RESUMO
One hundred twenty patients, who underwent femoropopliteal bypass procedures using polytetrafluoroethylene (PTFE) grafts, are reviewed. There were 70 male and 50 female patients ranging in age from 42 to 84 years, the mean age being 64.27 years. A total of 140 procedures were performed for tissue loss or impending tissue loss; only 26 procedures had been done for limiting claudication. Review of the results showed a cumulative patency of 83.86%, t two years. The results for good run off showed a patency of 99.07% at two years, while the cases with poor run off, the patency was 47.0%. There were no early mortalities. Two patients, however, died during the follow-up period. Of the 17 amputations required, eight were defined as major and nine as minor amputations. The series is compared with a series of saphenous vein bypasses and also one using Dacron prosthesis.
Assuntos
Prótese Vascular/normas , Artéria Femoral/cirurgia , Artéria Poplítea/cirurgia , Adulto , Idoso , Amputação Cirúrgica , Feminino , Gangrena , Humanos , Isquemia/cirurgia , Perna (Membro)/irrigação sanguínea , Perna (Membro)/patologia , Masculino , Pessoa de Meia-Idade , PolitetrafluoretilenoRESUMO
Experience with 23 patients with pericarditis and pericardial effusion is discussed. The methods of drainage with their relative merits are mentioned, as are the etiology of pericarditis, signs and symptoms of the disease as well as various techniques for establishing the diagnosis.
Assuntos
Derrame Pericárdico/cirurgia , Pericardite Constritiva/cirurgia , Adolescente , Adulto , Idoso , Anestesia Local , Cateterismo Cardíaco/instrumentação , Criança , Diagnóstico Diferencial , Drenagem , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Derrame Pericárdico/diagnóstico , Pericardite Constritiva/diagnóstico , Pericardite Tuberculosa/cirurgia , Pericárdio/cirurgia , Complicações Pós-Operatórias/cirurgiaRESUMO
Aspiration disease, a term used to define both an acute and chronic form of a disease entity, is described. Etiological factors, pathophysiology and therapy are discussed with emphasis on aspiration of gastric juice. A brief mention of a small clinical experience is included.
Assuntos
Pneumonia Aspirativa/fisiopatologia , Doença Aguda , Adolescente , Adulto , Idoso , Doença Crônica , Diurese , Feminino , Suco Gástrico , Refluxo Gastroesofágico/complicações , Hemodinâmica , Hérnia Hiatal/complicações , Humanos , Concentração de Íons de Hidrogênio , Masculino , Pessoa de Meia-Idade , Pneumonia Aspirativa/etiologia , Pneumonia Aspirativa/terapia , Respiração com Pressão Positiva , Atelectasia Pulmonar/fisiopatologia , Circulação Pulmonar , Edema Pulmonar/fisiopatologia , Equilíbrio HidroeletrolíticoRESUMO
A case history is reported of an 81-year-old woman with progressively increasing airway obstruction and progressive stenosis of the intrathoracic trachea. Repeated endoscopic biopsies failed to establish a diagnosis. At thoracotomy, an isolated tumor mass was found originating in the trachea without grossly apparent mediastinal nodes. Biopsy of the tumor mass revealed lymphoma. Radiotherapy resulted in complete remission, which continues at 22 months.
Assuntos
Linfoma/diagnóstico , Neoplasias da Traqueia/diagnóstico , Idoso , Obstrução das Vias Respiratórias/diagnóstico , Broncoscopia , Feminino , Humanos , Linfoma/radioterapia , Linfoma/cirurgia , Teleterapia por Radioisótopo , Neoplasias da Traqueia/radioterapia , Neoplasias da Traqueia/cirurgia , Estenose Traqueal/diagnósticoRESUMO
This is a report of one patient with the unusual complication of ischemic colitis in a segment of interposed right colon which was used for esophageal substitution. The presentation was unusual in that the patient had three episodes of massive lower gastrointestinal bleeding. The diagnosis was established by selective angiography and a barium contrast study.
