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Thilina Gunawardena,Manujaya Godakandage,Sachith Abeywickrama,Rezni Cassim,Mandika Wijeyaratne 대한혈관외과학회 2021 Vascular Specialist International Vol.37 No.4
It is uncommon for infective spondylitis to coexist with an infected aneurysm of the adjacent abdominal aorta. Also, pre-aortic confluence of the iliac veins or marsupial vena cava is a rare anatomical variant, which increases the potential for venous injury and hemorrhage during an emergency operation. Herein, we report the case of a 57-year-old male with these three pathologies, who was successfully treated with emergency open surgery. During surgery, we noted this anomaly and extensive destruction of the lumbar vertebral bodies. We discuss options to treat these rare pathologies with literature review.
Spontaneous Transection of the Superficial Femoral Artery with Devastating Outcomes: A Case Report
Thilina Gunawardena,Manujaya Godakandage,Sachith Abeywickrama,Rezni Cassim,Mandika Wijeyaratne 대한혈관외과학회 2021 Vascular Specialist International Vol.37 No.3
Non-traumatic, simultaneous pseudoaneurysms of the bilateral superficial femoral arteries (SFAs) are extremely rare. Spontaneous transection of the SFA is another unique pathology. Here, we present a patient with end stage kidney disease who was diagnosed with bilateral, simultaneous SFA pseudoaneurysms. He had a recent history of methicillin-sensitive Staphylococcus aureus septicemia; therefore, infection was suspected to be the main cause. Complete transection of the SFA was noted during the operative exploration of the symptomatic left side. Wide debridement and autologous vein bypass were performed via a clean route. Unfortunately, two months later, recurrent surgical site infection caused distal anastomotic rupture and fatal sepsis.