MyMedR

Fulltext Primary repair with in-situ interposition graft for infrarenal mycotic aortic pseudoaneurysm

Adeeb SJSM, Yusha AW, Samad SA

Med J Malaysia, 1997 Jun;52(2):178-80.

This is a case report of a pseudoaneurysm due to Salmonella aortitis in a 52 year old man. The condition is rare and represents one of the few cases reported in Malaysia. The diagnosis was made preoperatively by ultrasonography and computed tomography. This was confirmed at surgery where there was a 3 cm defect at the posterior wall of the aorta at L2/3 level. The aneurysmal sac extended to the retrocrural space at the 12th vertebra level cranially on the right side to the lower border of the 3rd lumbar vertebra caudally. It had a smooth fibrous wall and contained a mixture of organised haematoma and pus. At operation the aneurysm was excised, the affected region was carefully debrided and the aorta grafted with an in-situ in-lay graft. Antibiotic therapy was instituted until clinical response was evident, leukocytosis was reduced and blood culture was negative. However 4 months after surgery, the patient returned in irreversible shock and succumbed to disseminated intravascular coagulation secondary to massive upper gastrointestinal haemorrhage from an aortoduodenal fistula.

Matched MeSH terms: Aneurysm, Infected/surgery*; Aortic Aneurysm/surgery*; Aneurysm, False/surgery*

Fulltext Re-do sternotomy for complex aortic surgery under deep hypothermic circulatory arrest: left ventricular vent--an invaluable adjunct

Sachithanandan A, Badmanaban B

Interact Cardiovasc Thorac Surg, 2011 Apr;12(4):608.

PMID: 21429884 DOI: 10.1510/icvts.2010.262378A

Matched MeSH terms: Aneurysm, Infected/etiology; Aneurysm, Infected/radiography; Aneurysm, Infected/surgery*; Aortic Aneurysm/etiology; Aortic Aneurysm/radiography; Aortic Aneurysm/surgery*; Aneurysm, False/etiology; Aneurysm, False/radiography; Aneurysm, False/surgery*

Fulltext Antyllus' operation

von Tunzelmann EW

Journal of the Straits Medical Association, 1892;3:32-33.

Matched MeSH terms: Aneurysm

A case of inflamed saccular subclavian aneurysm

Harrower G

Malayan Medical Journal, 1933;8:70-2.

Matched MeSH terms: Aneurysm

Fulltext Left ventricular outflow tract (LVOT) vegetations and spontaneous obliteration of a large ruptured intracranial mycotic aneurysm in a case of infective endocarditis

Quah BS, Selladurai BM, Jayakumar CR, Mahendra Raj S

Singapore Med J, 1993 Apr;34(2):172-4.

PMID: 8266164

A 10-year-old girl with mild aortic regurgitation presented with cerebral infarction. Two-dimensional echocardiography showed vegetations on the septal wall of the left ventricular outflow tract without involvement of the aortic valve itself. After successful antibiotic treatment the patient developed an intra-cranial haemorrhage due to rupture of a large intracranial mycotic aneurysm. Consent for surgical treatment of the mycotic aneurysm was not obtained. Twelve months later repeat angiography showed that the aneurysm had undergone spontaneous obliteration.

Matched MeSH terms: Aneurysm, Infected/etiology*; Aneurysm, Infected/radiography; Intracranial Aneurysm/etiology*; Intracranial Aneurysm/radiography; Aneurysm, Ruptured/etiology*; Aneurysm, Ruptured/radiography

Unruptured anterior communicating artery aneurysm in a 2-year-old child

Syahrilfazli AJ, Nursharmizam MB, Azizi AB, Zurin AA

Pediatr Neurosurg, 2005 Sep-Oct;41(5):283-4.

PMID: 16195685

Matched MeSH terms: Intracranial Aneurysm/pathology*; Intracranial Aneurysm/radiography*; Intracranial Aneurysm/surgery

Fulltext A perspective review on numerical simulations of hemodynamics in aortic dissection

Wan Ab Naim WN, Ganesan PB, Sun Z, Chee KH, Hashim SA, Lim E

ScientificWorldJournal, 2014;2014:652520.

