HETEROTAXY SYNDROME IN COVID-19 PATIENT WITH PULMONARY EMBOLISM AND AORTIC ANEURYSM: A RARE ACCIDENTAL COMBINATION (RADIOLOGICAL ASSESSMENT). / GETEROTAKSIIa, TROMBOEMBOLIIa LEGENEVOÏ ARTERIÏ TA ANEVRYZMA AORTY: RIDKISNE VYPADKOVE POIeDNANNIa (RADIOLOGIChNA OTsINKA).

With limited time for analysing computed tomography (CT) data in medical emergencies, radiologists and clinicians are not always aware of congenital pathologies, especially in asymptomatic cases. We present a case report of heterotaxy syndrome detected incidentally in a 62-year-old female with massive pulmonary embolism, local saccular aneurysm of the aortic arch and COVID-19. The presented case describes an unusual combination of life-threatening conditions and congenital anomalies. Using the CT angiography, we reported the preserved topography and morphology of the heart chambers. The superior and inferior venae cavae were located on the left, draining into a significantly dilated coronary sinus. Disordered abdominal organ arrangement included midline liver, right-sided stomach, the central location of the short pancreas, malrotation of the intestine, polysplenia, and atypical rise of visceral branches of the abdominal aorta. A comprehensive assessment of CT images promoted verification of undiagnosed congenital anomalies. Prompt recognition of heterotaxy syndrome in life-threatening conditions significantly impacts treatment tactics and should be the course of diagnostic and cautious interventions to reduce further complications.

[Effect of various methods of functional osteosynthesis on healing of the femoral diaphysis fractures in adults]. / Vliianie razlichnykh metodov funktsional'nogo osteosinteza na zazhivlenie perelomov diafiza bedrennoi kosti u vzroslykh.

Our objective in this investigation was to study healing of fractures of the femur diaphysis treated with different methods of fixation. A total of 177 patients who ranged from 16 to 80 years old were examined. It has been ascertained that union is through secondary callousity formation. Our techniques for screw adjustment involving the use of a dynamic compression plate and intraosseous nail made for a complete consolidation of fractured bone fragments within one year. The use of a plate with screws arranged at an interval of up to 1 sm near the plane of the fracture or external fixation unit prolonged healing time. Recommendations have been worked out in the course of the study to improve methods of treatment of fractures of the femur diaphysis.