Dorsal pancreatic artery aneurysm is an extremely rare condition often associated with celiac artery stenosis or occlusion. We report a 76-year-old man with a dorsal pancreatic artery aneurysm and celiac artery occlusion due to median arcuate ligament syndrome. Because of severe calcified stenosis in the pancreaticoduodenal arcade, surgical exclusion of the aneurysm and antegrade bypass revascularization were performed. Although coil embolization is generally recommended, surgical revascularization may be a useful option when hemodynamic compromise is anticipated.

The patient was a 33-year-old man diagnosed with idiopathic cardiomyopathy and was scheduled for insertion of an Impella CP. After completion of treatment, a huge defect was found at the vascular puncture site when Impella was removed. In recent years, minimally invasive medical care has attracted attention, and many hemostatic devices are being used and their effectiveness has been reported. However, there are concerns about complications, and careful consideration is needed in patient selection and treatment policy. Here, we report an unexpected huge defect at the insertion site when removing a circulatory support device.

A 91-year-old man presented to the emergency department with a left shoulder joint dislocation, and a physician performed manual reduction. The patient who initially recovered subsequently presented with shock vitals. A contrast-enhanced CT scan identified a left axillary artery injury. We performed hybrid treatment for lifesaving. Hybrid treatment was significant for hemodynamic stabilization. Because there are few reports of hybrid treatment, we will review the literature.