Search

Copyright of Revista Foco (Interdisciplinary Studies Journal) is the property of Revista Foco and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introduction: Hepatic artery aneurysm is rare. The most common etiologies are atherosclerosis and trauma. Management is difficult and challenging. An endovascular approach is preferred to open surgery. Case report: 66-year-old patient with polyarteritis nodosa who was incidentally diagnosed with a common hepatic artery (CHA) aneurysm. Initially, conservative management was performed, however, during follow-up significant growth was evidenced. Endovascular treatment was decided over surgery. Selective embolization of the entire aneurysmal segment of CHA was performed, maintaining perfusion of the right hepatic lobe. Discussion: Percutaneous embolization with metal coils is the treatment of choice for this entity. Although it is the one with the lowest morbidity and mortality, it is not without risks. [ABSTRACT FROM AUTHOR]

Elaborar recomendaciones multidisciplinares, basadas en la evidencia disponible y el consenso de expertos, para el manejo terapéutico de los pacientes con síndrome de Behçet refractario (difícil de tratar, resistente grave, recidivante grave) al tratamiento convencional. Un panel de expertos identificó preguntas clínicas de investigación relevantes para el objetivo del documento. Estas preguntas fueron reformuladas en formato PICO –paciente, intervención, comparación, outcome o desenlace–. A continuación, se realizaron revisiones sistemáticas; la evaluación de la calidad de la evidencia se realizó siguiendo la metodología del grupo internacional de trabajo Grading of Recommendations, Assessment, Development, and Evaluation. Tras esto, el panel multidisciplinar formuló las recomendaciones. Se seleccionaron 4 preguntas PICO relativas a la eficacia y seguridad de los tratamientos farmacológicos sistémicos en los pacientes con síndrome de Behçet con manifestaciones clínicas refractarias a terapia convencional, relacionadas con los fenotipos mucocutáneo y/o articular, vascular, neurológico-parenquimatoso y gastrointestinal. Se formularon un total de 7 recomendaciones estructuradas por pregunta, con base en la evidencia encontrada y el consenso de expertos. El tratamiento de las manifestaciones clínicas más graves del síndrome de Behçet carece de evidencia científica sólida y no existen documentos de recomendaciones específicas para los pacientes con enfermedad refractaria a la terapia convencional. Con el fin de aportar una respuesta a esta necesidad, se presenta el primer documento de recomendaciones de la Sociedad Española de Reumatología específicas para el abordaje terapéutico de estos pacientes, que servirá de ayuda en la toma de decisiones clínica y la reducción de la variabilidad en la atención. To develop multidisciplinary recommendations based on available evidence and expert consensus for the therapeutic management of patients with refractory Behçet's syndrome (difficult to treat, severe resistant, severe relapse) to conventional treatment. A group of experts identified clinical research questions relevant to the objective of the document. These questions were reformulated in PICO format –patient, intervention, comparison and outcome–. Systematic reviews of the evidence were conducted; the quality of the evidence was evaluated following the methodology of the international working group Grading of Recommendations, Assessment, Development, and Evaluation. After that, the multidisciplinary panel formulated the specific recommendations. Four PICO questions were selected regarding the efficacy and safety of systemic pharmacological treatments in patients with Behçet's syndrome with clinical manifestations refractory to conventional therapy related to mucocutaneous and/or articular, vascular, neurological parenchymal and gastrointestinal phenotypes. A total of 7 recommendations were made, structured by question, based on the identified evidence and expert consensus. The treatment of most severe clinical manifestations of Behçet's syndrome lacks solid scientific evidence and, besides, there are no specific recommendation documents for patients with refractory disease. With the aim of providing a response to this need, here we present the first official recommendations of the Spanish Society of Rheumatology for the management of these patients. They are devised as a tool for assistance in clinical decision making, therapeutic homogenisation and to reduce variability in the care of these patients. [ABSTRACT FROM AUTHOR]