PMID: 24672348 DOI: 10.1155/2014/652520

Aortic dissection, characterized by separation of the layers of the aortic wall, poses a significant challenge for clinicians. While type A aortic dissection patients are normally managed using surgical treatment, optimal treatment strategy for type B aortic dissection remains controversial and requires further evaluation. Although aortic diameter measured by CT angiography has been clinically used as a guideline to predict dilation in aortic dissection, hemodynamic parameters (e.g., pressure and wall shear stress), geometrical factors, and composition of the aorta wall are known to substantially affect disease progression. Due to the limitations of cardiac imaging modalities, numerical simulations have been widely used for the prediction of disease progression and therapeutic outcomes, by providing detailed insights into the hemodynamics. This paper presents a comprehensive review of the existing numerical models developed to investigate reasons behind tear initiation and progression, as well as the effectiveness of various treatment strategies, particularly the stent graft treatment.

Matched MeSH terms: Aortic Aneurysm/physiopathology*

Microsuture repair of intra-operative ruptures of cerebral aneurysms of the internal carotid artery

Vashu R, Tan S, Wong AS

J Clin Neurosci, 2009 Jul;16(7):960-2.

PMID: 19346131 DOI: 10.1016/j.jocn.2008.09.013

We report on two patients with intra-operative rupture of cerebral aneurysms that were managed by microsuturing. This is one of only a few reports of successful direct repair using suturing. We found that stitching remains an option to repair a tear of a saccular part of an aneurysm and a torn neck of a blister-like aneurysm, and thus this technique can be considered before sacrificing the artery.

Matched MeSH terms: Intracranial Aneurysm/complications; Intracranial Aneurysm/pathology*; Intracranial Aneurysm/surgery; Aneurysm, Ruptured/complications; Aneurysm, Ruptured/pathology*; Aneurysm, Ruptured/surgery

Fulltext Mycotic bronchial artery aneurysmal rupture in the early stage of lung abscess: A case report

Mohd Alkaf AL, Syed Rasul SH, Abdul Rahman I

Med J Malaysia, 2016 04;71(2):96-7.

PMID: 27326956 MyJurnal

Symptomatic bronchial artery aneurysm warrants urgent intervention. It has a known association with pulmonary infection caused by Staphylococcus aureus. We hereby report an elderly lady with a ruptured left superior bronchial artery mycotic aneurysm. She was in the early stages of treatment for a left lung abscess. She had multiple episodes of haemoptysis following which she underwent a left lower lobectomy. Presentation of lung abscess with a concurrent ruptured mycotic aneurysm warrants early surgical intervention and can be curative as seen in this case.

Matched MeSH terms: Aneurysm, Infected/diagnosis*; Aneurysm, Infected/drug therapy; Aneurysm, Infected/etiology; Aneurysm, Ruptured/diagnosis*; Aneurysm, Ruptured/etiology; Aneurysm, Ruptured/therapy

A review of aortic disease research in Malaysia

Tan GJS, Khoo PLZ, Sailesh MK, Chan KMJ

Med J Malaysia, 2019 02;74(1):67-78.

PMID: 30846666

INTRODUCTION: Aortic disease includes conditions such as chronic aortic aneurysms, acute aortic syndromes and congenital aortic abnormalities, amongst others. This paper reviews all research on aortic disease performed in Malaysia and published between 2000-2016.

METHODS: A literature search was conducted in PubMed, Scopus, MyJurnal and the UKM Journal Repository. The search process was based on a previously published methodology. The medical subject headings (MeSH) search terms used were "aortic", "aorta" and "Malaysia".

RESULTS: Two-hundred-thirteen papers were identified, of which 60 papers were selected and reviewed on the basis of their relevance. The epidemiology, pathophysiology, clinical presentations, case reports, investigations, treatment and outcomes of aortic disease in Malaysia were reviewed and summarised. The clinical relevance of the studies performed are discussed.

CONCLUSION: The review provided an insight into the pathophysiology, prevalence and epidemiology of aortic diseases in Malaysia, how the condition is managed, and the outcomes of treatment. Limitations of the research performed in Malaysia to date were identified and recommendations for further research and improvement in clinical practice were recommended.

