RESUMO
Recent findings casting doubts over the edibility of the European mushroom Tricholoma terreum are questioned on the basis of mycological and mycotoxicological considerations. Accordingly, T. terreum should remain listed among edible mushroom species.
Assuntos
Tricholoma/metabolismo , Animais , Feminino , MasculinoRESUMO
The aim of this article is to describe a new open surgical technique for revascularization of renal arteries. Several interventions for surgical revascularization of renal arteries have been proposed. We suggest to perform an alternative technique if the described inflow vessels are not suitable because of severe atherosclerosis or calcifications. A 76-year-old woman with a solitary functioning kidney and a subocclusive renal artery stenosis presented at our institution with renovascular hypertension and chronic kidney disease. After a failed percutaneous renal angioplasty attempt, we successfully treated the patient with an end-to-end inferior mesenteric to renal artery transposition. Other described techniques for revascularization of renal arteries were not suitable in this case, as commonly used inflow vessels were severely calcified. Although further studies are needed to better investigate the safety and effectiveness, this technique is simple and affordable, and it could be considered a valid alternative approach in selected patients, if other proposed interventions are not feasible. To the best of our knowledge, this is the first reported case with this kind of surgical reconstruction.
Assuntos
Hipertensão Renovascular/cirurgia , Artéria Mesentérica Inferior/cirurgia , Procedimentos de Cirurgia Plástica/métodos , Obstrução da Artéria Renal/cirurgia , Artéria Renal/cirurgia , Idoso , Anastomose Cirúrgica , Angiografia Digital , Feminino , Humanos , Hipertensão Renovascular/diagnóstico , Hipertensão Renovascular/fisiopatologia , Artéria Mesentérica Inferior/diagnóstico por imagem , Artéria Mesentérica Inferior/fisiopatologia , Artéria Renal/diagnóstico por imagem , Artéria Renal/fisiopatologia , Obstrução da Artéria Renal/diagnóstico , Obstrução da Artéria Renal/fisiopatologia , Tomografia Computadorizada por Raios X , Resultado do Tratamento , Grau de Desobstrução VascularRESUMO
We present a new intra-abdominal extra-anatomic bypass graft for a 64-year-old man treated with an abdominal aortic endograft and with signs of endograft infection. We performed surgical removal of the endograft and intra-abdominal extra-anatomic reconstruction of a hepatic-to-right external iliac artery bypass with autologous superficial femoral vein and a crossover graft between the right and left external iliac artery with the great saphenous vein. The later occlusion of the saphenous vein graft led us to perform a femoral-femoral prosthetic crossover. At 42 months from the intervention, the patient was in good health, and duplex scanning confirmed the patency of all grafts.
