Charles A. West

Structural aortic arch shift and supraaortic angle configuration changes after subclavian to carotid transposition as a proposed mechanism for relief of severe esophageal compression in aberrant subclavian artery anatomy

Charles A. West, John L. Crawford, Cortland W. Ewing

• Aberrant subclavian arteries are uncommon anomalies of the aortic arch often associated with a Kommerell’s diverticulum at the base of the aberrant vessel and aneurysms of the distal arch and descending aorta. • Cases where an aberrant left subclavian artery arising …

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Supraceliac aorta to superior mesenteric artery bypass with reimplantation of celiac artery into a single conduit—An alternative surgical approach for treatment of chronic mesenteric ischemia

Charles A. West, John L. Crawford, Nana Kwadwo Okraku-Yirenkyi, Simar Goyal

When patients with chronic mesenteric ischemia are not candidates for mesenteric stenting, open revascularization is the definitive option for treatment to prevent progression of the disease to bowel infarction and death. Multiple open techniques for restoring flow to the celiac artery (CA) …

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Restoration of luminal patency of the celiac artery after division of the median arcuate ligament in an adolescent with median arcuate ligament syndrome presenting with celiac artery occlusion

Shirin Soleimani, John L. Crawford, Charles A. West

We present the case of an 18-year-old woman diagnosed with median arcuate ligament syndrome (MALS) who presented with celiac artery (CA) occlusion. An open surgical approach was used, the MAL was released, and luminal patency was restored in the CA. The patient's …

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Open Surgical Decompression and Revascularization of the Celiac Axis for Median Arcuate Ligament Syndrome in the Modern Era of Minimally Invasive Surgery

Charles A. West, John L. Crawford, Jonathan Deitch, Timothy C. Oskin

BACKGROUND: Median arcuate ligament syndrome (MALS) is a complex vascular condition that results in generalized abdominal pain resulting from compression of the celiac artery (CA). Early reports of the treatment of MALS described open surgical release of the MAL and decompression of …

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Endovascular repair of a primary aortoenteric fistula with staged open aortoplasty and omentopexy with duodenal repair

Charles A. West, Jonathan Deitch, John L. Crawford

Primary aortoenteric fistulas (AEFs) are rare and life-threatening. We report the successful hybrid management of a 60-year-old man who presented in hemorrhagic shock from a primary aortoduodenal fistula arising from an unsuspected abdominal aortic aneurysm. The patient underwent emergent endovascular aneurysm repair …

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Isolation and Characterization of Novel Marine Bacteriophages from Santa Rosa Island, Florida, Using Local and Nonlocal Bacterial Strains as Hosts

Brittany C Yencho, Charles A. West, Andrew J. Brown, Conor R Flannigan

Bacteriophages, or phages, are viruses that infect bacteria and are the most prevalent biological entities in the world. While phage research has continued to develop, the investigation of phages within ecological biology remains in the early stages and requires an extensive database …

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Surgical repair of inflammatory aortic aneurysms

Charles A. West, John L. Crawford

Inflammatory aortic aneurysms are uncommon vascular lesions ranging in frequency from 3% to 10% of surgically repaired abdominal aortic aneurysms (AAAs). They represent unique additional challenges to the vascular surgeon, compared with those seen during open repair of routine degenerative AAAs. The …

Aortic thromboendarterectomy and patch aortoplasty as the treatment of choice for severe blunt abdominal aortic injury in children with aortic occlusion

Simar Goyal, Charles A. West, John L. Crawford, Marty Knott

Blunt abdominal aortic injury is described infrequently in children. We report the successful surgical treatment of a 13-year-old boy who initially presented with an infrarenal abdominal aortic dissection that progressed to acute aortic occlusion after sustaining a blunt seat belt injury from …

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Large Left Shamblin Type III Carotid Body Tumor With Tracheopharyngeal Deviation and Midline Shift: A Case Report

John R. Crawford, Charles A. West

A 46-year-old female was referred for treatment of a large left parapharyngeal mass, incidentally discovered and later confirmed as a Shamblin type III carotid body tumor (CBT). There was no family history of CBTs. The patient exhibited no clinical signs of catecholamine …

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Radiation-induced arterial ischemia from the treatment of Gorham-Stout disease

Jonathan M. Bindi, Jack A. Will, John L. Crawford, Charles A. West et autres

Chronic radiation arterial injury is generally predictable by known tumor types and anatomic location. Radiation-associated peripheral arterial occlusion secondary to the management of rare Gorham-Stout Disease (GSD), “Vanishing Bone Disease”, has rarely, if ever, been described. A patient with GSD, previously treated …

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Chronic abdominal aortic occlusion in a patient with an underdeveloped, irradiated pelvis after childhood treatment of Ewing Sarcoma

Jack A. Will, Jonathan M. Bindi, John L. Crawford, Charles A. West et autres

Chronic radiation-induced arterial injury is generally predictable by known tumor types and anatomic location. We present the first case of radiation-induced chronic aortic occlusion associated with a small pelvis secondary to the treatment of childhood Ewing sarcoma. The patient presented with profound …

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Subclavian artery reconstruction with femoral vein for ballistic injury in a 3-year-old boy

Winston Scambler, Simar Goyal, Charles A. West, John L. Crawford et autres

Few descriptions of using the femoral vein as an arterial replacement exist in the pediatric surgical literature. A 3-year-old child sustained a gunshot wound to the right subclavian artery, which resulted in ischemia to the upper extremity. The left femoral vein was …

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