RESUMO
Splenic artery aneurysms (SAA) are a rare life threatening clinical diagnosis. We present a case of a young Hispanic woman with an aneurysm of the middle branch of the splenic artery and active leakage. The defect was embolized with complete resolution of the retroperitoneal bleeding. Physicians should be aware of this rare entity especially when female patients presents complainiing of severe epigastric pain with associated hypovolemic shock.
Assuntos
Aneurisma Roto/complicações , Aneurisma/complicações , Hemorragia/etiologia , Artéria Esplênica/patologia , Feminino , Hispânico ou Latino , Humanos , Espaço Retroperitoneal/patologia , Adulto JovemRESUMO
Stent placement in the patent ductus arteriosus (PDA) is becoming an alternative treatment to improve cardiac function and quality of life in patients with ductal dependent cardiac conditions. Although, today most of these cardiac defects can be surgically corrected without the need of maintaining PDA patency for a long period of time, some countries lack the resources, and in other cases, surgical intervention is preferably delayed due to medical reasons. This report presents 2 cases where stents were placed in the PDA.
Assuntos
Permeabilidade do Canal Arterial/terapia , Stents , Feminino , Seguimentos , Humanos , Lactente , Fatores de Tempo , Grau de Desobstrução VascularRESUMO
Central venous access for long term dialysis has always been a major difficulty, especially in cases where the traditional sites are no longer available. We present a case of a pediatric patient where the usual sites were occluded and he needed a reliable venous access for his dialysis. The inferior vena cava has been used in adult patients, but no reports were found in the pediatric literature. We chose this site as an alternative for this patient. The catheter was placed via a percutaneous translumbar approach, and remained in place for almost 2 years until the patient received a renal transplant.