Background: Ascending aortic aneurysms are rare pathologies in childhood, especially in the absence of previous diseases such as Marfan syndrome. Objective: Present the possibility of successful endovascular management of large vessel aneurysms, using stents and microcatheters with embolization of the aneurysm sac. Method: We present the case of a previously healthy ten-yearold patient, in whom a pseudoaneurysm was documented between the origin of the left common carotid artery and left subclavian artery, successfully managed endovascularly, initially with a stent covering the neck of the aneurysm to remodel it and later with embolization of the aneurysm sac using a microcatheter. Results: Aneurysms of large vessels, such common carotid artery and subclavian artery, are at risk of rupture with devastating complications; endovascular management is considered a minimally invasive management option, with favorable results. Conclusion: The endovascular management of large vessel aneurysms using stents and microcatheters with embolization of the aneurysmal sac is a novel management option that achieves successful results. [ABSTRACT FROM AUTHOR]

Copyright of Acta Neurológica Colombiana is the property of Colombian Association of Neurology / Asociacion Colombiana de Neurologia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Foco (Interdisciplinary Studies Journal) is the property of Revista Foco and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introducción: El manejo de los aneurismas cerebrales ha ido evolucionando con el paso de los siglos. En esta revisión se hace un resumen de cómo se ha desarrollado el manejo médico, endovascular y quirúrgico en el abordaje de estas patologías que causan una gran morbi-mortalidad en la población. Objetivo: Evaluar el manejo médico, endovascular y quirúrgico de los aneurismas cerebrales rotos y no rotos a lo largo del tiempo, desde las primeras veces en que fueron tratados hasta las innovaciones que se están llevando a cabo. Métodos: Se realizó una revisión de artículos buscados en la base de datos de PubMed, buscando Mesh Terms con palabras seleccionadas relacionadas al tema. Diseño de estudio: Revisión. Métodos: Selección de estudios con palabras clave de PubMed, y según consenso de todos los autores. Extracción de datos en Rayyan. Palabras claves: hemorragia subaracnoidea, aneurisma, neurocirugia, procedimientos endovasculares.

The aneurysms of the Valsalva sinus are congenital or acquired aortic sinus wall dilations at the level just above the three cusps of the aortic valve, which may be asymptomatic or fatal cases if ruptures, usually into the right cardiac chambers. These cases are relatively rare. We present the case of a 72-year-old male referred for a suspected pulmonary murmur. The evaluation revealed an aneurysm of the right sinus of Valsalva, causing compression to the right ventricular outflow tract (RVOT). The echocardiogram, computed tomography, and the aortogram revealed interesting, evocative images. The patient received a mid-cap surgical repair. This paper reviews and discusses the current literature and presents the case. [ABSTRACT FROM AUTHOR]

We present a case of a ruptured right sinus of Valsalva aneurysm to the right atrium that developed global heart failure over the course of three months, and which was completely resolved through cardiac catheterism, placing an occlusive device at the site of the fistula. Its ethology is discussed, as well as the guidelines for clinical diagnosis and treatment. [ABSTRACT FROM AUTHOR]

Copyright of Arquivos de Neuro-Psiquiatria is the property of Thieme Medical Publishing Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introduction: vein of Galen aneurysmal malformation (VOGM) is a low-frequency congenital anomaly, but with high lethality. Objective: we present a neonate with VOGM type II. Clinical case: male newborn with prenatal diagnosis by fetal sonography of VOGM. He was born at 37 weeks of gestation. He suffered intraventricular hemorrhage and hydrocephalus in the neonatal period. At two months of age, endovascular embolization was performed; However, he died at five months of age due to thrombosis of the superior longitudinal sinus, massive cerebral hemorrhage, and intracranial hypertension. Conclusions: patients with VOGM have a high risk of dying; early detection may improve their prognosis. [ABSTRACT FROM AUTHOR]

Resumo A persistência da artéria isquiática é um remanescente embriológico da artéria ilíaca interna que ocorre em 0,03% a 0,06% da população, podendo evoluir com degeneração aneurismática. A presença do aneurisma pode levar a embolização, com aumento de risco de perda do membro, principalmente se a artéria isquiática for seu principal suprimento arterial. O tratamento do aneurisma de artéria isquiática está indicado sempre que diagnosticado, devido ao alto risco de complicações. Entre as opções de tratamento, estão o tratamento aberto convencional, o tratamento endovascular e o tratamento híbrido. No presente estudo, será descrito o caso de um paciente apresentando persistência completa das artérias isquiáticas bilateralmente, com degeneração aneurismática de ambas, corrigida de forma endovascular com stent recoberto Covera® (Bard Medical, Geórgia, Estados Unidos).

