A case report of pseudoaneurysm after a core needle biopsy of breast cancer

Breast pseudoaneurysms after a core needle biopsy are a rare complication with a low incidence. However, it is important to be aware of the possibility of complications that require treatment.     

健康信念模式在吸毒致股动脉假性动脉瘤患者中的应用效果

目的：探讨健康信念模式在吸毒致股动脉假性动脉瘤患者中的应用效果。方法选取60例吸毒致股动脉假性动脉瘤患者随机分为研究组和对照组各30例。对照组给予常规护理，研究组在对照组的基础上给予健康信念模式进行干预，比较两组患者对疾病的认知、健康态度、焦虑及抑郁程度、住院时间。结果两组中以研究组对疾病的认知得分和健康态度得分较高，抑郁及焦虑得分较低，住院时间更短，各指标相比较，差异有统计学意义（ P＜0．01或P＜0．05）。结论健康信念模式能有效地提高吸毒致股动脉假性动脉瘤患者对疾病的认识，并改善其健康态度和不良心理状态，使患者临床恢复的时间也明显缩短。     

Pseudoaneurysm in the inferior alveolar artery following a bad split in bilateral sagittal split osteotomy

Pseudoaneurysms in the external carotid artery system are rare, mostly reported in the superficial temporal and facial arteries. The bilateral sagittal split osteotomy has a low incidence of complications requiring emergency interventions. We report the case of a patient with acute bleeding from a pseudoaneurysm of the inferior alveolar artery diagnosed by angiography and treated successfully by super-selective embolization.     

颈动脉假性动脉瘤的DSA诊断

目的:加深对颈动脉假性动脉瘤DSA表现特点的认识,探讨其诊断价值。方法：由两名有经验的放射学医师对16例颈动脉假性动脉瘤的血管造影及临床资料进行同顾性分析。结果：16例患者经DSA检查均能明确诊断,其中颈总动脉者1例,颈动脉分叉处9例,颈内动脉5例,颈外动脉1例。DSA主要表现为：所有瘤腔内造影剂滞留,瘤腔内形成涡流者12例,动脉瘤开口处“喷射征”17例,颈动脉分叉角度增大,颈内、外动脉移位者12例。结论：DSA是诊断颈动脉假性动脉瘤最有价值的检查方法,它有利于临床治疗方式的选择。     

骨软骨瘤并假性动脉瘤1例

<正>患者,男,19岁。因"左大腿疼痛4个月"于2012年4月21日入我院就诊。患者于4个月前无明显诱因出现左大腿远端疼痛,休息后可稍缓解,不伴红肿、发热不适。后逐渐出现左小腿麻木,无多发性骨软骨瘤病史及家族史,无外伤史。入院后查体:左腘窝上方有一明显软组织包块,边界欠清,约鹅蛋大小,质韧,活动度差,局部皮温较高,听诊有清晰粗糙杂音。术前X线片示:左股骨下段内后侧可见一骨性突起,背关节面生长,左腘窝上骨性突起的后方见一卵圆形软组织块     

Giant pseudoaneurysm of the innominate artery late after surgical repair of type-A aortic dissection

A 49-year-old man was admitted to our department 6 months after emergent surgery for type-A acute aortic dissection. A chest computed tomography-scan revealed a huge aneurysm originating from the proximal aortic arch, strongly adherent to the upper part of the sternum. Extracorporeal circulation was instituted first, and chest was reopened in circulatory arrest. The mass was a giant pseudoaneurysm originating from a laceration at the base of the innominate artery. Due to tissue fragility and complete distortion of the origin of right carotid and subclavian arteries, we performed an extra-anatomic ascending aorta-to-right carotid artery bypass, followed by Teflon-reinforced suture of the proximal artery stumps. The postoperative course was uneventful.     

Challenges in management of a giant left ventricular pseudoaneurysm complicated by intracerebral hemorrhage

Urgent surgery is generally indicated for left ventricular (LV) pseudoaneurysms, especially for large or expanding lesions. However, management of pseudoaneurysms complicated by acute intracerebral hemorrhage is controversial. This case of a giant LV pseudoaneurysm followed a successful postoperative course after 4 weeks of conservative management followed by surgical repair and may suggest a safe and efficient management.