An unusual case of colon vascularization by the inferior mesenteric artery
Abstract In this article we present a rare variant in which the large intestine was vascularized by the inferior mesenteric artery. It was encountered during macro and microscopic dissection of the cadaver of a 63-year-old woman at a university department of human anatomy. In this case, the ascending, transverse, descending, and sigmoid colon and rectum were vascularized by the inferior mesenteric artery, whereas the small intestine, cecum and appendix were supplied by the superior mesenteric artery.Resumo Neste artigo apresentamos uma varia ção rara em que o intestino grosso era vascularizado pela artéria mesentérica ...
Source: Jornal Vascular Brasileiro - May 9, 2017 Category: Surgery Source Type: research

Repair of ruptured iliac artery aneurysm in a child
We describe the case of a 12-year-old girl who presented at the emergency department with hemorrhagic acute abdomen, an abdominal pulsating mass and hemodynamic instability. A diagnosis of ruptured right iliac artery aneurysm was confirmed and an emergency open repair procedure was performed with extra-anatomic reconstruction, using a small-caliber synthetic graft, compatible with her anatomy. The treatment was successful and the child was doing well at short-term follow-up. (Source: Jornal Vascular Brasileiro)
Source: Jornal Vascular Brasileiro - May 9, 2017 Category: Surgery Source Type: research

Catheterization of the mesenteric artery to treat portal vein thrombosis
This article presents the case of a 60-year-old male patient, with clinical signs of mesenteric ischemia that was confirmed by imaging examination. He underwent enterectomy and enteroanastomosis and, after detection of portal vein thrombosis by splenoportography, he was prescribed drug-based treatment with continuous infusion of recombinant tissue plasminogen activator (Alteplase) via selective catheterization of the superior mesenteric artery. This is a treatment innovation. The portal system was successfully recanalized. However, the patient developed abdominal sepsis and required intensive care for 25 days. His clinical...
Source: Jornal Vascular Brasileiro - May 9, 2017 Category: Surgery Source Type: research

Electronic protocol for clinical data collection in chronic visceral ischemia
Abstract Patients with vascular diseases present with a long medical history which makes for complex and confusing medical records. Electronic record systems have a large storage capacity and high information processing capabilities, and may therefore improve the quality and reliability of prospective clinical studies. In the present study, a theoretical framework for clinical data collection in chronic visceral ischemia was created containing 5706 items, organized into six major categories: medical history, physical examination, laboratory testing, diagnosis, treatment and outcome. The database was used to construct an el...
Source: Jornal Vascular Brasileiro - May 9, 2017 Category: Surgery Source Type: research

Use of paclitaxel-coated balloon to treat in-stent restenosis in femoropopliteal segments
Conclusions Short-term results are promising, with reductions in the magnitude of restenosis and a low rate of complications. Further studies are needed that can demonstrate the long-term effects and the economic impacts in comparison to other procedures. (Source: Jornal Vascular Brasileiro)
Source: Jornal Vascular Brasileiro - May 9, 2017 Category: Surgery Source Type: research

Medium and long-term outcomes of endovenous treatment of varicose veins with a 1940nm diode laser: critical analysis and technical considerations
Conclusions The 1940nm laser proved to be safe and effective in venous segments up to 10 mm in diameter, with the parameters proposed, over medium to long term time follow-up. (Source: Jornal Vascular Brasileiro)
Source: Jornal Vascular Brasileiro - May 9, 2017 Category: Surgery Source Type: research

Analysis of risk factors related to minor and major lower limb amputations at a tertiary hospital
Conclusions Lower limb amputations at different levels are related to different risk factors. Ischemia of greater severity and morbidity was associated with major amputations, while neuropathy and preserved perfusion were more often related to minor amputations. (Source: Jornal Vascular Brasileiro)
Source: Jornal Vascular Brasileiro - May 9, 2017 Category: Surgery Source Type: research

