[Acute ischemia and arterial mesenteric infarction in patients aged over 75. Apropos of a comparative series of 38 cases]. / Ischémie aiguë et infarctus mésentériques artériques chez les patients âgés de plus de 75 ans. A propos d'une série comparative de 38 cas.

We report our experience in a series of 20 patients over 75 years of age with acute mesenteric ischemia and mesenteric infarction. This series was compared with 18 patients under 75 used a control group for scores of specific aspects to acute mesenteric ischemia. Overall mortality (80% versus 55%) (p = 0.1) and desertion rate after exploratory laparotomy (60% versus 35%) were high in the elderly patients with advanced stage disease. There was also a female predominance (80% versus 44%, p < 0.05).

[Post-traumatic false aneurysm of the suprarenal abdominal aorta. Original surgical technique]. / Faux anévrysme post-traumatique de l'aorte abdominale sus-rénale. Technique opératoire originale.

Post-traumatic abdominal aorta false aneurysm is rare, especially in the supra-renal segment. We present the case of a patient which severe respiratory failure who could not be sterno-phreno-laparotomized: we propose an original operative technique of exclusion of the false aneurysm by a limited incision preserving the diaphragm, with circulatory arrest and profound hypothermia, without aortic clamping, under cardiopulmonary bypass. We discuss the other surgical possibilities and propose our technique for special indications.