RESUMEN
We describe a case of a voluminous infected aneurysm of the popliteal artery, with Listeria monocytogenes (LM) associated with rupture, in a 72-year old man. After radical resection of the aneurysm a reconstruction was not necessary, because of the sufficient blood supply, due to the pre-existent good development of collateral circulation. The patient was discharged on the 12th postoperative day with primary healing of the wound and viable leg. Adequate antibiotic treatment was continued for 4 weeks. In the following 18 months the serial clinical examinations, laboratory tests and ultrasound scans have shown no evidence of reinfection.
Asunto(s)
Aneurisma Infectado , Aneurisma Roto , Listeria monocytogenes , Listeriosis , Arteria Poplítea , Anciano , Aneurisma Infectado/diagnóstico , Aneurisma Infectado/microbiología , Aneurisma Infectado/cirugía , Aneurisma Roto/diagnóstico , Aneurisma Roto/microbiología , Aneurisma Roto/cirugía , Humanos , Listeriosis/complicaciones , Listeriosis/diagnóstico , MasculinoRESUMEN
We report the preoperative diagnosis and surgical treatment of an abdominal aortic aneurysm (AAA) in association with a horseshoe kidney (HSK) in a 70-year-old man. Through a median laparotomy a vascular tube graft was successfully used for repair the AAA. The extensive parenchymal isthmus overlying the aneurysm remained intact.
Asunto(s)
Angiografía de Substracción Digital , Aneurisma de la Aorta Abdominal/diagnóstico por imagen , Aortografía , Implantación de Prótesis Vascular , Riñón/anomalías , Tomografía Computarizada por Rayos X , Anciano , Aneurisma de la Aorta Abdominal/cirugía , Estudios de Seguimiento , Humanos , Riñón/irrigación sanguínea , Riñón/diagnóstico por imagen , MasculinoRESUMEN
We report a case of an arteriovenous fistula (AVF) following osteosynthetic treatment of a fracture of the lower limb 13 years ago. A stent-graft technique had been used to close a high flow traumatic AVF between the popliteal artery and the popliteal vein. The failure to properly evaluate traumatic AVF may sometimes lead to remarkable delay in diagnosis with devastating consequences including edema, ischaemia, ulceration and high output heart failure. Endovascular treatment of these lesions is promising but long-term follow-up will be required to determine the durable patency and the onset of potential complications.