Biomedical subjects

Visnja Nesek Adam

Publications and source records attributed to Visnja Nesek Adam.

3 recordsLinked to original sources

PubMed2006

A rare case of multiple aneurysms in a young patient.

Multiple aneurysms are clinically common in population aged over sixty and are caused mainly by atherosclerosis. When occurring in young population other etiologies such as trauma, infections, Bechet's disease, Marfan syndrome, neurofibromatosis or inflammatory disease are responsible for the development of arterial aneurysms. A rare case of multiple aneurysms in a 40-year-old man, affecting the infrarenal part of abdominal aorta, both iliac arteries, common femoral arteries, left femoral superficial and popliteal arteries on, both legs, is reported. The underlying pathology was progressive atherosclerosis, favored by familial hyperlipidemia and excessive cigarette smoking.

Adult↗

PubMed2006

[Iatrogenic injury of the brachiocephalic arterial trunk and its branches--case report].

Iatrogenic vascular traumas are increasing and their proportion exceeds 40% of all vascular injuries. We report on a rare case of iatrogenic injury of the brachiocephalic arterial trunk during surgical intervention due to postirradiation arteriopathy, which was successfully treated with a silver prosthesis graft. A 58-year-old male underwent surgery for metastases of papillary carcinoma of the thyroid gland, located in lymph nodes adjacent to the right common carotid artery and right subclavian artery. During the surgery, there was an intraoperative injury of the brachiocephalic arterial trunk that included spontaneous rupture and tear of the subclavian and common carotid artery, as the result of extreme fragility of the arterial wall, probably due to the previous irradiation therapy. Emergency sternotomy and clavicle resection were followed by blood flow reconstruction by use of an Y prosthesis that was applied for terminoterminal anastomosis between the brachiocephalic trunk to common carotid artery and subclavian artery. The authors concluded that irradiation therapy may lead to progressive arteriopathy in affected arteries.

Blood Vessel Prosthesis Implantation↗

PubMedDate not supplied

[Laparoscopic surgery during pregnancy].

UNLABELLED: With the development oflaparoscopic surgery, number of contraindications has become less and less. At the beginning of laparoscopic surgery pregnancy was considered an absolute contraindication to laparoscopic surgery, because of unknown influence of CO2-pneumoperitoneum on fetus. Over the past few years, in literature there have been several case reports of successful laparoscopic surgery in pregnancy. Since 1992 when the first laparoscopic cholecystectomy was done at the University Department of Surgery of Sveti Duh General Hospital in Zagreb, three pregnant women were managed successfully laparoscopically. Two laparoscopic cholecystectomies, and one laparoscopic appendectomy during pregnancy, were performed. RESULTS: In all three patients, there were no complications during and after surgery. Pregnancies were completed at term spontaneously, delivering healthy children.

Adult↗