Georgios Chatzantonis

MD
  • Function: Consultant
  • Speciality: Vascular Surgery
  • Country: GR

Activities

Case report

Isolated true aneurysm of the dorsal pedis artery

A 48 years old man presented at our vascular department with a pulsatile mass on the left forefoot. The clinical examination showed a palpable painless pulsative aneurysm of the dorsal pedis artery. Signs of peripheral embolization or inflammation are not presented. The duplex ultrasound obtained an 1,7 x 1,2 cm  partial thrombosed non arteriosclerotic aneurysm of the ADP with an normal thriphasic velocity waveform. We manage the aneurysm through a completely resection and reconstruction with an interposition vein graft The operative procedure remained uneventful.  The patient was discharged on the 3th postoperative day. In the 4week follow-up the patient had no complains, the wounds were healed, and the interposition graft was open.

April 12, 2020 No Comments
Show presentation
Poll 13/04/2018 – 30/06/2018

Topic: Asymptomatic juxta- and pararenal aortic aneurysms

Patient’s characteristics

Gender: Female
Age: 75 years old
Comorbidity: Arterial hypertension, hypercholesterinemia, previous aortocoronary bypass grafting, previous myocardial infarction, previous smoker, peripheral arterial disease, atrial fibrillation
Symptoms: None
Previous operations: None

 

Aneurysm characteristics:

Max. aneurysm diameter: 54 mm

Length of proximal infrarenal neck: 0 mm

Distance between SMA and LRA: 20 mm

Diameter of renal arteries: RRA: 5,3 mm, LRA: 6 mm

Suprarenal angulation: 60°

Diameter of distal neck: 30 mm

Minimum diameter of common iliac arteries: R: 11 mm, L:9 mm

Maximum diameter of common iliac arteries: R: 11 mm, L: 14 mm

Minimum diameter of external iliac arteries: R: 7 mm, L: 6,2 mm

Poll 01/03/2019 – 31/03/2019

The chronic mesenteric ischemia

Patient’s characteristics

 

Gender: Female

Age: 69 years old

Comorbidity: Arterial hypertension, Dyslipidemia, coronary heart disease (DES deployment 2 years ago)

Symptoms:  Postprandial pain

Previous abdominal operations: None

DUS: Occlusion of the superior mesenteric artery