Miguel A. Mendez-Sosa, Emmanuel Contreras-Jimenez, Javier E. Anaya-Ayala, Montserrat W. Miranda-Ramirez, Gabriel Lopez-Pena, Luis H. Arzola, Santiago Mier y Teran-Ellis, Hugo Laparra-Escareno, and Carlos A. Hinojosa. Vasc Specialist Int 2021;37:. https://doi.org/10.5758/vsi.210030

Aortopathies associated to Marfan syndrome (MFS) are important causes of maternal death during pregnancy. We present a 27-year-old and 24-week pregnant MFS woman who arrived to the emergency department with increasing abdominal pain; an obstetric ultrasound showed an Abdominal Aortic Aneurysm (AAA), a multislice computed tomography angiography (CTA) confirmed and demonstrated a 7.3 centimeter (cm) infrarenal AAA without evidence of dissection. A multidisciplinary committee determined that an open repair would lead to a significantly high maternal-fetal morbidity and mortality. Although endovascular repair (EVAR) in MFS patients remains controversial, an urgent bridge therapy was considered to be the best option. She was transferred to the angiography suite for EVAR to prevent AAA rupture and ensure a satisfactory pregnancy. The patient and fetus presented no complications during the procedure and were discharged 3 days later. She continued her pregnancy without eventualities and an elective C-section was performed on week 36. A CTA imaging at 12 months revealed type 1A and 3 endoleaks, we decided to perform endograft explant and a definitive open repair, there were no complications during the procedure, the patient is currently asymptomatic. Our case illustrates a complex decision and management that successfully avoid morbidity and mortality of a MFS mother and her product; additionally, this experience reinforces the need for lifelong and close surveillance in these patients.

Primary aortitis (PA) secondary to Listeria monocytogenes is extremely rare with only a few cases reported in the literature. Presently, there is no consensus concerning the best treatment when no complications are found in the thoracic computed tomography (CT) imaging. This report illustrates the clinical presentation and favorable clinical course of a rare case of PA secondary to Listeria monocytogenes in an 82-year-old diabetic woman, successfully treated with conservative management with 18 months of follow up. Included in this article, we additionally present a review of the literature of this uncommon etiology of infectious aortitis.

In-situ laser fenestration (ISLF) has been described as a viable option for urgent thoracic aortic aneurysm cases involving supra-aortic vessels. There are, however, limited data on its durability. Here, we present a case of a 70-year-old man with a symptomatic 13-cm thoracic aortic aneurysm extending proximally to the origin of the left subclavian artery (LSA). Emergent thoracic endovascular aortic repair with chimney stenting of the left common carotid artery and ISLF for the LSA was successfully performed. During the follow-up, a compression of the bridging stent to the LSA progressed to a stent fracture needing realignment. Despite ISLF’s reported technical success, this case highlights the risk of bridging stent complications, emphasizing the need for a close follow-up.

Venous aneurysms are rare and have a prevalence of 0.1 to 0.2% in the reported series. Typically, patients do not present any symptoms, but are prone to develop deep venous thrombosis (DVT) and the most feared complication, pulmonary embolism (PE). We present the case of a previously healthy 36-year-old man who presented at the emergency department with tachycardia, dyspnea, and pleuritic pain. A thoracic computed tomography angiography (CTA) confirmed the diagnosis of acute pulmonary embolism. He was treated with systemic thrombolysis and anticoagulation. In the further workup of the cause of the embolism, computed tomography revealed a fusiform dilation of the left popliteal vein measuring 3 by 3 centimeters (cm) with an incomplete filling defect because of thrombus presence. The patient underwent open surgical repair. At one month follow-up, he was asymptomatic, and an ultrasound revealed complete patency of the popliteal vein without dilatation or thrombus.

Background: Explantation after chimney, fenestrated, or branched endovascular aortic repair is technically demanding because major arterial branches are incorporated into the device. Objective: To identify recurring principles of operative decision-making for partial or complete explantation, with an emphasis on infection extent, incorporated branch management, reconstruction, and staging. Methods: PubMed/MEDLINE and Scopus were searched from inception through 21 August 2026 for patient-level reports of surgical explantation after complex endovascular aortic repair. Two reviewers independently selected studies, extracted data, and assessed methodological quality with the Joanna Briggs Institute checklist and reporting completeness with CARE. Findings were synthesized descriptively; the protocol was registered in PROSPERO (CRD420261412667). Results: Ten single-patient reports published from 2015 to 2025 were included. Patients were aged 51–78 years (median, 73), and nine were men. Infection prompted eight explantations; renal chimney-stent thrombosis with type Ia endoleak and persistent type II endoleak with sac enlargement accounted for two mechanical failures. Computed tomography or computed tomography angiography was reported in all cases and FDG-PET/CT in five. Eight patients underwent complete and two partial explantations. Nine survived the index hospitalization. No recurrent infection was reported during the available, heterogeneous follow-up of 3–48 months. Conclusions: These selected reports identify anatomy- and source-control considerations that may guide operative planning, but they do not establish comparative effectiveness, procedural safety, or population-level outcomes.