Matched MeSH terms: Aneurysm, Dissecting/diagnosis; Aneurysm, Dissecting/epidemiology; Aneurysm, Dissecting/therapy; Aortic Aneurysm/diagnosis; Aortic Aneurysm/epidemiology; Aortic Aneurysm/therapy

Melioidosis and the vascular surgeon: Hospital Kuala Lumpur experience

Azizi ZA, Yahya M, Lee SK

Asian J Surg, 2005 Oct;28(4):309-11.

PMID: 16234087

Bacterial arteritis is relatively uncommon and management of this condition, which carries high morbidity and mortality, is difficult and time-consuming. Common organisms implicated include Salmonella and Staphylococcus. Arteritis as a result of infection by Burkholderia pseudomallei (formerly Pseudomonas pseudomallei) has been rarely reported in the English literature. This organism, which is endemic in our part of the world, is well known to cause a wide spectrum of septic conditions. A review of cases managed at Hospital Kuala Lumpur revealed that bacterial arteritis due to melioidosis is not such a rare entity. We share our experience in the management of this condition using three cases as examples.

Matched MeSH terms: Aneurysm, Infected/etiology*; Aneurysm, Infected/surgery; Aortic Aneurysm/etiology*; Aortic Aneurysm/surgery; Aneurysm, False/etiology*; Aneurysm, False/surgery

Fulltext A 3 year audit of infected pseudoaneurysms in intravenous drug users managed surgically in the Vascular Unit, Hospital Kuala Lumpur

Zainal AA, Yusha AW

Med J Malaysia, 1998 Dec;53(4):372-5.

PMID: 10971980

This is a study of 54 intravenous drug user's (IVDUs) with infected pseudoaneurysms undergoing ligation and debridement at the Vascular Unit, Hospital Kuala Lumpur (HKL) from February 1993 to February 1996. The median age was 37 years with a male preponderance (53:1). Chinese form the largest ethnic group with 57.4% of the cases. Staphylococcus aureus was the most common organism cultured. Human immunodeficiency virus (HIV) positive cases numbered 21 (38.9%). Four of the patients had to have an above-knee amputation after surgery. Simple ligation and debridement of all necrotic tissue is an acceptable mode of therapy in these patients with low amputation rates.

Matched MeSH terms: Aneurysm, Infected/complications*; Aneurysm, Infected/surgery*; Aneurysm, Infected/virology; Aneurysm, False/complications*; Aneurysm, False/microbiology*; Aneurysm, False/surgery*; Aneurysm, False/virology

Fulltext Large fusiform posterior cerebral artery aneurysm (P2 segment): successful trapping and excision via subtemporal approach

Ramzisham ARM, Azizi AB, Zurin AAR

Med J Malaysia, 2004 Oct;59(4):530-2.

PMID: 15779587

A 62-year-old man presented with a 2-month history of right occipito-parietal headache and worsening ipsilateral ptosis. CT scan and cerebral angiography revealed a large fusiform aneurysm of the P2 segment of the right posterior cerebral artery (PCA). The aneurysm was successfully trapped and subsequently excised via sub temporal approach leaving no additional neurological deficits to our patient.

Matched MeSH terms: Intracranial Aneurysm/radiography; Intracranial Aneurysm/surgery*

Fulltext Idiopathic cystic medionecrosis and aneurysms of the ascending aorta

Anuar M, Singham KT

Med J Malaysia, 1983 Mar;38(1):35-8.

PMID: 6633332

Two patients with ascending aortic aneurysms due to cystic medical necrosis are described. One of them was phenotypically normal while the other had features of Marfan's syndrome. Both were disabled by dyspnoea and angina which required corrective surgery.

Matched MeSH terms: Aortic Aneurysm/etiology*; Aortic Aneurysm/surgery

Idiopathic Internal Thoracic Artery (ITA) Pseudoaneurysm treated with Endovascular Embolization

Wong WJ, Leong BDK, Mak CH

Med J Malaysia, 2017 04;72(2):144-146.

PMID: 28473685 MyJurnal

A 44-year-old female was diagnosed with an ITA pseudoaneurysm in the right supraclavicular fossa. She was successfully treated with endovascular embolization. The challenges of diagnosis and treatment are discussed.