Mujer de 76 años que acudió al servicio de urgencias por un accidente cerebro vascular isquémico que afectó el territorio de arteria coroidea anterior izquierda y basilar. Los estudios de imagen mostraron dolicoectasia basilar asociada a un aneurisma fusiforme con trombos en su interior en la arteria vertebral izquierda. Las dos anomalías anatómicas están asociadas a accidente cerebrovascular isquémico.

Background: Endovascular treatments for thoracic aortic diseases have been adopted rapidly, and long-term studies are relevant for durability evaluation. Objective: To evaluate the long-term results of a prospective observational study of endovascular treatment in patients with thoracic aortic diseases who underwent percutaneous implantation of self-expandable endoprostheses. Methods: Procedural success was defined as the absence of endoleak into the aneurysm or dissection-induced false lumen, no migration, and no conversion to open surgery. Intraoperative, postoperative, and late postoperative outcomes were evaluated in terms of complications, mortality, and evolution of the endoprosthesis over a follow-up of up to 179 months (median: 46 months). Results: A total of 150 endoprostheses were implanted in 112 patients. Primary success was observed in 100 (82.14%) patients. Immediate mortality occurred in 7 patients (6.25%). Late mortality occurred in 31 patients (27.68%), 10 (8.93%) of whom died from cardiovascular causes, 12 (10.71%) from non-cardiovascular causes, and 2 (1.78%) from natural causes, while 7 (6.25%) had no diagnosis for cause of death. Types I, II, and IV endoleaks occurred during hospitalization in 4 (3.57%), 5 (4.46%), and 3 (2.68%) patients, respectively. Late types I and IV endoleaks occurred in 5 (4.46%) and 3 (2.68%) patients respectively. Twenty-two patients (19.64%) had clinical complications in the immediate postoperative period. Actuarial survival free from death from cardiovascular causes was 79.3% (95% confidence interval, 67.0-91.7%) at 132 months. Conclusions: The low levels of intraoperative and postoperative complications demonstrate that endovascular treatment is safe and effective. The high rate of late survival for these critically ill patients indicates that the endovascular technique is beneficial for treatment of thoracic aortic diseases in terms of long-term outcomes. [ABSTRACT FROM AUTHOR]

A persistent sciatic artery is an embryological remnant of the internal iliac artery that occurs in 0.03% to 0.06% of the population and may develop aneurysmal degeneration. Aneurysms can lead to distal embolization with increased risk of limb loss, especially if the sciatic artery is the main arterial supply to the limb. A sciatic artery aneurysm must be treated whenever diagnosed, because of the high risk of complications. Treatment options include open, endovascular, or hybrid repair. This manuscript describes a patient with bilateral persistence of the sciatic arteries, both with aneurysmal degeneration, who underwent endovascular repair with Covera® (Bard Medical, Georgia-USA) covered stents. [ABSTRACT FROM AUTHOR]

Venous aneurysms are rare and have a prevalence of 0.1 to 0.2% in the reported series. Typically, patients do not present any symptoms, but are prone to develop deep venous thrombosis (DVT) and the most feared complication, pulmonary embolism (PE). We present the case of a previously healthy 36-year-old man who presented at the emergency department with tachycardia, dyspnea, and pleuritic pain. A thoracic computed tomography angiography (CTA) confirmed the diagnosis of acute pulmonary embolism. He was treated with systemic thrombolysis and anticoagulation. In the further workup of the cause of the embolism, computed tomography revealed a fusiform dilation of the left popliteal vein measuring 3 by 3 centimeters (cm) with an incomplete filling defect because of thrombus presence. The patient underwent open surgical repair. At one month follow-up, he was asymptomatic, and an ultrasound revealed complete patency of the popliteal vein without dilatation or thrombus. [ABSTRACT FROM AUTHOR]