Evaluation of cardiovascular disease in patients with systemic arterial hypertension in relation to age and sex: a retrospective study in a south Indian population
Conclusions A majority of patients with systemic arterial hypertension may develop cardiovascular disease and, as age increases, the tendency to develop hypertension also increases.Resumo Contexto A hipertens ão arterial sistêmica se manifesta como elevação constante da pressão sanguínea e é considerada um importante fator de risco cardiovascular. A avaliação sistêmica de doenças cardiovasculares em pacientes com hipertensão arterial sistêmica é crucial para a prevenção. Objetivos O obje tivo deste estudo foi investigar e inter-relacionar sexo e idade com hipertensão arterial sistêmica e doença cardiov...
Source: Jornal Vascular Brasileiro - May 9, 2017 Category: Surgery Source Type: research

Associations between symptoms and varicose veins and great saphenous vein reflux seen on Doppler ultrasonography
Conclusions Insufficiency of the GSV was significantly more frequent in group III, both overall and when considering only cases with morbid obesity, or cases in older age groups. (Source: Jornal Vascular Brasileiro)
Source: Jornal Vascular Brasileiro - May 9, 2017 Category: Surgery Source Type: research

REBOA: is it ready for prime time?
(Source: Jornal Vascular Brasileiro)
Source: Jornal Vascular Brasileiro - May 9, 2017 Category: Surgery Source Type: research

ERRATUM: Vascular physiotherapy for treatment of chronic venous disease: review article
This article describes a case of agenesis of a segment of femoropopliteal vein in the right lower limb of a 36-year-old patient who had edema and large caliber varicose veins in the affected limb. (Source: Jornal Vascular Brasileiro)
Source: Jornal Vascular Brasileiro - February 21, 2017 Category: Surgery Source Type: research

A rare venous anatomic variation of the lower limb
This article describes a case of agenesis of a segment of femoropopliteal vein in the right lower limb of a 36-year-old patient who had edema and large caliber varicose veins in the affected limb. (Source: Jornal Vascular Brasileiro)
Source: Jornal Vascular Brasileiro - February 21, 2017 Category: Surgery Source Type: research

Detachment of chemotherapy catheters: a rare complication?
We describe three cases in which the catheter became disconnected from its reservoir. In the first case, the catheter became completely detached from its reservoir and in the second and third cases the catheter itself underwent fragmentation. In all three cases it was necessary to withdraw the endovascular catheter. This event is described as rare, but it tends to be present in the majority of reviews and it is associated with the risk of serious complications, even though it is often asymptomatic. It is advisable to follow-up patients who have these catheters implanted in order to detect these complications early and to e...
Source: Jornal Vascular Brasileiro - February 21, 2017 Category: Surgery Source Type: research

TEVAR for ruptured descending thoracic aortic aneurysm: case report
Abstract A ruptured descending thoracic aortic aneurysm (rDTAA) is a life-threatening condition associated with high morbidity and mortality. Endovascular treatment for rDTAA promotes effective aneurysm exclusion with a minimally invasive approach. The authors report a case of a 76-year-old man with hemodynamically unstable 9-cm-diameter rDTAA treated with emergency thoracic endovascular aortic repair (TEVAR).Resumo O aneurisma roto de aorta tor ácica descendente constitui uma situação ameaçadora associada a alta morbidade e mortalidade. O tratamento endovascular desse tipo de aneurisma promove exclusão eficaz com uma...
Source: Jornal Vascular Brasileiro - February 21, 2017 Category: Surgery Source Type: research

Angiolymphoid hyperplasia with eosinophilia: a rare case in the oral cavity
Resumo A hiperplasia angiolinfoide com eosinofilia (HALE) é considerada uma lesão vascular benigna rara que acomete, principalmente, o tecido cutâneo e subcutâneo da região de cabeça e pescoço, mas incomum na cavidade oral. Sua etiopatogenia permanece indefinida, sendo descrita como proliferação vascular reacional, malformação vascular ou neopla sia. Tem como principal diagnóstico diferencial a doença de Kimura. Este trabalho relata um caso de um paciente do sexo masculino, de 50 anos, que exibia aumento de volume nodular na mucosa do lábio superior, com 3 cm de dimensão e 7 anos de evolução. Após a bióp...
Source: Jornal Vascular Brasileiro - February 21, 2017 Category: Surgery Source Type: research