Clinical Case of the Month. Cerebrovascular Accident Related to Arterial Brachiocephalic Trunk StenosisPirard, Laurence ; Belachew, Shibeshih ; Trotteur, Geneviève et alin Revue Médicale de Liège (2006), 61(7-8, Jul-Aug), 553-8 The authors report the case of a 47-year old man, admitted for syncope and left-sided motor deficit. Diagnostic investigations revealed a right middle cerebral artery embolic stroke, secondary to a ... [more ▼] The authors report the case of a 47-year old man, admitted for syncope and left-sided motor deficit. Diagnostic investigations revealed a right middle cerebral artery embolic stroke, secondary to a critical stenosis of the arterial brachiocephalic trunk, harboring a floating thrombus. The treatment options for occlusive lesions of the brachiocephalic trunk are discussed, as well as the optimal delay between stroke and brain revascularization. [less ▲] Detailed reference viewed: 55 (6 ULg) In situ aortic allograft insertion to repair a primary aortoesophageal fistula due to thoracic aortic aneurysmPirard, Laurence ; Creemers, Etienne ; Van Damme, Hendrik et alin Vascular Surgery (2005), 42 Aortoesophageal fistula due to thoracic aortic aneurysm is an uncommon cause of gastrointestinal bleeding and has an extremely poor prognosis. In the English literature, we found only 27 successfully ... [more ▼] Aortoesophageal fistula due to thoracic aortic aneurysm is an uncommon cause of gastrointestinal bleeding and has an extremely poor prognosis. In the English literature, we found only 27 successfully managed cases of primary aortoesophageal fistula due to thoracic aortic aneurysm. We present a case of 74-year-old man who experienced the erosion of a thoracoabdominal aortic aneurysm into the esophagus. We successfully performed resection and replacement of the thoracoabdominal aorta with a cryopreserved allograft and total thoracic esophagectomy. A few months later, the esophagus was reconstructed with orthotopic colonic interposition. The patient recovered well and resumed a normal life (12 months’ follow-up). [less ▲] Detailed reference viewed: 54 (3 ULg) |
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