Mesoscale, cyclonic eddies as larval fish habitat along the southeast United States shelf: A Lagrangian description of the zooplankton community

The Charleston Gyre region is characterized by continuous series of cyclonic eddies that propagate northeastwards before decaying or coalescing with the Gulf Stream south of Cape Hatteras, NC, USA. Over 5 d, chlorophyll-a concentration, zooplankton displacement volume, and zooplankton composition and abundance changed as the eddy moved to the northeast. Surface chlorophyll-a concentration decreased, and zooplankton displacement remained unchanged as the eddy propagated. Zooplankton taxa known to be important dietary constituents of larval fish increased in concentration as the eddy propagated. The concurrent decrease in chlorophyll-a concentration and static zooplankton displacement volume can be explained by initial stimulation of chlorophyll-a concentration by upwelling and nutrient enrichment near the eddy core and to possible grazing as zooplankton with short generation times and large clutch sizes increased in concentration. The zooplankton community did not change significantly within the 5 d that the eddy was tracked, and there was no indication of succession. Mesoscale eddies of the region are dynamic habitats as eddies propagate northeastwards at varying speeds within monthly periods. The abundance of zooplankton important to the diets of larval fish indicates that the region can provide important pelagic nursery habitat for larval fish off the southeast coast of the United States. A month of feeding and growth is more than half the larval duration of most fish spawned over the continental shelf of the southeastern United States in winter

Interposition Grafting of Large Extracranial Carotid Aneurysm

Extracranial carotid aneurysms are a rare entity and carry an inherent risk of thromboembolic complications. Treatment options consist of endovascular and conventional surgical techniques. We describe the cases of 3 patients who were treated with an interposition graft for a large extracranial carotid aneurysm. The patients had presented with an extracranial carotid aneurysm with a diameter of 30 to 43 mm. In all cases, the aneurysm was excluded by means of an interposition graft, without major perioperative complications. There was 1 case of temporary paresis of the facial nerve and another of temporary paresis of the vocal cord. After a mean follow-up period of 14 months, all patients were alive, and there were no neurologic deficits. A retrospective analysis was performed of patients who had undergone conventional surgical treatment of extracranial carotid aneurysms. The patients' characteristics, symptoms, surgical interventions, complications, and deaths were all documented. Carotid aneurysms can safely be excluded by interposition grafting, and this treatment should still be considered for most patients, although endovascular repair might provide a valid alternative. (Tex Heart Inst J 2011;38(1):52-5

Interposition Grafting of Large Extracranial Carotid Aneurysm

Extracranial carotid aneurysms are a rare entity and carry an inherent risk of thromboembolic complications. Treatment options consist of endovascular and conventional surgical techniques. We describe the cases of 3 patients who were treated with an interposition graft for a large extracranial carotid aneurysm. The patients had presented with an extracranial carotid aneurysm with a diameter of 30 to 43 mm. In all cases, the aneurysm was excluded by means of an interposition graft, without major perioperative complications. There was 1 case of temporary paresis of the facial nerve and another of temporary paresis of the vocal cord. After a mean follow-up period of 14 months, all patients were alive, and there were no neurologic deficits. A retrospective analysis was performed of patients who had undergone conventional surgical treatment of extracranial carotid aneurysms. The patients' characteristics, symptoms, surgical interventions, complications, and deaths were all documented. Carotid aneurysms can safely be excluded by interposition grafting, and this treatment should still be considered for most patients, although endovascular repair might provide a valid alternative