Objetivo: Apresentar aspectos clínicos e alterações radiológicas observados em um caso de doença de Behçet. Metodologia: A pesquisa foi realizada através da investigação de um paciente com diagnóstico de doença de Behçet apresentando aneurisma de artéria pulmonar. Descrição do caso: Paciente com história de úlceras orais e genitais dolorosas recorrentes. Apresentou quadro de edema e dor em região cervical, sendo diagnosticado com trombose de veia jugular interna e braquiocefálica direita. Evoluiu com quadro de dispneia, dor torácica, hemoptise, hematêmese, sendo diagnosticado aneurisma de artéria pulmonar, além de apresentar úlceras dolorosas, sendo diagnosticado doença de Behçet. Discussão: Pela classificação do International Study Group for Behçet’s Disease, a presença de úlceras orais recorrentes e mais duas das seguintes alterações - úlceras genitais, lesões oculares típicas (uveíte, vasculite retinal), lesões de pele características, ou um teste de patergia positivo definem o diagnóstico da doença de Behçet. Ainda que seja uma manifestação rara, atingindo menos de 5% dos doentes, o envolvimento da artéria pulmonar é a forma de complicação vascular mais temida. Conclusão: Podemos concluir que é importante considerar o diagnóstico de Behçet, pois essa patologia pode afetar diversos vasos de qualquer calibre no organismo, podendo resultar em tromboflebite, estenose arterial, oclusões e aneurismas.

RESUMO Os aneurismas intracranianos são dilatações em segmentos arteriais que irrigam o sistema nervoso central. Acometem 2% da população e as alterações oftalmológicas podem ser as primeiras manifestações do quadro. O objetivo deste relato foi descrever um caso de aneurisma de artéria carótida interna que cursou com restrição da movimentação ocular, alteração do reflexo fotomotor, ptose palpebral, dor facial e cervical. O diagnóstico foi confirmado pela identificação do aneurisma por meio do exame de angiografia cerebral. Foi realizado teste de oclusão por balão, cujo resultado positivo possibilitou a oclusão total da artéria carótida interna por meio de ligadura cirúrgica, procedimento este realizado com sucesso.

Portal vein aneurysms are a rare entity, accounting for only 3% of venous aneurysms. In our country there are no reports of this entity. The first reported case of a portal vein aneurysm was reported by Barzilai and Kleckner in 1956. Since then, less than 200 cases have been reported in the world literature, mainly as case reports or small surgical series. Imaging studies such as axial tomography and magnetic resonance facilitate an accurate morphological diagnosis and possible complications, which are necessary for patient management. [ABSTRACT FROM AUTHOR]

Copyright of Summa, Animali da Reddito is the property of Point Veterinaire Italie s.r.l. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introduction: Introduction: subarachnoid hemorrhage (SAH) is a rare and life-threatening cerebrovascular disease. Mitigating the factors that compromise patient recovery during neurocritical care due to SAH is of clinical benefit. Objectives: to evaluate the nutritional risk of patients with aneurysmal subarachnoid hemorrhage using "The Modified Nutrition Risk in the Critically Ill" (mNUTRIC) score, and examine its association with outcomes such as mortality, time of mechanical ventilation, and functional status among survivors. Methods: we designed a cross-sectional study. Patients with SAH admitted to the neurointensive critical care unit (neuroICU) in a tertiary care public hospital were eligible. The inclusion criteria were a minimum stay in the intensive care unit (ICU) of 24 hrs for subarachnoid hemorrhage from a nontraumatic, spontaneously ruptured cerebral aneurysm, and hospital admission within 24 hrs after the onset of symptoms. Results: high nutritional risk as stratified by the mNUTRIC score was associated with discharge type (OR = 0.346; 95 % CI = 0.182-0.650; p = 0.001), acute hypertensive hydrocephalus (OR = 4.371; 95 % CI = 2.283-8.549; p < 0.001), and functional outcome (OR = 0.106; 95 % CI = 0.025-0.0388; p < 0.001). The mNUTRIC score was significantly different among median age (p < 0.001), length of stay in the neuroICU (p = 0.005), SOFA score (p < 0.001), and APACHE II score (p < 0.001) categories. Conclusions: this study demonstrated an association between nutritional risk assessment and outcomes such as length of stay in the neuroICU, type of discharge, functional status, and mortality prediction accuracy. [ABSTRACT FROM AUTHOR]

