David Brophy

Pseudoaneurysm of the Brachial Artery Following Humeral Fracture

The frequency of peripheral artery aneurysms in the upper extremities is less than in the lower extremities. Diagnosis and surgical treatment are important because upper extremity aneurysms can severely compromise the function of a limb and possibly lead to the loss of an arm or fingers. Very rarely, posttraumatic upper extremity pseudoaneurysms show symptoms after a long period of time. Diagnosis can be made on review of the patients history and a physical examination. Surgical reconstruction is the preferred treatment for such patients. We present a case of a brachial artery pseudoaneurysm following humeral fracture.

Primary aortoenteric fistula.

A 78-year-old woman presented with a gastrointestinal hemorrhage and palpable abdominal aortic aneurysm. The computed tomography scan of the abdomen showed a primary aortoenteric fistula. The challenging clinical diagnosis of aortoenteric fistulae and their surgical treatment options are discussed.

Postpartum carotid artery dissection.

⁎ Corresponding author. Department of Vascular Surgery, St Vincents University Hospital, Dublin, Ireland. Tel.: +353 1 2214000; fax: +353 1 2696018. E-mail address: grnagle@rcsi.ie (G. Roche-Nagle). [2] Zaidi N, Ali N, Raman. Acute myocardial infarction in early pregnancy: definition of myocardium at risk with noncontrast T2-weighted cardiac magnetic resonance. Am J Gyn Obst 2008;198(3):e9–e12. [3] Cowan NC, de Belder MA, Rothman MT. Coronary angioplasty in pregnancy. Br Heart J 1988;55(5):588–92. [4] Lange S, Jenner M. Myocardial infarction in the obstetric patient. Crit Care Nurs Clin North Am 2004;16(2):211–9.

Secondary aortoenteric fistula presenting with small bowel obstruction

A 79-year-old woman presented with colicky abdominal pain on a background of previous aortic aneurysm graft insertion 3 years earlier. Physical examination disclosed hyperactive bowel sounds and epigastric discomfort. Abdominal multidetector computed tomography (MDCT) was performed with …

Aortic plaque rupture in the setting of acute lower limb ischemia

Acute aortic plaque rupture is an uncommon cause of acute lower limb ischemia. The authors report sequence computed tomographic imaging of a distal aortic plaque rupture in a young man with bilateral lower limb complications. Clinical awareness, prompt recognition and imaging, and appropriate treatment of this uncommon condition are necessary to improve patient outcomes.