Current Therapy in Vascular and Endovascular Surgery

Ultrasonography in the Evaluation of Abdominal Aortic Aneurysms

Medical ultrasonography was developed from principles of sonar exploration, pioneered in World War I. Sonographic images of abdominal disease were first published in 1958. This technology was widely adopted in radiology, cardiology, and obstetrics, and by 1966 reports of detection…

Arteriomegaly and Aneurysmosis

Arteriomegaly is defined as a diffuse ectasia involving multiple arterial segments including the aorta, iliofemoral, and femoropopliteal vessels. It is characterized by significant tortuosity, elongation, and luminal irregularities often resulting in diminished blood flow. It was originally described in 1971…

Pathophysiology of Aortic Dissection

The natural history of aortic dissections associated with aortic rupture or end-organ malperfusion invites a careful study of the structural properties of the false and true lumens (why the false lumen ruptures) and of the mechanisms of branch artery obstruction…

Pathogenesis of Inflammatory Aortic Aneurysms

Among the thousands of abdominal aortic aneurysms (AAAs) treated each year, the origin of a few are enigmatic. The inflammatory aortic aneurysm was originally described by Walker in 1972. One of the largest retrospective reviews consisted of 127 patients encountered…

Genetics of Abdominal Aortic Aneurysms

A person’s genotype can have a significant role in the chance of that person’s developing of an abdominal aortic aneurysm (AAA). The principal observation that has led to this conclusion is the familial clustering of cases of AAA, with the…

Pathogenesis of Abdominal Aortic Aneurysms

Abdominal aortic aneurysm (AAA) development is a complex, multifactorial process involving destructive remodeling of aortic wall connective tissue. Four interrelated factors involved in this process include: (1) chronic inflammation associated with neovascularization and increased proinflammatory cytokine production, (2) increased and…

Hypothenar Hammer Syndrome

Hypothenar hammer syndrome (HHS) is a rare clinical condition that was first described in 1934 by von Rosen and was named in 1970 by Cone, Bergan, and Bell. HHS describes patients who experience signs and symptoms concerning for digital ischemia.…