Copyright of Cirugía y Cirujanos is the property of Publicidad Permanyer SLU and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Arquivos de Neuro-Psiquiatria is the property of Thieme Medical Publishing Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Fundamento:los aneurismas de la vena porta son entidades poco frecuentes, representan aproximadamente el 3% de los aneurismas del sistema venoso. La mayoría de los aneurismas de la vena porta se detectan en pacientes con hígado sano, aunque en algunas ocasiones la hipertensión portal podría favorecer el desarrollo de la patología. Los lugares más comunes son la confluencia venosa esplenomesentérica, la vena porta principal y las ramas de la vena porta intrahepática en los sitios de bifurcación.Objetivo: presentar el caso de un paciente portador de una aneurisma de la vena porta. Presentación del Caso: Paciente femenina, blanca de 49 años de edad con antecedentes de trastornos dispépticos, y en ocasiones, dolor a nivel del hipocondrio derecho. Su examen físico era negativo y la impresión diagnóstica de su médico de asistencia era litiasis vesicular. Durante la realización del examen ultrasonográfico se encuentra como dato positivo una dilatación de tipo aneurismático de la vena porta en el inicio de su trayecto intrahepático de 18 mm de diámetro, y el resto del examen resultó negativo.Conclusiones: Por lo inusual de este caso se decide hacer su presentación.

Introdução: Os aneurismas da artéria temporal superficial (ATS) não traumáticos são extremamente raros, constituindo cerca de 8% de todos os aneurismas da ATS. Apresentam-se habitualmente como uma massa pulsátil na região temporal ou parietal, frequentemente não dolorosa. Em termos etiológicos, a hipertensão e a arteriosclerose parecem ser as principais causas dos aneurismas não-traumáticos da ATS. Como diagnósticos diferenciais encontram-se o hematoma subcutâneo, doenças inflamatórias como a arterite de células gigantes, cisto sebáceo, entre outros. O tratamento dos aneurismas da ATS é cirúrgico. Considerando que se trata de uma entidade rara, com uma diversidade de diagnósticos diferenciais e sendo importante um diagnóstico atempado, este relato de caso é relevante para a prática clínica e tem como objetivo sensibilizar os colegas para esta patologia. Descrição do caso: Mulher de 67 anos, que recorreu a consulta aberta devido a uma tumefação na região temporal direita com um mês de evolução, dolorosa e acompanhada por cefaleia temporal direita, com agravamento progressivo e sem resposta franca ao tratamento analgésico. Ao exame objetivo apresentava tumefação temporal direita, com cerca de 1,5cm, não pulsátil, dura, dolorosa à palpação, sem outros sinais inflamatórios. Sem alterações ao exame neurológico sumário. Realizou ecografia com estudo doppler que revelou aneurisma da ATS trombosado. A utente foi submetida a exérese cirúrgica do aneurisma sete dias após a observação inicial, sem intercorrências. Comentário: O aneurisma da ATS não traumático é uma entidade extremamente rara. Na situação particular desta utente, a atipia da dor à palpação da tumefação, associada ao quadro de cefaleia localizada, levantaram no médico de família a suspeita de não se tratar de apenas mais um cisto sebáceo. Por este motivo, e apesar de raro, o aneurisma da ATS deverá ser sempre considerado em qualquer tumefação que surja de novo na região temporal.

Objective: Few data about outcomes of elective infrarenal abdominal aortic aneurysm (AAA) repair in Latin America have been published. The objective of the present study is to address this aspect in our population. Method: Retrospective cohort, in which patients with infrarenal AAA undergoing elective surgical or endovascular repair from January 2011 to May 2017 at a university hospital in Autonomous City of Buenos Aires were consecutively included. The primary endpoints were perioperative mortality and all-cause mortality during follow-up. Among the secondary endpoints, the requeriment of reinterventions was assessed. Results: 195 patients were included. Open surgery was performed in 72 patients (36.9%) and endovascular aortic repair (EVAR) in 123 (63.1%). Perioperative mortality in the surgery group was 2.8%, while no deaths were recorded in the endovascular group (p = 0.06). The median follow-up was 38 months. No statistically significant difference was found in longterm mortality incidence rate between patients who underwent EVAR and those who underwent open surgery (7% per year vs. 6.7% per year, p = 0.8). The requirement of reinterventions was significantly higher in the endovascular group (9.0% vs. 0%, p = 0.01). Conclusions: Survival analyses demonstrated no statistically significant differences in perioperative and longterm mortality for patients who underwent EVAR compared with those who underwent open surgery, while the former had a higher rate of reinterventions. The results observed in our population do not differ from those published in the United State or Europe. [ABSTRACT FROM AUTHOR]

