Modified medial nephropexy for treatment of the anterior nutcracker syndrome

We report the case of a 15-year-old male, presenting with recurrent gross hematuria complicated by acute anemia. Cystoscopy showed little bleeding from the left ureteral orifice. Diagnosis of left renal vein compression at the aortomesenteric space was established through color Doppler ultrasonography and computed tomographic angiography. Therapeutic attitude was interventionist in our case, performing successful management with modified medial nephropexy, with a retroperitoneal approch. To the best of our knowledge, we report the second case of left medial nephropexy for treatment of the anterior nutcracker syndrome. The first case of modified medial nephropexy was done by lowering the left renal vein from its initial position in the aortomesenteric angle through a restrict retroperitoneal approach

Primitive cardiac sarcomas: about 2 cases

The cardiac sarcomas, although very rare, represent the quasi-totality of the primitive sly tumors of the heart. It is about a retrospective study of two cases of cardiac sarcomas operated in Sahloul university hospital of Sousse. Cases it is about a woman and a man: The respective ages were 22 and 45 years. The clinical pattern of the patients was polymorphic and the diagnosis put by cardiac echography. Both patients had a surgical resection and a chemotherapy. Both patients died in 13 and 18 months after the diagnosis. Because of the extreme rarity of the cardiac sarcomas, there is no precise therapeutic strategy. The only consensus concerns the surgery as soon as the diagnosis of cardiac tumor is put. The prognosis of these tumors is extremely redoubtable with a survival which does not exceed 2 years after the beginning of the symptomatology

Congenital Abdominal Infra Renal Aortic Anenrysm in infants

Abdominal aortic aneurysm is extremely rare in infant and is generally due to infection, umbilical artery catheterization. vasculitis, connective tissue diseases and tuberous sclerosis. At the absence of these evident causes, it is a congenital primary aortic aneurysm which is exceedingly rare and only a few cases have of which have been reported. Here we report two cases of aortic wall reconstruction done by a Goretex patch. The immediate result is excellent with a reestablishment of the femoral pulse and an excellent Doppler control The problem which we may face in the future is probably the aortic out come with this Goretex patch a continaons follow up of these patients is necessary

[Cortriatriatum: of six operated patients report]

Six cases of cortriatriatum operated between January 1990 and April 2004. Their ages ranged from 3 months to 22 years. Associated lesions are present in 4 patients. They consisted mostly of interatrial defects. The echocardiography has been considered the procedure of choice for the diagnosis. Results of surgery were excellent for all patient with a mean follow up of 5 years