[Aorto-arteriography of the legs in the elderly. Tolerability and value. Report of 100 tests carried out consecutively in patients over 70 years of age]. / Aorto-artériographie des membres inférieurs chez le vieillard. Tolérance et intérêt. A propos de 100 examens réalisés consécutivement chez des patients de plus de 70 ans.

Over a period of 4 years, we have studied 100 consecutive cases of arteriographies, realized out of emergency, and concerning patients age 70 and above (average age 77). In 2/3 of cases, the arteriography was requested for a stage IV arteriopathy of the inferior limbs, the other 1/3 being equally distributed between stage II and III. On the technical plan, the femoral pathway with retrograde catheterization was mostly performed because femoral pulses were correct in most cases. Only one major complication occurred. The presurgery balance, patience and gentleness have permitted to reduce risks. We haven't observed any type of complications during the procedure in these elderly patients with polysystem disease (HT, diabetes, CVA, cardiopathology) latent renal insufficiency at this age did not create a problem because normal precautions were taken during procedure and new contrast products with low osmolarity used. The study of arteriographies by a personal scoring that we elaborated has clearly confirmed the distal and often bilateral nature of arterial lesions. The indications of this examination are of course already assessed by medico-surgical teams who select patients susceptible of enduring a by pass. The imagery obtained has allowed in almost 40% of cases either a revascularization act or a per cutaneous angioplasty, thus proving the advantages of this examination, finally little aggressive, in evaluation of these predominantly distal lesions in the elderly people.

[Primary mediastinal seminoma. Value of the assay of tumor markers before any surgery. Study of a case]. / Séminome médiastinal primitif. Intérêt du dosage des marqueurs tumoraux avant toute intervention chirurgicale. Etude d'un cas.

An excessive surgical excision of pulmonary parenchyme preceded the histological diagnosis of a mediastinal seminoma, concerning a 43 year-old man. Absence of all tumoral tracer during surgery did not permit to establish the difference between radiosensitive pure seminoma and impure seminoma of which repeated dosages should have improved medical strategy. In order to avoid, in the future, a similar error, in case of an anterior mediastinal tumor, the authors formally recommended, before all surgery, a dosage of HCG and AFP.

[Urachal malformation. Clinical and radiological findings in one case (author's transl)]. / Malformations de l'ouraque Etude clinique et radiologique. a propos d'un cas.

An exceptional case of patient urachus, reported on a 54 year-old man, has led the authors to make an up-to-date survey on this malformative pathology. 4 types can be individualized, for which the roentgen diagnosis is quite simple (intravenous urography ultrasonography, fistulography). The risk of malignant degeneration obliges, after the search for other associated malformations, surgical cure and anatomo-pathologic verification.