Aneurysm with aortic stenosis just distal to the origin of the left subclavian artery in thoraic aorta.

Patients will be waiting for long time with symptoms before they come to the major hospitals with large aneurysms of this size due to various reasons. In addition to the socio-economic reasons they also fear that the operations are not safe in the hospitals. When are grown to this size as there is no alternative they come to hospitals in prerupture syndrome. The results in such patients with prerupture or rupture of the thoracic aneurysms the results are critical supporting their fears. We need to develop a aneurysm central registry to help these patients with the initiative of the government. The national surgical and medical associations can be given this responsibility by the government or medical council of India.

Radial artery Aneurysm in a young man working in bar

Glass bottle or glass piece injuries to the forearm can easily injure the radial artery which is superficial and close to the bone. The local pressure can stop the bleeding and it may result in thrombosis of the radial artery without any problems. But in some it can recanalize and later present as pseudoaneurysm ( 2-3 months) as in this case. It will be tender to touch and starts expanding after that. In this patient the ulnar artery is palpable and it is providing the major blood supply to the palm. Simple excision of the aneurysm and repair of the radial artery is required. Some times one may argue that ligation of the radial artery proximal and distal to the aneurysm may be sufficient to releive the symptoms.