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

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...

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Main Authors: T. Yu. Zatravkina, Yu. A. Burov, I. N. Shanitsyn, T. D. Maksyushina, Yu. I. Titova, D. Yu. Sumin, T. A. Ionova, I. A. Mironov
Format: Article
Language:Russian
Published: Vreden Russian Research Institute of Traumatology and Orthopedics 2019-10-01
Series:Travmatologiâ i Ortopediâ Rossii
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Online Access:https://journal.rniito.org/jour/article/view/1308
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author T. Yu. Zatravkina
Yu. A. Burov
I. N. Shanitsyn
T. D. Maksyushina
Yu. I. Titova
D. Yu. Sumin
T. A. Ionova
I. A. Mironov
author_facet T. Yu. Zatravkina
Yu. A. Burov
I. N. Shanitsyn
T. D. Maksyushina
Yu. I. Titova
D. Yu. Sumin
T. A. Ionova
I. A. Mironov
author_sort T. Yu. Zatravkina
collection DOAJ
description 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.
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spelling doaj.art-eddd4d0a8be7486cbe9babd627a8828d2022-12-21T22:08:36ZrusVreden Russian Research Institute of Traumatology and OrthopedicsTravmatologiâ i Ortopediâ Rossii2311-29052542-09332019-10-0125314315210.21823/2311-2905-2019-25-3-143-152823Pseudoaneurysms of the Lower Extremity Vessels as a Complication of Hereditary Exostose Chondrodysplasia in Adolescents (Two Case Reports)T. Yu. Zatravkina0Yu. A. Burov1I. N. Shanitsyn2T. D. Maksyushina3Yu. I. Titova4D. Yu. Sumin5T. A. Ionova6I. A. Mironov7Research Institute of Traumatology, Orthopedics and Neurosurgery, Razumovsky Saratov State Medical UniversityGordeev Saratov Clinical City Hospital No1Research Institute of Traumatology, Orthopedics and Neurosurgery, Razumovsky Saratov State Medical UniversityResearch Institute of Traumatology, Orthopedics and Neurosurgery, Razumovsky Saratov State Medical UniversityResearch Institute of Traumatology, Orthopedics and Neurosurgery, Razumovsky Saratov State Medical UniversityResearch Institute of Traumatology, Orthopedics and Neurosurgery, Razumovsky Saratov State Medical UniversityResearch Institute of Traumatology, Orthopedics and Neurosurgery, Razumovsky Saratov State Medical UniversityGordeev Saratov Clinical City Hospital No. 1The 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.https://journal.rniito.org/jour/article/view/1308exostose chondrodysplasiafemoral artery pseudoaneurysmchildren
spellingShingle T. Yu. Zatravkina
Yu. A. Burov
I. N. Shanitsyn
T. D. Maksyushina
Yu. I. Titova
D. Yu. Sumin
T. A. Ionova
I. A. Mironov
Pseudoaneurysms of the Lower Extremity Vessels as a Complication of Hereditary Exostose Chondrodysplasia in Adolescents (Two Case Reports)
Travmatologiâ i Ortopediâ Rossii
exostose chondrodysplasia
femoral artery pseudoaneurysm
children
title Pseudoaneurysms of the Lower Extremity Vessels as a Complication of Hereditary Exostose Chondrodysplasia in Adolescents (Two Case Reports)
title_full Pseudoaneurysms of the Lower Extremity Vessels as a Complication of Hereditary Exostose Chondrodysplasia in Adolescents (Two Case Reports)
title_fullStr Pseudoaneurysms of the Lower Extremity Vessels as a Complication of Hereditary Exostose Chondrodysplasia in Adolescents (Two Case Reports)
title_full_unstemmed Pseudoaneurysms of the Lower Extremity Vessels as a Complication of Hereditary Exostose Chondrodysplasia in Adolescents (Two Case Reports)
title_short Pseudoaneurysms of the Lower Extremity Vessels as a Complication of Hereditary Exostose Chondrodysplasia in Adolescents (Two Case Reports)
title_sort pseudoaneurysms of the lower extremity vessels as a complication of hereditary exostose chondrodysplasia in adolescents two case reports
topic exostose chondrodysplasia
femoral artery pseudoaneurysm
children
url https://journal.rniito.org/jour/article/view/1308
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