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Axillary artery injury from humeral neck fracture is an uncommon event. Vascular damage due to these injuries may threaten limb loss. In some cases, the signs of ischemia may not be evident just after the injury and may only appear later on. Therefore, a high index of suspicion is essential. It is important to bear this association in mind, so as to make an early diagnosis and avoid serious complications. We are describing the case of a young patient involved in a motor vehicle crash with an axillary artery trauma due to the surgical neck of humerus fracture. The patient underwent a basilic vein grafting, the postoperative course was good.

True atherosclerotic aneurysms of superficial femoral artery (SFA) are rare and often associated with other peripheral or aortic aneurysms. We are reporting the case of a 78-year-old man who has been admitted with a ruptured superficial femoral artery aneurysm associated with bilateral popliteal artery aneurysm. The patient underwent successful aneurysm resection and bypass grafting.

Infectious aortitis is a rare clinical entity that most often manifests itself by an aortic aneurysm. The syphilitic or tubercular forms can be subacute. When it is caused by Salmonella sp., Staphylococcus sp. or Streptococcus pneumoniae, the aortitis is acute with alarming symptoms. Germs found in most cases are Salmonella and Staphylococcus aureus. S. pneumoniae rarely causes infectious aortitis. We report the case of a 75-year-old patient seen in an emergency setting for sudden-onset abdominal pain with fever. An abdominal angio-computed tomography (CT) scan showed a sacciform infrarenal abdominal aortic aneurysm, with an inflammatory aspect and periaortic hematoma. Surgical cure was undertaken because of the impending rupture. An interposition aortic replacement graft was implanted. Blood cultures and bacteriological study of the aortic wall isolated a S. pneumoniae. The anatomical pathology study reported fibrin clot leukocyte remodeling of the aortic wall. An intravenous antibiotic regimen was started. Several organisms, including Streptococcus, can cause infectious aortitis. We found 36 cases described in the literature in addition to our patient.

Resume La maladie de Behcet est une vascularite systemique d’etiologie inconnue. Si l’atteinte veineuse est classique, l’atteinte arterielle est relativement rare mais de pronostic sombre. Souvent anevrysmal, le syndrome aortique du a l’angio-Behcet peut en etre revelateur. La localisation aortique, mais surtout le risque evolutif vers la rupture peuvent engager, dans certains cas, le pronostic vital. Nous rapportons l’observation d’un patient âge de 46 ans dont la maladie de Behcet a ete revelee par un anevrysme de l’aorte abdominale sous-renale en pre-rupture. Le diagnostic de cette maladie a ete retenu devant les criteres cliniques, biologiques et radiologiques. Le patient a beneficie d’une mise a plat de l’anevrysme avec la mise en place d’une prothese en Dacron.

Infectious aortitis is a rare clinical entity that most often manifests itself by an aortic aneurysm. The syphilitic or tubercular forms can be subacute. When it is caused by Salmonella sp., Staphylococcus sp. or Streptococcus pneumoniae, the aortitis is acute with alarming symptoms. Germs found in most cases are Salmonella and Staphylococcus aureus. S. pneumoniae rarely causes infectious aortitis. We report the case of a 75-year-old patient seen in an emergency setting for sudden-onset abdominal pain with fever. An abdominal angio-computed tomography (CT) scan showed a sacciform infrarenal abdominal aortic aneurysm, with an inflammatory aspect and periaortic hematoma. Surgical cure was undertaken because of the impending rupture. An interposition aortic replacement graft was implanted. Blood cultures and bacteriological study of the aortic wall isolated a S. pneumoniae. The anatomical pathology study reported fibrin clot leukocyte remodeling of the aortic wall. An intravenous antibiotic regimen was started. Several organisms, including Streptococcus, can cause infectious aortitis. We found 36 cases described in the literature in addition to our patient.

Behçet's disease is a vasculitis of unknown origin. Vascular lesions predominantly affect veins. Arterial involvement is rare but usually associated with poor prognosis. Aortic syndromes are usually aneurysmal and occasionally reveal Behçet's disease. We report the case of a 46-year-old man whose Behçet's disease was revealed by a sub-renal abdominal aortic aneurysm in pre-rupture state. The diagnosis of this disease was retained based on clinical, biological and radiological criteria. The surgical procedure consisted in the resection of the aneurysmal sac and the interposition of a prosthetic PTFE tube.

Introduction La fistule arterio-veineuse (FAV) native est l’acces vasculaire de choix pour l’hemodialyse chronique en raison de sa longevite, son taux faible de complication et de mortalite par rapport aux pontages arterio-veineux et aux catheters. Cependant, il arrive assez souvent que l’on assiste a des complications. La dilatation anevrismale constitue une complication grave avec parfois perte de la FAV, rupture, voire une hemorragie fatale. Notre objectif etait de determiner les aspects cliniques, les caracteristiques et la prise en charge des dilatations anevrismales sur FAV d’hemodialyse. Patients et Methodes C’est une etude retrospective des complications anevrismales survenues pour 17 FAV pour hemodialyse chronique realisees au sein du service de chirurgie vasculaire du CHU Hassan II de Fes sur une periode de 7 ans, etendue de janvier 2007 a decembre 2013. On a defini comme anevrisme une dilatation ≥ 3 fois le diametre de la veine native. Les faux anevrismes ont ete inclus dans notre etude. Les caracteristiques des anevrismes (diametre, localisation, thrombose, stenose associee, infection et eventuelle rupture), les symptomes et le type de traitement ont ete etudies. Resultats L’âge moyen de nos patients etait de 45 ans. Dix FAV etaient brachio-cephaliques (58,80 %), cinq etaient radio-cephaliques (29,40 %) et 2 etaient brachio-basiliques (11,8 %). Onze etaient des faux anevrismes (64,70 %) et 6 des anevrismes vrais (35,3 %). Le delai moyen entre la creation de la FAV et la complication etait de 6 mois. On a pu conserver 9 FAV soit 52,94 % par divers gestes chirurgicaux et on a confectionne une nouvelle FAV apres ligature de la FAV dans 8 cas soit 47,06 %. Conclusion La dilatation anevrismale sur FAV pour hemodialyse represente une complication grave qui peut conduire a la perte de l’abord. Ceci suggere une manipulation prudente et une surveillance etroite de ces FAV par le personnel soignant. Le traitement chirurgical permet en general de preserver la FAV.