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Cardiovascular Pathology
Monday, March 22, 7:30 PM
Virginia
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Non Neoplastic Vascular Disease
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Moderator:
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JAGDISH BUTANY
University of Toronto and Toronto General Hospital
Toronto, Ontario, Canada
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Disclosure:
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In accordance with ACCME guidelines regarding disclosure, the USCAP policy requires that faculty members who have a significant financial or other relationship with a commercial company, entity, or service (which will be discussed in this Symposium) must disclose this to attendees. The Academy also requires that speakers disclose any products that are not labeled for the use under discussion. The speakers listed below have indicated they have nothing to disclose.
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Panelists:
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ALLEN P. BURKE, University of Maryland School of Medicine, Baltimore, MD
MARC K. HALUSHKA, John's Hopkins Medical Institute, Baltimore, MD
JANIS M . TAUBE, John's Hopkins Medical Institution, Baltimore, MD
SIDNEY E. CROUL, University of Toronto and Toronto General Hospital, Toronto, Ontario, Canada
JAGDISH BUTANY, University of Toronto and Toronto General Hospital, Toronto, Ontario, Canada
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Clinical histories are displayed below.
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Submitted by: Marc K. Halushka, John's Hopkins Medical Institute, Baltimore, MD
A 5-year-old girl was found to have an aortic root aneurysm and underwent replacement of the ascending aorta with a hemashield graft.
Case 1 - Slide 1
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Submitted by: Janis M . Taube, John's Hopkins Medical Institution, Baltimore, MD
12 year-old boy with a low grade fever, headache and joint pains develops a palpable purpura on distal legs and buttocks.
Case 2 - Slide 1
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Submitted by: Sidney E. Croul, University of Toronto and Toronto General Hospital, Toronto, Ontario, Canada
The patient was a 54 year old man with a history of multiple cerebral aneurysms who in the spring of 2009 had a complex multilobated aneurysm in the left carotid circulation successfully treated with interventional coiling. He return in the fall of 2009 and received two interventional pipeline stents as treatment for multiple right sided internal carotid aneurysms. Five days after the procedure, he experienced significant blood loss from the catheterization site, hypotension, and new weakness of his left leg. He was readmitted to hospital and a subsequent CT angiogram documented a new occlusion of his right anterior cerebral artery just distal to the pipeline stents. Workup of the right femoral catheterization site identified an infected pseudoaneurysm which required resection. Despite aggressive therapy, within one week CT angiography revealed both new cerebral aneurysms and intracerebral hemorrhage.
Case 3 - Slide 1
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Submitted by: Allen P. Burke, University of Maryland School of Medicine, Baltimore, MD
A 50-year-old woman was taking trazodone for fibromyalgia. She developed bowel symptoms with right lower quadrant mass. Imaging demonstrates markedly thickened wall of the cecum and ascending colon. A right hemicolectomy was performed.
Case 4 - Slide 1
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Submitted by: Jagdish W. Butany, University of Toronto and Toronto General Hospital, Toronto, Ontario, Canada
49 year old Caucasian woman complained of intractable chest pain two weeks after having woken up with chest heaviness and pain radiating to neck, back, and jaw. Non-smoker, recent onset hypertension (BP: right = 170/70; left: 160/60 mmHg).
2/6/2004: Echo: dilated ascending aorta and arch with extensive calcification of aorta. Mild to moderate AI
Operation: Resection of ascending aorta. Repair with Dacron graft. Reimplant coronary arteries.
C.T. - Mild A.I
Postop: Unremarkable
Case 5 - Slide 1
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Case 5 - Slide 2
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