmonella. Endovascular grafting combined with antibiotic therapy in thoracic mycotic aneurysms might represent an alternative to conventional surgery in patients with high operative risk. (C) 2004 Elsevier B.V. All rights reserved

Blowout of Carotid Venous Patch Angioplasty

Two cases of vein patch blowout were observed five and seven days after carotid bifurcation endarterectomy with patch angioplasty. Both patients died in spite of emergency reoperation. One patient developed respiratory failure with subsequent fatal cardiac arrest seven days after reoperation; the other died of extensive hemispheric infarction on the fifth postoperative day. At reoperation both ruptures were found to be located in the middle of the patch whereas the suture lines were intact. Both patients were hypertensive. In the first case, an accessory saphenous vein retrieved from the calf had been the only venous material available for the patch, while the other patient had varicose veins in the contralateral leg. Pathology revealed central transmural tissue necrosis in one of the disrupted patches. A review of the literature regarding morphologic alterations of free vein grafts placed within the arterial circulation as well as hemodynamics in patched arterial segments may provide additional insight as to the inherent benefits and risks of vein patch angioplasty after carotid endarterectomy. When considering vein patch angioplasty, particular attention should be directed to the gross aspect of the vein to be used as well as to any antecedent history of phlebitis

Isolated Spontaneous Dissection of the Superior Mesenteric Artery: A Case Report.

We report the case of a 38-year-old man admitted at the emergency department for abdominal pain of abrupt onset. Computed tomographic examination revealed a spontaneous isolated dissection of the superior mesenteric artery and an anevrysm of the coeliac artery caused by the arcuate ligament. Outcome was favorable under conservative medical treatment and a three months follow-up was uneventful. This observation offers the opportunity to present recent insights concerning this pathology