Francesco Buia

Endovascular Treatment of an Aortic Traumatic Double Rupture

Traumatic thoracic aortic rupture is a life-threatening condition; aortic isthmus is the most common site of rupture, but in rare cases traumatic injury can localize elsewhere, such as at aortic arch or at the level of the diaphragm. In the past few years, endovascular treatment of traumatic aortic injury became a safe procedure, with lower mortality and complication, if compared with open surgery. We report a case of a 40-year-old-man admitted to emergency department after a violent car crash in which an aortic traumatic double rupture was successfully treated with two endovascular stent-grafts coverage.

Endovascular repair of ascending aorta pseudoaneurysm

We present a case of a 48-year-old female patient with Marfan syndrome and previous open surgeries for Bentall procedure and arch replacement with frozen elephant trunk (FET) technique, who was admitted at our Department with a diagnosis of ascending aorta pseudoaneurysm at the anastomosis-site between composite valve graft and arch prosthesis treated by endovascular procedure because of she was considered to be at high-risk for a third open surgery and for the patients favorable anatomy for endovascular closure of the pseudoaneurysm. The patient was successfully treated with the positioning of two abdominal cuffs through the left axillary artery. The postoperative course was uneventful and at 2-month follow-up, the patient was free of complications with CT angiogram showing complete endovascular exclusion of the pseudoaneurysm.

Uniportal thoracoscopic resection of intralobar and extralobar pulmonary sequestration

Pulmonary sequestration (PS) is a rare congenital malformation of the respiratory tract. Two main variants are described, the intralobar and the extralobar PS. Clinical manifestations vary from accidental findings to life threatening complications. Surgical resection is the definitive and indicated treatment of PS. The operation could be performed through an open thoracotomy or video-assisted thoracic surgery approach. We report the management of two patients with diagnosis of extralobar PS in the first case and intralobar PS in the second case. Both patients underwent uniportal video-assisted thoracic surgery resection of PS with success. In our experience, we confirm that uniportal video-assisted thoracic surgery is a safe and feasible approach for extralobar and intralobar PS.

Massive hemorrhage due to external iliac artery laceration in kidney transplantation: A case report of an uncommon complication after CT guided drainage

We report a case of a 56-year-old male with a kidney transplantation and a symptomatic peritransplant deep fluid collection who underwent a computed tomography (CT) guided drainage. Nine days after the procedure the patient had to be submitted to the surgical removal of the renal graft due to a massive bleeding caused by the position of the pigtail catheter lying on the wall of the external iliac artery.

Two uncommon cases of partial anomalous pulmonary vein connection.

Pulmonary venous developmental anomalies encompass a wide spectrum of congenital diseases, including partial anomalous pulmonary venous connection. We present two cases of uncommon partial anomalous pulmonary venous connection depicted well by magnetic resonance (MR) and computed tomography (CT) which could play an important role as noninvasive imaging techniques, providing high-quality and wide field of view imaging.

Thoracic Aortic Diseases

In the past decades conventional angiography was the exclusive available test for diagnosis and anatomic definition of thoracic aortic diseases. With the advent of noninvasive imaging modalities such as computed tomography (CT), magnetic resonance and echocardiography the role of such invasive testing was significantly and progressively reduced.