surgery of profunda femoris artery in chronic ischemia of lower limbs

36 patients resented with chronic ischemia of-lower limbs, some of them suffered aortoiliac and superficial femoral arterial lesions, others suffered only superficial formoral artery occlusionsl Different revascularization procedures were carried out towards t he profundafemoris artery, 10 aortofemoral bypass grafts, two iliofemoral grafts, six femorofemoral bypass, two axilo-femoral and 16 profundoplasty with or withot thrombendarterectomy [TEA] of the profundafemoris artery. An angiographic assessment were done for all the patients both pre and post-operatively. Our results were good in 72%, Profundoplasty showed good results in early grades of ischemia and when the distal run-off is good

femoro-femoral cross-over by-pass an alternative treatment of unilateral iliac artery obstruction

From 10/82 until 10/89, 13 femoro-femoral cross over by-pass procedures were performed in Assiut University Hospital. The low mortality rate 7% and the high patency rates 77% in poor risk patients suggest that procedure can be used in other patients with symptomatic occlusive disease of one iliac artery if a femoral pulse of good quality exists in the opposite groin

Carotid body tumours review of literature and reports of 3 cases

We reported on three cases with carotid body tumours and presented a literature review that assembles epidemiologic information on 1078 carotid body tumours. The sex ratio [female/male] was 1:2 their mean age was 45.5 years. It was bilateral in 31% and familial in 41% according to different series and authors. Up to 42% was recorded as malignant in different series. We reported on three cases, 2 males and one female, aged 35, 37 and 43, presenting with symptomatic neck swellings. Arteriography was diagnostic in two cases and failed in the third case because of some technical difficulties and errors. The tumour was resected in the three cases. The postoperative course was eventful in one case, but marked by hoarsness of voice in the second case and by hemiplegia and hypoglossal nerve injury in the third one. Histopathological examination revealed carotid body tumour diagnosis in the three cases