The authors present their initial experience with the use of the intraluminal double-ring prosthesis in the surgical treatment of thoracic aorta aneurysms. To date, they have performed this procedure in a total of 7 patients. Five had dissecting aneurysms of the ascending and descending aorta, one had a false aneurysm of the aortic arch, and one was operated on for a traumatic aneurysm of the descending aorta. Five patients recovered without any severe complications. Two patients died. Of these, one underwent surgery on an emergency basis for ruptured dissecting aneurysm of the ascending aorta while another died from intestinal gangrene due to occlusion of the upper mesenteric artery, caused by dissection. The benefits of the new technique of vascular reconstruction are discussed, and the potential for expanded indicational criteria is mentioned.
Infection in cardiovascular surgery invariably constitutes a very serious complication that cannot be controlled by antibiotics in all cases. Improved blood supply to the tissue affected by infection largely helps to control these complications. The article reports on three cases in which mobilized muscle and omental flaps helped essentially to heal infectious complications following heart transplantation, aortic valve replacement, and reconstruction of arteries of the lower limb.
Summary. The case history of an 18-year-old patient with renal rickets, who recovered within one year after successful kidney transplantation is presented; because of valgus deformity of lower limbs, however, corrective osteotomy with limb detorsion had to be performed. This surgery did not impair the renal graft function in any way, and contributed to an improvement in the final effect of the transplantation.
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