Chrurgie des anevrismes de l'aorte acsendante

Evaluation of the short and middle term morbidity and mortality rate of ascending aortic aneurysm surgery. Material and methods: It is a retrospective study of 21 ascending aortic aneurysm patients operated between May 1996 and may 2003. The interventions were of Bentall's type in 11 cases [4-25], Carbrol's in 6 cases [6-28%] and Weath's type in 4 cases [19%]. A total of 21 patients-16 males and 5 females- average age of 45 years +/- 8-12 [15-68]. Four patients [19%] had acute complicated discecting aneurysm. Two patients [5-9%] had MARFAN'S syndrome. Sixteen patients [57 +/- 6,3%] had aortic regurge grade II to IV. Seventeen patients [81%] had NYHA'S functional class II-III. Average aneurysmal diameter was 57 mm +/- 6,3 [48-80mm]. Operative mortality rate was nil. Hospitalisation period was 19 +/- 4 days [16-40 days]. Three patients had complete atrioventricular heart block. Lately 2 patients died as a result of thromoembolic accidents. The ascending aortic aneurysm surgery can be achieved with immediate results similar to surgical aortic valve replacement. The mode of surgery and necessity of a long course of anticoagulant treatment affect the middle and long term prognosis

Adult sacrococcygeal teratomas

Sacrococcygeal SCT teratoma are rare in adults with an incidence of 1:87,000 and a female to male ratio of 10:1. Most of SCT are cystic and benign. Our patient was born with this mass that increased in size as she grew older. Being a precious child she was kept away from seeking medical advice by her parents. Initial work up included plain x-ray pelvis, computerized tomography scan and magnetic resonance imaging. At operation the mass was seen arising from sacrococcygeal region. It was excised completely along with coccyx. Pathologically, the specimen contained differentiated tissue from all 3 germ layers