Copyright of Ginecología y Obstetricia de México is the property of Federacion Mexicana de Ginecologia y Obstetricia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Durante la pandemia COVID-19 se ha incrementado el uso de la telemedicina y de plataformas virtuales en el campo de la medicina, por ello en nuestra institución contamos con un sistema multicámara que permite la visualización en vivo de procedimientos endovasculares. Se realizaron once casos de aneurismas, malformaciones arteriovenosas y hematomas subdurales crónicos que fueron tratados y transmitidos en vivo sin problemas técnicos a través de la plataforma Zoom®. El tiempo promedio de transmisión y del número de participantes fue de 2.5 horas y 6 participantes, respectivamente. En todos los casos se discutió la técnica empleada y las complicaciones ocurridas. El aprendizaje remoto con plataformas en línea es hoy en día una herramienta importante, pero no un sustituto del aprendizaje práctico para procedimientos endovasculares. Recomendamos su implementación durante la pandemia de COVID-19 como un sustituto temporal, especialmente para los médicos en entrenamiento que no tienen acceso a intervenciones endovasculares avanzadas.

El aneurisma de Aorta, independientemente de la localización, es una situación de urgencia en la cual se necesita una rápida captación de la patología y una decisión pronta del tratamiento. Por esta razón, es necesaria una correcta interpretación de signos y síntomas así como de estudios de imagen, los cuales serán abordados en el presente artículo así como las generalidades necesarias para poder actuar a tiempo. Se hará una revisión de cómo interpretar de manera adecuada la patología en diferentes estudios de imagen y se explicará de manera breve la población de riesgo. Se abordará la patología torácica, esto debido a la diferencia en cantidad de bibliografía cuando se compara con el aneurisma abdominal. Si bien es cierto no es la patología más común, según se discutirá, sí es importante a nivel estadístico conocer la cantidad de casos que se presentan en un servicio de salud primario ya que la mortalidad va a depender del abordaje que se realice y el tiempo en el que se tomen las decisiones.

Intracranial aneurysms are dilations in segments of the arteries that irrigate the central nervous system. They affect 2% of the population and the ophthalmologic disorders may be the first evidence in the clinical examination. The aim of the report is to describe a case of an internal carotid artery aneurysm that showed restrictions of ocular movements, change of pupillary light reflex, palpebral ptosis, facial, and cervical pain. This diagnosis was confirmed by the identification of the aneurysm through angiography. A balloon occlusion test was performed, and its positive result made a complete occlusion of the Internal Carotid Artery possible through surgery ligation, procedure that was successful. [ABSTRACT FROM AUTHOR]

Anterior communicating artery aneurisms (ACAA) are complex and require endovascular or microsurgery approaches. The use of minimally invasive microsurgery techniques is evolving. We present the case of a 34-year-old patient with a broad neck, non-broken, ACAA with a Glasgow coma scale of 15 points. A lateral supra-orbitary approach with total clipping of the ACAA using intra-operatory fluorescein angiography was performed. The objective was accomplished successfully and safe, optimizing both intra-operative and hospitalization times, thus, maximizing patient comfort, esthetic and prompt return to normal duties. [ABSTRACT FROM AUTHOR]

