Coverage of the LSA during TEVAR for traumatic aortic injuries appears to be a feasible, safe method for extending the endograft landing zone without increasing the risk of paraplegia, stroke, or left arm ischemia. Left vertebral artery diameter can be used to identify patients at risk for postoperative left arm ischemia.

No abstract

An arteriovenous (AV) fistula is an abnormal connection between an artery and vein. It is usually caused by congenital and acquired factors. A 65-year-old man presented to us with a neck mass of 4-year duration with no traumatic history. A Doppler study of the mass revealed a ''whirlpool'' pattern in a cavity, and something resembling thrombus adhered to the cavity wall. Based on the spectrum of blood flow, we strongly suspected a fistula. Digital subtraction angiography (DSA) was carried out to validate that the neck mass was caused by an AV fistula from the superior thyroid artery (STA) to the superior thyroid vein (STV).

The authors describe the transapical deployment of a thoracic endograft to exclude a saphenous vein graft proximal anastomotic pseudoaneurysm following coronary artery bypass grafting (CABG) in a 63-year-old male with a prosthetic aortic valve. A standard thoracic endograft has been deployed via transapical access after percutaneous transluminal coronary angioplasty of the native vessel perfused by the patent CABG. The procedure was uneventful; an 8-month computed tomography scan showed complete exclusion of the pseudoaneurysm with patency of supra-aortic trunks.

An 80-year-old woman presented with a history of hypertension, chronic obstructive pulmonary disease (COPD), peripheral vascular disease, and chronic renal failure (stage 5, estimated glomerular filtration rate (eGFR): 12.6 mL/min/1.73 m 2), previously treated for abdominal aortic aneurysm by endovascular aneurysm repair (EVAR). The patient was regularly followed at the nephrology clinic and was evaluated by the vascular surgeon for the placement of a vascular access (VA), in preparation for dialysis treatment. The duplex scan examination showed postphlebitic fibrosis of the cephalic veins in both arms and a small size of both basilic veins (2.5 mm diameter). In this case, given the poorness of the autologous superficial venous system, the patient was treated through a prosthetical left omero-axillary arteriovenous bypass. The procedure was performed in local anesthesia (LA) using a Gore Hybrid ® (W. L. Gore & Associates, Inc., Flagstaff, AZ, USA) vascular graft. This choice was done since the patient did not need an immediate ultrafiltration (whereby an early