Intraoperative examination 12 hours after Onyx embolization revealed a massive swelling of the hypoglossal and glossopharyngeal nerves. The patient’s AG-120 tongue motility and glossopharyngeal function improved after surgery, but Horner syndrome was still present. Owing to the delayed occurrence of these adverse effects, the optimal time of surgical intervention after Onyx embolization should be discussed and perhaps expedited. (J Vase Surg 2010;52.742-5.)”
“Carotid body tumors (CBTs) are neuroendocrine tumors that arise due to mutations of respiratory cycle enzymes. Fibromuscular
dysplasia (FMD) is a disease that causes narrowing of medium-sized arteries. There is no documented link between CBT and FM D. In this article, we report a case of a patient with bilateral carotid FM D and familial CBT, including one in an identical twin who underwent successful surgical excision of the CBT. We describe specific considerations in the management of CBT in patients with concomitant carotid FM D. Also, we review the literature about
the genetics of familial CBT and its possible relationship to the etiology of FMD. (J Vase Surg 2010;52:746-50.)”
“Rupture MK-2206 in vitro of a nonaneurysmal popliteal artery and subsequent pseudoaneurysm formation is an exceedingly rare event after bacteremia caused by Salmonclla spp Only a few cases have been reported in the literature. Moreover, spontaneous popliteal artery rupture resulting from this pathology, to our knowledge, has not been reported. We describe an early spontaneous selleckchem rupture of the popliteal artery complicated by acute compartment syndrome in a 67-year-old man
who had recently experienced fever, chills, and diarrheal syndrome and had sustained episodes of bacteremia infection, with isolation of Senteritidis. Immediate endovascular sealing of the bleeding site was achieved with a covered stem., and his recovery was uneventful. The long-term durability of endovascular repair in this type of pathology remains to be determined, however. (J Vasc Surg 2010;52:751-7.)”
“Objectives: Juxtarenal aortic aneurysms (JAA) account for approximately 15% of abdominal aortic aneurysms. Despite advances in endovascular aneurysm repair, open repair requiring suprarenal aortic cross-clamping is still the treatment of choice for JAA. We performed a systematic review of the literature to determine perioperative mortality and postoperative renal dysfunction after open repair for non-ruptured JAA.
Methods: The Medline, Embase, and Cochrane databases were searched to identify all studies reporting non-ruptured JAA repair published between January 1966 and December 2008. Two independent observers selected studies for inclusion, assessed the methodologic quality of the included studies, and performed the data extraction. Study heterogeneity was assessed using forest plots and by calculating the between-study variance. Outcomes were perioperative mortality, postoperative renal dysfunction, and new onset of dialysis.