Pseudoaneurysms of the Lower Extremity Vessels as a Complication of Hereditary Exostose Chondrodysplasia in Adolescents (Two Case Reports)

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Abstract

The article describes two clinical cases of vascular complications related to hereditary exostose chondrodysplasia of the lower limbs in children. Despite early diagnostics the newgrowth was not timely removed. The anatomical localization of the exostoses in the vicinity of the main arterial trunks resulted in formation of pseudo-aneurysms due to a prolonged exposure of the vascular wall to the actively growing bone formations. After diagnostic imaging (ultrasonography and Doppler sonography, CT angiography, MR angiography of the vessels in the lower extremities) the authors performed a simultaneous resection of the femoral artery aneurysm with autovenous grafting and total resection of exostoses in both cases. Late follow up of both patients demonstrated vascular permeability at the graft site and no symptoms of stenosis were observed.

About the authors

T. Yu. Zatravkina

Research Institute of Traumatology, Orthopedics and Neurosurgery, Razumovsky Saratov State Medical University

Author for correspondence.
Email: t.zatravkina@rambler.ru

Cand. Sci. (Med.), Researcher

Saratov

Russian Federation

Yu. A. Burov

Gordeev Saratov Clinical City Hospital No1

Email: fake@neicon.ru

Dr. Sci. (Med.), Head of the First Vascular Department

Saratov

Russian Federation

I. N. Shanitsyn

Research Institute of Traumatology, Orthopedics and Neurosurgery, Razumovsky Saratov State Medical University

Email: fake@neicon.ru

Researcher

Saratov

Russian Federation

T. D. Maksyushina

Research Institute of Traumatology, Orthopedics and Neurosurgery, Razumovsky Saratov State Medical University

Email: fake@neicon.ru

Head of Department of X-Ray Diagnostics

Saratov

Russian Federation

Yu. I. Titova

Research Institute of Traumatology, Orthopedics and Neurosurgery, Razumovsky Saratov State Medical University

Email: fake@neicon.ru

Radiologist

Saratov

Russian Federation

D. Yu. Sumin

Research Institute of Traumatology, Orthopedics and Neurosurgery, Razumovsky Saratov State Medical University

Email: fake@neicon.ru

Researcher

Saratov

Russian Federation

T. A. Ionova

Research Institute of Traumatology, Orthopedics and Neurosurgery, Razumovsky Saratov State Medical University

Email: fake@neicon.ru

Ultrasound Doctor

Saratov

Russian Federation

I. A. Mironov

Gordeev Saratov Clinical City Hospital No. 1

Email: fake@neicon.ru

Vascular Surgeon

Saratov

Russian Federation

References

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