Tag Archives: aneurysm

Print Release, Vascular Surgery

PUBLISHED: Thoracoabdominal Aortic Aneurysm Repair

Thoracoabdominal Aortic Aneurysm Repair
Andrew Del Re, MD1; Jahan Mohebali, MD, MPH2; Virendra I. Patel, MD, MPH2
1The Warren Alpert Medical School of Brown University
2Massachusetts General Hospital

Thoracoabdominal aortic aneurysms (TAAAs) are generally asymptomatic and are discovered incidentally on thoracic or abdominal imaging. When they are identified, management is often expectant, depending on the size of the aneurysm and its rate of growth. Surgery is indicated for larger aneurysms and those that expand rapidly so as to avoid the catastrophic rupture of the aneurysm.

This article presents the case of a 70-year-old female with a TAAA, whom had been followed with serial computed tomographic angiography scans. The decision to operate was made when the aneurysm began revealing growth in diameter. Her anatomy was not conducive to endovascular treatment; therefore, her aneurysm was repaired using a traditional open approach.

Print Release, Vascular Surgery

PUBLISHED: Transcervical Open Repair of Extracranial Internal Carotid Artery Aneurysm

Transcervical Open Repair of Extracranial Internal Carotid Artery Aneurysm
Miguel Angel Mendoza Romo-Ramírez, MD1; Jasanai Sausameda-García, MD2; Silverio Gutiérrez-Cruz, MD2; Kevin Johnson-Molina, MD2; Carlos Flores-Ramirez, MD1
1Hospital Central del Estado, Chihuahua, Mexico
2Hospital General Regional #1. IMSS. Chihuahua, Mexico

This article presents the case of a 1.8-cm carotid saccular aneurysm dependent on the left internal carotid, limited to the proximal portion of the bifurcation in a 66-year-old male with a history of hypertension and diabetes mellitus, successfully managed with an open surgical technique. Extracranial aneurysms of the carotid artery are rare and may be caused by atherosclerosis, trauma, infection, or other factors. These aneurysms are characterized by an increase in the diameter of the carotid artery and may require treatment to prevent complications such as embolism or rupture.

Treatment may include open surgery or endovascular techniques, and the choice of treatment depends on several factors, such as the location and size of the aneurysm. Medical management may also be considered in selected cases. Diagnosis is made through imaging tests such as duplex ultrasound, computed tomography, or magnetic resonance imaging. It is important to perform a careful evaluation to determine the best treatment option and prevent complications.

General Surgery, Preprint Release, Vascular Surgery

PREPRINT RELEASE: Thoracoabdominal Aortic Aneurysm Repair – Part 2

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0109b-screenshotThoracoabdominal Aortic Aneurysm Repair – Part 2
Virendra I. Patel, MD, MPH
Associate Program Director, General Surgery Residency; Department of Vascular and Endovascular Surgery
Massachusetts General Hospital

Dr. Patel continues repairs on this thoracoabdominal aortic aneurysm in Part 2 of this two part series. Watch as he works against the clock during visceral ischemia time until blood flow from the graft is restored to all the dependent organs! (Pre-print, Part 2 of 2).

This article follows a previously released Part 1.

General Surgery, Preprint Release, Vascular Surgery

PREPRINT RELEASE: Thoracoabdominal Aortic Aneurysm Repair – Part 1

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0109AThoracoabdominal Aortic Aneurysm Repair – Part 1
Virendra I. Patel, MD, MPH
Associate Program Director, General Surgery Residency; Department of Vascular and Endovascular Surgery, Massachusetts General Hospital

Watch Dr. Patel as he performs a Type 1 thoracoabdominal aortic aneurysm repair with distal aortic perfusion through an atriofemoral bypass circuit. (Pre-print, Part 1 of 2).