A 39-year lady referred to Vascular Surgery OPD from Cardiology with uncontrolled hypertension, non- functional left kidney and absent bilateral femoral pulses. Investigations revealed middle aortic syndrome with non-functional left kidney with bilateral renal artery stenosis. She successfully underwent bypass of stenotic segment with polyester graft from descending thoracic aorta to left commo...

An intravascular bullet was retrieved percutaneously in a 17-year-old boy with the use of a modified 24-F Amplatz dilator. The dilator was modified by means of a longitudinal incision with removal of a wedge at the distal tip of the tapered portion of the dilator. The bullet, which was located in the left pulmonary artery, was removed via the right femoral vein. No complications occurred.

Minimally invasive aortic surgery is increasingly being utilized, in particular, through ministernotomy. The choice of the cannulation site is problematic. Venous cannulation may result in wound complications if the femoral vein is used, or may be bulky if the right atrial appendage is used. Our technique of superior vena cava cannulation not only avoids the risk of complications related to the...

To cite: Ganju N, Kandoria A, Mahajan K, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2016214448 DESCRIPTION Infrahepatic inferior vena cava (IVC) interruption with azygos continuation is a rare congenital anomaly with a prevalence of 0.6–2.0% in patients with congenital heart disease. Many of these patients are expected to undergo cardiac catheterisatio...

A 62-year-old woman presented with mild swelling, pain, and exercise intolerance in the right lower limb for nearly a week; chest pain, dyspnea, and palpitation also subsequently bothered her, and then she suffered 2 attacks of syncope, which prompted hospital admission. Acute coronary syndrome was our impression at first, but emergent coronary angiography did not support this diagnosis. An acu...

Transcatheter pulmonary valve replacement has changed the way we approach congenital and structural heart disease. In patients with a conduit between the right ventricle and pulmonary artery or a bioprosthetic pulmonary valve, there will eventually be pulmonary valve dysfunction. This leads to right ventricular failure and possibly arrhythmias. Due to prior operations and the comorbid condition...

Chronic vein insufficiency (CVI) is a disease which, when it develops, leads to varicose veins of the lower limbs. As approximately 25% to 50% of people suffer from it, it should be recognised as a public disease. The treatment of chronic vein insufficiency is based on a surgical approach. The aim of the operation is to remove (strip) the insufficient major saphenous vein (MSV), the main cause ...

To cite: Joshi D, Imam A. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/ bcr-2014-204442 DESCRIPTION A 24-year-old woman presented with a swollen right leg and a pulsatile lump in the popliteal fossa 3 days after a diagnostic knee arthroscopy. The CT arteriogram demonstrated a 6 cm pseudoaneurysm of the right popliteal artery (PA). There was early filling of the ips...

Introduction The ability of the profunda femoris artery and its branches to maintain a viable and, in certain circumstances, normally functioning lower limb in the presence of an occluded superficial femoral artery has long been recognized. Leeds and Gilfillan (1961) and Morris et al. (1961) both described the successful treatment of groups of patients with combined aorto-iliac and femoropoplit...

AIMS Elevated levels of C-reactive protein and other inflammatory markers have been reported in some patients with atrial fibrillation (AF). Whether this finding is related to AF per se or to other conditions remains unclear. In addition, the source of inflammatory markers is unknown. Therefore, in the present study, we sought to assess the extent and the source of inflammation in patients with...