Preservation of internal iliac arteries during endovascular aneurysm repair using “eye of the tiger” technique

Parallel endografts were introduced as a way to expand endovascular repair of aneurysms involving branch vessels. However, endoleaks as a result of the gutters between the parallel endografts made this technique less favorable. The “eye of the tiger” technique was introduced to reduce the gutters between the parallel endografts proximally in the aorta. We report endovascular repair of infrarenal abdominal aortic aneurysm using eye of the tiger technique distally to preserve the internal iliac arteries

Erosion of lumbar vertebral bodies from a chronic contained rupture of an abdominal aortic pseudoaneurysm

Chronic contained rupture (CCR) of an abdominal aortic aneurysm is a rare occurrence. Erosion of the vertebral bodies in association with a CCR of an abdominal aortic aneurysm is rarer and creates a diagnostic dilemma. One needs to exclude fractures, neoplasms, osteoporosis, and infection as possible other causes. We describe a patient with a previous aortobilateral external iliac graft that was complicated by a pseudoaneurysm with a CCR at the proximal anastomosis of the graft associated with vertebral body erosion. Extra-anatomic bypass and removal of the previous aortobilateral external iliac graft was performed

Idiopathic internal mammary artery aneurysm in the setting of aberrant right subclavian artery

Aneurysms of the internal mammary artery are extremely rare. Immediate treatment is necessary because of the high risk of rupture that can be life-threatening. Here we describe a case of idiopathic internal mammary artery aneurysm in a 54-year-old woman in the setting of aberrant right subclavian artery. The aneurysm was successfully treated with coil embolization without complications

The tale of 2 pancreases: Jejunal mesenteric ectopic pancreas causing recurrent ectopic pancreatitis

Ectopic pancreas, or the presence of pancreatic tissue separate from the anatomic pancreas, is rarely reported in locations other than the stomach or duodenum. A 43-year-old female was found to have a large jejunal mesenteric ectopic pancreas causing ectopic pancreatitis during workup for frequent episodes of abdominal pain. We present the imaging findings and postresection pathology findings of a rare jejunal ectopic pancreas and discuss the potential complications of this unique condition