[Pathomorphologic and ultrastructural characteristics of endocardial Cysticercus cellulosae]. / Patomorfoloske i ultrastrukturalne karakteristike endokardijalnog Cysticercusa celullosae.

A case is presented of a solitary endocardial cysticercus of cellulose discovered at a biopsy in the left auricula of the heart, got by a 36-year old patient at the operation who had a mitral and aortal defect caused by a reumatic endocarditis. The cisticercus is implanted on the surface of an intact endothelium and the fibroelastic structure of the superficial part of the endocardium is preserved. Inflammation of the endocardium and the myocardium is presented by a perivascular infiltrates eosinophile granulocytes, plasms cells and lymphocytes, suggesting an allergic nature of inflammation. In histological preparates stained by selective methods of fungus according to Gridley and Crocott on the wall of the membrane of the cyst polymorphal Yeast-like elements are discovered at a size of 2-12 mil. mic. which ultrastructurally show degenerative forms of membranous structures suspected as immature primitive proglotids. In this paper, the objective difficulties are pointed out at the microscopic diagnosis of the cisticercus in the pathological material.

[The Garloch-Sweet operation in cancer of the lower segment of the esophagus]. / Operacija Garloch-Sweet kod karcinomadonjeg segmenta ezofagusa.

The surgical treatment of carcinoma of the lower segment of the esophagus presents a problem in the sense of operability and five--years survival. The authors presented 56 patients operated by GARLOCK-SWEET method for carcinoma of the lower segment of the esophagus. The investigated clinical material was divided into 2 groups. In the group--I (A) 17 operated patients were classified without metastatic deposits in the regional lymph nodes. In group--II (B) were 39 operated cases with regional lymphatic nodes metastatic deposits, where as a splenectomy was made. In a 11 operated patients pyloroplasty was made. Leakage of the anastomosis occurred in 7 patients. Only 6 patients survived more than 5 years after the operation. A control group (C) of 13 patients with inoperabile carcinoma of the lower segment of the esophagus had been inserted the Celestin tube. In 5 patients there was operabile mortality.

[Results of reconstructive bypass surgery of obliterative arteriosclerosis in the aortoiliac segment]. / Rezultati rekonstruktivnih hirurskih zahvata kod obliterirajuce arterioskleroze u aortoilijacnom segmentu.

The present study included the results of 154 cases aortoiliac arteriosclerotic obstruction surgically treated at the Clinic for Surgical Diseases--Skopje Yugoslavia. The investigated operative clinical material was divided in to 3 groups. The I group consisted of endarterectomy in 89 patients. The II group had undergone resection of arterosclerotic obstruction in 26 cases. While in the III group a aortofemoral by-pass operation was carried out in 39 cases. In addition, a control group of 16 patients with aortoiliacal arteriosclerotic obstruction were medically treated. Preoperatively all patients were treated by Bergmann, s infusions. In our comparative study we found that the best satisfactory results were obtained by applying each of these methods on selected cases. There were 2 operative deaths.

[Case of an operated patient with congenital localized supravalvular and valvular aortic stenosis]. / Prikaz operiranog bolesnika s priodenom lokaliziranom supravalvularnom i valvularnom stenozom aorte.

The authors presented a rare case with localised congenital supravalvular aortic stenosis associated with bicuspid aortic valvular stenosis which has been surgically treated. The clinical diagnosis was suggested in the presented patient by typical "elfin" face and conformed by left cardiac catheterisation and angiography. The operative procedure with cardiopulmonary by pass consisted of longitudinal aortotomy and insertion of Dacron prosthesis. In addition "open" commissurotomy of partially fused commissures of the bicuspid aortic valve was done. This effectively released the obstruction and enlarged the orifice. The postoperative course was uneventful.