Introducción: La reparación endovascular de los aneurismas aorto-ilíacos con dispositivos de rama ilíaca permiten excluir el aneurisma de forma eficaz, así como mantener la circulación de la pelvis. Sin embargo, no todas las anatomías son aptas para esta tecnología. Esto motivó el siguiente estudio, cuyo objetivo es evaluar la compatibilidad de la anatomía de los vasos ilíacos con respecto a los valores preestablecidos de estos dispositivos, en una población cadavérica. Materiales y métodos: Se disecaron 53 bifurcaciones ilíacas arteriales, de cadáveres adultos formolados. Se registró: sexo, lado (derecho o izquierdo), longitud de la arteria ilíaca común (L1), longitud de la arteria iliaca interna (L2), y calibres de la arteria ilíaca común (C1), de la bifurcación ilíaca (C2), de la arteria iliaca interna (C3) y externa (C4). Las variables cuantitativas fueron comparadas con los requerimientos de 3 casas comerciales que fabrican estos dispositivos. Resultados: Los valores promedio obtenidos fueron de: L1: 54,52 mm; L2: 40,59 mm; C1: 11,73 mm; C2: 15,34 mm; C3: 7,28 mm; C4: 8,36 mm. Del total de casos estudiados, 5 casos (9.43%) cumplieron con los requisitos de la primera casa comercial, los restantes 48 (90,57%) no lo hicieron. Ocho casos (15,09%) cumplieron con los de la segunda casa, 45 (84,91%) no lo hicieron. Finalmente, 18 casos (33,96%) cumplieron con los requisitos de la tercer casa comercial, mientras que los restantes 35 casos (66,04%) no lo hicieron. Conclusiones: El cirujano debe estar al tanto de esta y otras técnicas de sello distal de aneurismas aorto-ilíacos, ya que no todas las bifurcaciones iliacas cumplen los requisitos de las casas comerciales. Es fundamental determinar la morfometría de cada caso para ver su compatibilidad con los dispositivos.

Presentado en sesión de 13 de mayo de 1964

Presentado en sesión de 1o. de octubre de 1958

Presentado en sesión de 23 de abril de 1958

Presentado en sesión de 8 de mayo de 1957

Presentado en sesión de 12 de noviembre de 1947

Presentado en sesión de 23 de julio 1947

Presentado en sesión de 21 de abril de 1937

La enfermedad de Kawasaki, es una vasculitis auto limitada que afecta principalmente a niños pequeños; Es la segunda causa más común de vasculitis en menores de 5 años. La enfermedad se caracteriza por la presencia de un criterio mayor, el cual es la fiebre mayor o igual a 5 días y la presencia de ≥4 de las 5 características clínicas principales. Esta revisión está enfocada en la actualización sobre el manejo médico de la enfermedad, sin abordar el manejo quirúrgico de los aneurismas coronarios.

Aneurysms arising from the pulmonary artery are a rare condition and bear a high risk of death from rupture, dissection or RV failure. We report a case of a pulmonary artery aneurysm secondary to a patent ductus arteriosus, successfully treated with aneurysmectomy and patch repair. Resumen: Los aneurismas originados de la arteria pulmonar son una condición rara, con elevada mortalidad asociada a su ruptura, disección, o disfunción ventricular derecha. Se reporta el caso de un aneurisma gigante de la arteria pulmonar en un adulto, secundario a un conducto arterioso persistente, el cual fue tratado satisfactoriamente de forma quirúrgica mediante resección y reparación con parche.

Se presentan dos observaciones de aneurismas femorales complicados por ruptura uno y trombosis el otro. Ambos fueron tratados con éxito.

Introduction. Arterial tortuosity syndrome (ATS) is an extremely rare autosomal recessive disorder of the connective tissue. It is characterized by tortuosity and elongation of medium and large arteries, with multiple disorders associated with the widespread involvement of the connective tissue. Clinical case. Newborn diagnosed with ATS, with multiple vascular malformations, hiatal hernia, and bilateral inguinal hernia. He underwent surgery at three months of age. The hiatal hernia was closed, and bilateral inguinal hernia repair was performed. The inguinal hernias required up to 4 surgeries as a result of recurrences. During follow-up, the patient had retrocardiac diaphragmatic hernia. It was operated on, with subsequent incisional hernia. 8 years later, he was admitted as a result of septic shock secondary to intestinal occlusion. Emergency surgery was scheduled, demonstrating gastric herniation in the right pleural cavity, with perforation of the fundus. The patient died at the ICU 24 hours later. Discussion. The pediatric surgeon should be familiar with ATS, since it may cause multiple surgical pathologies, it is difficult to manage, and it is associated with a high risk of recurrence and complications. [ABSTRACT FROM AUTHOR]

Copyright of Acta Médica Peruana is the property of Colegio Medico del Peru and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Arquivos de Neuro-Psiquiatria is the property of Thieme Medical Publishing Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Universidad Médica Pinareña is the property of Editorial Ciencias Medicas and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)