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Pseudoaneurysms of the Lower Extremity Vessels as a Complication of Hereditary Exostose Chondrodysplasia in Adolescents (Two Case Reports)
- Authors: Zatravkina T.Y.1, Burov Y.A.2, Shanitsyn I.N.1, Maksyushina T.D.1, Titova Y.I.1, Sumin D.Y.1, Ionova T.A.1, Mironov I.A.3
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Affiliations:
- Research Institute of Traumatology, Orthopedics and Neurosurgery, Razumovsky Saratov State Medical University
- Gordeev Saratov Clinical City Hospital No1
- Gordeev Saratov Clinical City Hospital No. 1
- Issue: Vol 25, No 3 (2019)
- Pages: 143-152
- Section: Case Reports
- Submitted: 17.10.2019
- Accepted: 17.10.2019
- Published: 17.10.2019
- URL: https://journal.rniito.org/jour/article/view/1308
- DOI: https://doi.org/10.21823/2311-2905-2019-25-3-143-152
- ID: 1308
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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
РоссияYu. A. Burov
Gordeev Saratov Clinical City Hospital No1
Email: fake@neicon.ru
Dr. Sci. (Med.), Head of the First Vascular Department
Saratov
РоссияI. N. Shanitsyn
Research Institute of Traumatology, Orthopedics and Neurosurgery, Razumovsky Saratov State Medical University
Email: fake@neicon.ru
Researcher
Saratov
РоссияT. 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
РоссияYu. I. Titova
Research Institute of Traumatology, Orthopedics and Neurosurgery, Razumovsky Saratov State Medical University
Email: fake@neicon.ru
Radiologist
Saratov
РоссияD. Yu. Sumin
Research Institute of Traumatology, Orthopedics and Neurosurgery, Razumovsky Saratov State Medical University
Email: fake@neicon.ru
Researcher
Saratov
РоссияT. A. Ionova
Research Institute of Traumatology, Orthopedics and Neurosurgery, Razumovsky Saratov State Medical University
Email: fake@neicon.ru
Ultrasound Doctor
Saratov
РоссияI. A. Mironov
Gordeev Saratov Clinical City Hospital No. 1
Email: fake@neicon.ru
Vascular Surgeon
Saratov
РоссияReferences
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