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Vascular Surgery
We report an unusual case of traumatic aortic rupture and lesion of the left main bronchus after blunt chest trauma in an 8-year-old otherwise healthy boy. The trauma mechanism was severe compression of the thoracic cavity underneath a heavy object without a deceleration component. The visceral lesions were disproportionally severe compared with the surface injury. This...
(Vol 11 p 1-4, Paediatric surgery; Trauma; Vascular Surgery: 25 February 2011)
Persistent subclavian artery stenosis following surgical repair of non-union of a fractured clavicle
Arterial thoracic outlet syndrome (TOS) is a rare vascular abnormality. Its common cause is a cervical rib but it is seldom detected secondary to trauma of the clavicle, particularly in association with surgical repair of a fractured clavicle. An athletic 45-year-old man developed a recurrent ischaemic upper limb after repair to a non-union fractured clavicle. He...
(Vol 10 p 55-58, Vascular surgery: 22 July 2010)
Arterial injury is a rare complication of knee replacement. We present a delayed presentation which was proven with arteriography and successfully treated with embolisation rather than open surgery. In atypical clinical pictures of swelling and equivocal inflammatory markers, clinicians should consider the differential diagnosis of persistent arterial bleeding.
(Vol 10 p 51-54, Orthopaedic surgery; Vascular surgery: 22 July 2010)
Lateral abdominal wall haematoma following blunt trauma can be a life-threatening condition and requires prompt diagnosis and treatment. We present the imaging findings and treatment modalities used for a young man presenting to the emergency department with abdominal pain and bruising.
(Vol 9 p 33-37, Accident and Emergency Medicine and Surgery (including Trauma), Radiology, Vascular Surgery: 17 November 2009)
An 88-year-old woman presented with thrombo-embolic disease of the left upper extremity manifested by the classical signs of pain, paresthesias, pallor, pulselessness, and poikilothermia. She was found to have a thrombo-embolus in the left distal brachial artery as well as two large thrombi in the aortic arch and proximal descending aorta. Initial surgical intervention...
(Vol 8 p 52-56, Vascular medicine; Vascular surgery: 3 December 2008)
Compartment syndrome is a potentially limb- and life-threatening clinical entity resulting from elevated intra-compartmental pressures. A high clinical suspicion is paramount in diagnosis since full recovery is time-sensitive. We present a unique case of chronic myelomonocytic leukemia-induced (CMML) compartment syndrome which illustrates the importance of quick diagnosis...
(Vol 8 p 31-34, Accident and Emergency Medicine and Surgery (including Trauma); Orthopaedic Surgery; Vascular Surgery: 1 October 2008)
Varicose vein surgery is one of the commonest surgeries performed in the Western world. Utilisation of a plastic stripper and olive or a perforation/inversion metallic stripper has been used to remove the great saphenous vein in the thigh. We describe a non-traumatic technique for removal of the great saphenous vein that has minimal complications.
(Vol 8 p 1-3, Vascular surgery: 24 January 2008)
Since the first description by Bartholin in 1740, 386 cases of aneurysms of the facial vasculature have been reported in the world literature. Of these, less than 200 were of the superficial temporal artery (STA) [1]. Such STA lesions are commonly pseudoaneurysms presenting within weeks of direct trauma. We present a case of STA pseudoaneurysm following a closed head...
(Vol 6 p 15-17, Vascular Surgery, Trauma: 25 May 2006)
Percutaneous transluminal angioplasty is a very common procedure and it is considered quite a safe and effective technique. We present a case of a patient who developed acute occlusion of the aorta and iliac vessels following bilateral aortoiliac angioplasty. There have been cases reported of acute iliac and femoral occlusion following bilateral aortoiliac angioplasty but...
(Vol 5 p 4-7, Vascular surgery: January 2005)
In 1995 a 42-year old patient with common variable immunodeficiency associated with granulomatous disease had an elective repair of a granulomatous abdominal aortic aneurysm. Five years later he presented with a ruptured false aneurysm of the left common iliac artery. Granulomata may cause aneurysm formation and weakens surgical anastomoses.
(Vol 1 p 7-8, Vascular Surgery: February 2001)
Contents by specialty
Editor-in-Chief
Frank Cross
Consultant Surgeon
St. Bartholomew's and The London NHS Trust, UK
Editors
Neil Barnes
Consultant Physician
St. Bartholomew's and The London NHS Trust, UK
Ali Jawad
Consultant Rheumatologist
St. Bartholomew's and The London NHS Trust, UK
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