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Renal artery aneurysm (AAR) is rare and usually asymptomatic; rupture, thromboembolism are aneurysmal complications that can then lead to renal infarction. AAR is often found fortuitously when exploring other diseases. Renal autotransplantation (RAT) is an alternative treatment for complex AAR, with satisfactory outcomes described in the literature.

Resume Les faux anevrismes des arteres gluteales sont rares. Ils sont souvent post-traumatiques secondaires a des traumatismes fermes ou penetrants du pelvis. Ces faux anevrismes sont initialement asymptomatiques et se manifestent apres un delai variable allant de quelques semaines jusqu’a des annees apres le traumatisme initial. Leur evolution spontanee peut etre fatale en cas de rupture. Le traitement des faux anevrismes gluteaux etait exclusivement chirurgical, mais l’avenement des techniques endovasculaires a revolutionne leur prise en charge en diminuant la morbidite perioperatoire et en offrant des resultats comparables a ceux de la chirurgie. Nous rapportons le cas d’un patient admis en urgence pour prise en charge d’un faux anevrisme post-traumatique rompu de l’artere gluteale superieure, survenant 20 jours apres un traumatisme fessier penetrant, et traite par embolisation selective avec succes.

Resume Le syndrome de Marfan est une maladie genetique du tissu conjonctif de transmission autosomique dominante, caracterisee par un grand polymorphisme clinique et dont le pronostic depend des complications cardiovasculaires associees, dominees par les atteintes aortiques proximales. Les anevrismes arteriels peripheriques sont rares au cours du syndrome de Marfan et sont exceptionnellement revelateurs de la maladie. Nous rapportons le cas d’un volumineux anevrisme de l’artere axillo-sous-claviere en pre-rupture revelant un nouveau cas de syndrome de Marfan. L’intervention chirurgicale a consiste en une mise a plat de l’anevrisme et retablissement de la continuite arterielle par greffe veineuse ; les suites operatoires etaient simples.

Resume La dissection traumatique du pedicule renal est rarement rapportee apres traumatisme ferme. Les signes cliniques sont pauvres et inconstamment rapportes. Le diagnostic repose sur des donnees d’imagerie par angioscanner et l’arteriographie reste utile lorsqu’un geste de revascularisation est envisage. Nous rapportons ici, le cas d’une dissection traumatique avec thrombose d’un pedicule renal a localisation juxta-aortique imposant une simple surveillance en reanimation. Le diagnostic tardif et la localisation juxta-aortique n’ont pas permis un geste endovasculaire.

False aneurysms of the extracranial vertebral artery (FAVA) are rare because of the path of the artery at the level of the transverse holes. They can be secondary to penetrating cervical trauma, spontaneous in the course of an angiopathy such as Ehlers-Danlos syndrome, or iatrogenic. We report the case of a 31-year-old woman who presented a syndrome of Claude Bernard-Horner related to a spontaneous FAVA. The angioscanner confirmed the diagnosis and the patient underwent successful surgical treatment of the false aneurysm with ligature of the vertebral artery. Outcome was favorable.

Angioplasty stenting of popliteal artery lesions is a common procedure in endovascular surgery. Stent fractures in popliteal artery maybe asymptomatic or cause restenosis, false-aneurysm or acute thrombosis. We report one case of acute limb ischemia occurred after a popliteal stent fracture placed four months earlier. The patient underwent an angioplasty stenting, completed with thrombolysis and thrombectomy. This case-report aims to illustrate complications of stent fracture in popliteal artery and possibility's to manage it by endovascular approach.

Although Type B dissection accounts for 25–40% of all aortic dissections, their treatment remains to date quite controversial. In acute complicated cases (visceral malperfusion, refractory pain, etc.), surgical treatment is generally recommended, but is still associated with a high rate of morbimortality. Implantation of endoprosthesis has been proposed as an alternative therapy for patients with high surgical risk. Reports support that endovascular stent-graft treatments of a complicated type B acute dissection produce a short and medium term satisfactory results.

The aneurysms of digestive arteries are a rare pathological entity, with a risk of rupture associated to a high mortality rate, often asymptomatic, then they are discovered incidentally during a exam for other diagnostic purposes. We report three cases of digestive aneurysms, one of celiac trunk, one of mesenteric artery on behcet disease, and one of splenic artery, which were treated surgically with success.

Vascular involvement in Behcet's disease is rare, but may be inaugural in many cases. We report a case of Behcet's disease revealed by two pre-rupture aneurysms - a subrenal abdominal aortic aneurysm and a femoral aneurysm. This patient had only one of the International Study Group for Behcet's disease diagnostic criteria: pseudofolliculitis. Behcet's disease must be considered as a possible diagnosis in patients with unexplained inflammatory arteriopathy.

Marfan syndrome is an autosomal dominant disorder with rheumatoid, ophthalmological, neurological, cutaneous and cardiovascular manifestations. Aneurysmal lesions affecting both the abdominal aorta and the peripheral arteries are not often described in the literature. We report a case associating a bilateral popliteal aneurysm and an aneurysm of the infra-renal abdominal aorta.

Aneurysm of the superior mesenteric artery is a rare finding. The risk of rupture is difficult to predict and manage. We report the case of a young woman who developed an aneurysm of the superior mesenteric artery in a context of bacterial endocarditis. Surgical resection without revascularization was successful.

Middle aortic syndrome (MAS) results from a diffuse narrowing of the distal thoracic or abdominal aorta commonly involving both the visceral and renal arteries. Congenital, acquired, inflammatory, and infectious etiologies have been described. Symptoms typically occur within the first three decades of life and include hypertension, lower extremity claudication, and mesenteric ischemia. The condition is considered a life-threatening emergency as a result of the complications associated with severe hypertension. Diagnosis is made with magnetic resonance and computed tomography angiography. Surgical bypass grafting is the optimal method of treatment and must be tailored depending on the distribution of disease. We report one case of MAS treated with thoracic aorta to abdominal aorta bypass and reimplantation of the right renal artery.