RESUMO
A 65-year-old woman was referred to our department for further examination and treatment of an abdominal aortic aneurysm. Preoperative abdominal 3-D CT revealed a horseshoe kidney with 2 aberrant renal arteries, arising from bilateral common iliac arteries and supplying blood to the renal lower poles. At operation, the abdomen was explored via a long midline incision. The abdominal aortic aneurysm was replaced with a knitted Dacron bifurcation graft without symphysiotomy, and the 2 aberrant renal arteries were preserved. Postoperative 3-D CT showed no sign of renal infarction or dysfunction. Abdominal 3-D CT was useful to reveal aberrant renal arteries of the horseshoe kidney.
RESUMO
A 2-month-old boy developed Methicillin-resistant <i>Staphylococcus aureus</i> (MRSA) mediastinitis after bidirectional Glenn anastomosis for hypoplastic left heart syndrome. After reexploration, only the skin was closed but the sternum left open, and continuous mediastinal irrigation using saline containing isodine was commenced at an infusion rate of 20-40ml/h. The sternum was closed on day 7 and irrigation was stopped on day 21. The patient was weaned from the ventilator 4 days later, and is currently in a good condition awaiting a Fontan operation.
RESUMO
There are some kinds of disease which has indication of hyperbaric oxygenation therapy. This time four severe cases of sudden deafness were treated both with hyperbaric oxygenation and with oriental herb medicine.<BR>This sickness is much trustworthy to evaluate the progress of recovery numerically in comparison with decompression sickness, which had been reported in our Journal of Japan Society for Oriental Medicine, Vol. 32 No. 3, 1981.<BR>Three of them were treated with Chai-hu-tang group of lesser YANG duration and the other is done with Tang-kuei-szu-ni-chia-wu-chu-yu-sheng-chian-tang in YIN duration, and the result: two of them were cured completely and one case improved significantly, but the other one showed no effect.