MALS was more likely to respond to decompression if patients had postexertional pain. Patients who presented with vomiting and unprovoked pain were unlikely to respond to surgery. In contrast with previous studies, postprandial pain was not found to be predictive of outcome.

True aneurysms of the internal thoracic artery (ITA) are rare and are associated with vasculitides, connective tissue diseases, and infections. We report a case of a 3-cm immunoglobulin G4-positive ITA aneurysm that was excised by a hybrid approach involving open ligation of the ITA origin and video-assisted thoracoscopic aneurysmectomy. This novel technique was able to acquire tissue for histopathologic diagnosis through a minimally invasive means.

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Introduction: Perigraft seroma is an uncommon complication of vascular reconstructive surgery. We report a case of a large recurrent seroma related to an axillobifemoral bypass. Case report: A 79-year-old male patient developed a large seroma in his left flank and suprapubic region after an axillobifemoral bypass. The seroma was so large that it prevented the patient from bending. It recollected twice after drainage, which led to the decision to remove the graft and to replace it with a different synthetic material. Discussion: Seromas are suspected when there is a sterile mass in relation to a bypass graft. To our knowledge, this is one of the larger seromas related to axillobifemoral bypass documented in published literature, reaching a size such that it interfered with the patient's physical functioning.