Endovascular management of the post-traumatic common carotid artery pseudoaneurysms

Purpose: Pseudoaneurysms of the common carotid artery secondary to high-velocity fragment injuries to the head and neck in patients are uncommon lesions. Multi-detector computed tomography angiography should be performed on all patients suffering from high-speed fragment injuries of the head and neck. Case presentation: We share our experience with the endovascular management approach for the closure of 2 separate pseudoaneurysms involving the left common carotid artery. Conclusions: Numerous options for surgical and endovascular treatment of these lesions are available. Endovascular therapy in patients with common carotid artery pseudoaneurysms offers a reliable and non-invasive management option. It helps in the mitigation of its rupture and thromboembolic complications

Prospective, randomized, multicenter evaluation of a polyethylene terephthalate micronet mesh-covered stent (MGuard) in ST-segment elevation myocardial infarction: the MASTER trial

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CD20 negative B-cell lymphoma presenting as constrictive pericarditis: Rare etiology of acute heart failure

We describe a case report of a young girl, who presented with symptoms and signs of acute decompensated heart failure not responding to decongestive therapy. Routine 2D echocardiography revealed a diagnosis of constrictive pericarditis. She underwent pericardiectomy, and etiology of it turned out to be CD20 negative B-cell lymphoblastic primary cardiac lymphoma (PCL). Despite intensive medical and surgical management, it was fatal. PCL is uncommon among cardiac tumors and extremely rare in immunocompetent patients. Constrictive pericarditis is a rare clinical diagnosis and manifestation of pericardial involvement in PCL

Splenic injury during retroperitoneal nephrectomy

Iatrogenic splenic injury (SI) is known to occur during various procedures. Any unusual course in postoperative period or hypotension should raise suspicion of SI, especially in the left nephrectomy or colonic resection. Sonography of abdomen by an expert should be the first investigation after a medical cause is ruled out. Splenic salvage may be attempted. There should be a low threshold for splenectomy to save the life of the patient