Endovascular treatment for a spontaneous rupture of the posterior tibial artery in a patient with Ehlers-Danlos syndrome Type IV: Report of a case

Matsushima, Kazuhide; Takara, Hiroaki

doi:10.1007/s00595-008-3881-9

Cited by 24 publications

(18 citation statements)

References 16 publications

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“…[1][2][3][4] However, patients who are affected by EDS, particularly the vascular EDS type (vEDS), develop complications associated with tissue weakness, and surgical or interventional therapy is often required. [1][2][3][4][9][10][11] Until genetic and biochemical testing was suffi ciently developed, a considerable number of patients who died unexpectedly could not be diagnosed as having vEDS. In the present case, the reason for the colonic perforation was unclear after a histopathological examination, and 6 months passed until the diagnosis of vEDS could be made by genetic and biomolecular assays.…”

Section: Discussionmentioning

confidence: 99%

Sigmoid colon perforation induced by the vascular type of Ehlers-Danlos syndrome: Report of a case

et al. 2011

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The vascular type of Ehlers-Danlos syndrome (vEDS) is a rare inherited disease of the connective tissues, and is caused by abnormal type III collagen resulting from heterogeneous mutations of the type III collagen COL3A1 gene. We herein report the case of a vEDS patient who developed a sigmoid colon perforation and was given a definitive diagnosis by a genetic and biomolecular assay. The patient demonstrated clinical manifestations caused by tissue weakness such as frequent pneumothorax events and a detached retina. During the operation, we noticed easy bruising and thin skin with visible veins on the patient's abdominal wall. Finally, a diagnosis was confirmed by the reduction of type III collagen synthesis and by the identification of a mutation in the gene for type III collagen. We conclude that it is difficult to diagnose a vEDS patient without clinical experiences and specialized genetic methods. Furthermore, all organs must be treated gently during therapy, because the tissues of vEDS patients are extremely fragile.

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Section: Discussionmentioning

confidence: 99%

Sigmoid colon perforation induced by the vascular type of Ehlers-Danlos syndrome: Report of a case

et al. 2011

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“…Although generally the majority of pseudoaneurysms are traumatic or iatrogenic in origin, connective tissue disease such as EDS-4 and Marfan syndrome must be considered in the differential diagnosis, at least in the case of spontaneous pseudoaneurysms. 1 To our knowledge, only two cases of spontaneous pseudoaneurysm below the knee in EDS-4 have been reported by Mandeville et al 5 and by Matsushima et al 6 Both cases, compared with our case, had similar symptoms (swollen and painful leg), but less severe and without peroneal palsy, and were treated with endovascular embolization. Due to the large hematoma and the compartment syndrome, it was decided to treat our case surgically.…”

Section: Discussionmentioning

confidence: 53%

Acute first onset of Ehlers–Danlos Syndrome type 4 with spontaneous rupture of posterior tibial artery pseudoaneurysm

et al. 2012

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Ehlers-Danlos syndrome type 4, the vascular type, is a rare, life-threatening inherited disorder of the connective tissue. Affected patients are at risk of arterial, bowel and uterine rupture during pregnancy. Generally, this syndrome remains undiagnosed until a sudden, acute presentation with organ rupture, and results in premature death, even if the patients survive the first and second major complications. An early diagnosis with genetic assays can help to plan the best treatment, which is often challenging due to the frailty of the arterial tissue. We report on a 28-year-old lady who presented with spontaneous rupture of a pseudoaneurysm of the posterior tibial artery.

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“…Digital subtraction angiography is to be reserved for preoperative evaluation and for possible treatment. 12 The management of giant AVMs with hemodynamically active connections remains an unsolved problem. Initial good results of surgical treatments are often followed by unexpected high recurrence rates, and therefore many surgeons usually recommend conservative management.…”

Section: Discussionmentioning

confidence: 99%

Giant arteriovenous malformation located on the chest wall — Diagnosis and endovascular treatment: Report of a case

et al. 2010

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Congenital arteriovenous malformations are usually found in the lower extremities, but a chest wall location is extremely rare. Extensive vascular malformations present difficulties for patients because of severe unsightliness and life-threatening bleeding. Surgical planning and therapeutic indications in vascular malformations are still a difficult problem. This report describes the case of a 27-year-old woman with a congenital giant arteriovenous malformation of the left chest wall. Preoperative embolization was planned prior to surgical intervention because of the increased risk of massive bleeding, and the malformation was completely embolized with absolute alcohol.

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Endovascular treatment for a spontaneous rupture of the posterior tibial artery in a patient with Ehlers-Danlos syndrome Type IV: Report of a case

Cited by 24 publications

References 16 publications

Sigmoid colon perforation induced by the vascular type of Ehlers-Danlos syndrome: Report of a case

Sigmoid colon perforation induced by the vascular type of Ehlers-Danlos syndrome: Report of a case

Acute first onset of Ehlers–Danlos Syndrome type 4 with spontaneous rupture of posterior tibial artery pseudoaneurysm

Giant arteriovenous malformation located on the chest wall — Diagnosis and endovascular treatment: Report of a case

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