[Thoracoabdominal aortic aneurysm combined with inferior mesenteric artery aneurysm and occlusion of celiac and superior mesenteric arteries]
(2006)
Journal - Kyobu geka. The Japanese journal of thoracic surgery (Japan )
Abstract :
A 56-year-old man with thoracoabdominal aortic aneurysm combined with inferior mesenteric artery aneurysm and occlusion of celiac and superior mesenteric arteries is presented. Contrast-enhanced computed tomography (CT) and aortography revealed thoracoabdominal aortic aneurysm of 6 cm in diameter, accompanied by inferior mesenteric aneurysm of 3 cm in diameter. Severe calcification of the abdominal aorta and occlusion of the celiac and the superior mesenteric arteries were also noted, whose territories were perfused by collateral circulation of the inferior mesenteric artery. At the operation, orifice of the left renal artery was stenosed by severe calcification, which was resected. Because of severe adhesion around the origins of celiac and superior mesenteric arteries, they were left unrevascularized. The thoracoabdominal aortic aneurysm was replaced with an Dacron tube graft, whose side branch was anastomosed to the inferior mesenteric artery after resection of its aneurysm. The postoperative course was uneventful, and no symptoms of intestinal ischemia were noted. As blood supply to the abdominal viscera mostly depends on the inferior mesenteric artery, careful follow-up is necessary.
| ISSN : | 0021-5252 |
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| Mesh Heading : | Aneurysm Aortic Aneurysm, Abdominal Aortic Aneurysm, Thoracic Arterial Occlusive Diseases Blood Vessel Prosthesis Implantation Calcinosis Collateral Circulation Humans Male Mesenteric Vascular Occlusion Middle Aged complications complications complications complications complications complications |
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| Mesh Heading Relevant : | Celiac Artery Mesenteric Artery, Inferior Mesenteric Artery, Superior surgery surgery surgery surgery surgery |
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[Ball thrombus in the right atrium: report of a case]
(2006)
Journal - Kyobu geka. The Japanese journal of thoracic surgery (Japan )
Abstract :
A 63-year-old man visited our hospital because of intermittent claudication due to an embolic episode in the left femoral artery. He had a long history of arterial fibrillation but had received no anticoagulant therapy. Echocardiography showed a large floating ball-shaped shadow in the right atrium, without any sign of tricuspid stenosis. Pulmonary perfusion scintigram was normal. At the operation, the thrombus which attached to the superior atrial septum with a thin string was removed. The thrombus was 54 x 40 x 25 mm in size and 23.8 g in weight, whose cut surface was in layers. There was neither atrial septal defect nor foramen ovale to suggest possibility of paradoxical embolism. The postoperative course was uneventful and he was discharged on the 9th postoperative day. Although the mechanism of the thrombus formations is unknown, it is considered to be important to continue anticoagulant therapy to avoid reccurence of intracardiac thrombus.
| ISSN : | 0021-5252 |
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| Mesh Heading : | Cardiac Surgical Procedures Echocardiography Heart Diseases Humans Intermittent Claudication Male Middle Aged Thrombosis methods ultrasonography etiology ultrasonography |
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| Mesh Heading Relevant : | Heart Atria surgery surgery |
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