Matched MeSH terms: Aneurysm, False/diagnosis; Aneurysm, False/therapy*

Fulltext Hybrid procedure in pseudoaneurysm of the descending thoracic aorta in Hospital Kuala Lumpur

Kumaraguru P, Mazri YM, Yaacob AF, Hanif H, Zainal AA, Lau JH

Med J Malaysia, 2011 Oct;66(4):381-2.

PMID: 22299568 MyJurnal

Conventional open repair for Thoracoabdominal aortic aneurysm (TAA) is associated with high morbidity and mortality. Spinal cord ischemia (SCI), renal failure, bowel ischemia and mortality are established complications following this procedure. With the advent of endovascular stent technology, various novel approaches have been described to reduce these complications, namely fenestrated stent graft and hybrid procedure. We present a case of hybrid procedure in a pseudoaneurysm of descending thoracic aorta done in Kuala Lumpur Hospital.

Matched MeSH terms: Aneurysm, False/surgery*; Aortic Aneurysm, Thoracic/surgery*

Descending thoracic mycotic aneurysm: successful treatment with endovascular stenting

Harunarashid H, Jasman WJ, Azim MM, Das S

Clin Ter, 2012 Jul;163(4):311-2.

PMID: 23007815

Mycotic descending thoracic aneurysm with aortobronchial fistula is a rare condition which is associated with high mortality. Treatment in the era of minimally invasive procedure can often be controversial. The risk of graft infection should be considered as well as the unknown long term behavior of the endovascular stent. Here, we describe our initial experience of performing emergency thoracic endovascular aneurysm repair in an unstable patient presenting with haemoptysis.

Matched MeSH terms: Aneurysm, Infected/surgery*; Aortic Aneurysm, Thoracic/surgery*

Melioidosis causing a mycotic aneurysm

Steinmetz I, Stosiek P, Hergenröther D, Bär W

Lancet, 1996 Jun 01;347(9014):1564-5.

PMID: 8684143

Matched MeSH terms: Aneurysm, Infected/microbiology*; Aortic Aneurysm/microbiology*

Flow pattern analysis in type B aortic dissection patients after stent-grafting repair: Comparison between complete and incomplete false lumen thrombosis

Wan Ab Naim WN, Ganesan PB, Sun Z, Lei J, Jansen S, Hashim SA, et al.

Int J Numer Method Biomed Eng, 2018 05;34(5):e2961.

PMID: 29331052 DOI: 10.1002/cnm.2961

Endovascular stent graft repair has become a common treatment for complicated Stanford type B aortic dissection to restore true lumen flow and induce false lumen thrombosis. Using computational fluid dynamics, this study reports the differences in flow patterns and wall shear stress distribution in complicated Stanford type B aortic dissection patients after endovascular stent graft repair. Five patients were included in this study: 2 have more than 80% false lumen thrombosis (group 1), while 3 others had less than 80% false lumen thrombosis (group 2) within 1 year following endovascular repair. Group 1 patients had concentrated re-entry tears around the abdominal branches only, while group 2 patients had re-entry tears that spread along the dissection line. Blood flow inside the false lumen which affected thrombus formation increased with the number of re-entry tears and when only small amounts of blood that entered the false lumen exited through the branches. In those cases where dissection extended below the abdominal branches (group 2), patients with fewer re-entry tears and longer distance between the tears had low wall shear stress contributing to thrombosis. This work provides an insight into predicting the development of complete or incomplete false lumen thrombosis and has implications for patient selection for treatment.

Matched MeSH terms: Aneurysm, Dissecting/surgery*; Aortic Aneurysm, Thoracic/surgery*

Fulltext Diagnostic Dilemma of Intracranial Aneurysm in Neonatal Subarachnoid Haemorrhage (SAH)

Teo Y E, Abd Ghani F, Nik Lah N S H, Sriram P R

Borneo Journal of Medical Sciences, 2019;2(101):25-26.

MyJurnal

Cerebral aneurysm is an exceedingly rare aetiology of neonatal Subarachnoid Haemorrhage (SAH). Detailed history and pattern recognition of the SAH is crucial in suspecting aneurysm.

Matched MeSH terms: Aneurysm/congenital

Displaying publications 1 - 20 of 172 in total