[The case of repeated syncopes in recurrent pulmonary embolism].

The article provides a case report of recurrent syncopal episodes in a 57-year old male patient. During a three-month period of recurrent syncope, the patient was managed by the family doctor and at pulmonology and cardiology departments for different diagnoses. Due to an uncertainty in diagnosis, the patient was moved to a hospital where he underwent echocardiographic examination and duplex scanning of right leg veins, which detected a 49.3 mm right leg venous thrombus with a free-floating head in the right common femoral vein. Retrospectively, recurrent pulmonary artery thromboembolism was diagnosed. Thrombectomy and ligation of the right superficial artery were performed; an approximately 17 cm long thrombus was removed; the anticoagulant treatment was administered with a beneficial effect.

[Reconstructive jejunogastroplasty]. / Rekonstruktivnaia eiunogastroplastika.

A method of reduodenization providing the formation of the invagination-valvular jejunoduodenal and sphinctero-valvular esophagojejunoanastomoses has been developed for treatment of patients with postgastroresectional disorders. The method allows the duodenum to be included in the process of digestion by means of creation of the small intestine transplant from the efferent intestinal loop. For prevention of regurgitation at the remote postoperative period the invagination-valvular jejunoduodenal anastomosis was formed by the authors method. Observation of the patients during 5 years following the operation showed good functional results of the operation proposed.

[Significance of the characteristics of the aortic branching in regulating human regional blood flow]. / Znachenie osobennostei vetvleniia aorty v reguliatsii regional'nogo krovotoka u cheloveka.

After certain reconstructive vascular operations which concern the connection of two major arteries, in a number of cases the "steal syndrome" appears--interdependence of the volumetric blood stream passing through the connected arteries resulting from an artificially made too narrow a common trunk of the two arteries. The fluid expense, when it moves along the anatomical preparation of the aorta and its branches, demonstrates that there occurs a definite interdependence of the fluid expense in the major arteries at the branching coefficient K greater than 1. Calculation of the branching coefficient in the aorta at various levels performed in 25 human corpses reveals, in some cases K greater than 1. It can cause the interdependence between the volumetric blood stream and the vascular tonus in the neighbouring vascular regions in patients suffering from disturbances of some compensatory processes.