In 60 mothers with normal placental function, the relative merits of right and left lateral tilt during Caesarean section were assessed. Maternal-foetal biochemical values and relationships were generally more satisfactory with the left lateral position. The incidence of hypotension (revealed aorto-caval occlusion) before and after induction of anaesthesia, was significantly greater (P less tha...

Aorto-cutaneous fistula and false aneurysm of the ascending aorta in patients who previously underwent Stanford Type A acute aortic dissection are rare and severe complications. Surgical correction remains a demanding challenge. In a case of false aneurysm rupture during redo sternotomy, selective cannulation of the right axillary and left carotid arteries allowed an efficient method of cerebra...

Concomitant coronary artery disease (CAD) and Leriche's syndrome is clinical scenario which poses a challenge to cardiovascular surgeons. This report describes a case of arterial myocardial revascularization in a patient with CAD and Leriche's syndrome by means of right internal thoracic artery harvested with right epigastric artery in situ fashion, performed in addition to simultaneous aorto-b...

A child in whom abnormal vessels connected the descending thoracic aorta and the left atrium is described. This is a previously unreported congenital malformation. Clinically this condition differs from the more common aorto-cardiac fistulas in that the continuous murmur was better heard posteriorly as well as in the right parasternal area. Ligation of the aberrant vessels abolished the murmur.

Sudden onset haematemesis occurred in a 52-year old male with oesophageal cancer. Computed tomography showed an aorto-oesophageal fistula with contrast extravasation from the aorta. Thoracic endovascular aortic repair with stent graft was done. The haematemesis stopped postoperatively, but follow-up images (Fig. 1) showed persistent contrast extravasation. The patient died of another episode of...

We present the case of a 33-year-old man with middle aortic syndrome. The final diagnosis was established with magnetic resonance imaging. He underwent a successful aorto-aortic bypass. Two-year follow-up imaging showed the new graft was patent, with no abnormalities at the anastomosis sites. At the last follow-up examination he was asymptomatic with no neurological dysfunction.

El Síndrome de Nutcracker producido por compresión aorto-mesenterica la vena renal izquierda puede tratarse con transposición quirúrgica. Se realizó revisión dicho tratamiento realizado en el Instituto Previsión Social. identificaron dos mujeres 15 y 26 años, que presentaron dolor lumbar hematuria. Egresaron al cuarto quinto día postoperatorio. Las pacientes no síntomas a los cinco nueve meses ...

OBJECTIVE Aorto-coronary bypass graft disease with its increasing clinical signification represents an unsolved problem in cardiological and heart surgery practice. Late occlusion of autologous saphenous vein grafts is due to medial and neointimal thickening secondary to migration and proliferation of smooth muscle cells (SMCs) and the subsequent formation of atherosclerotic plaques. This study...

BACKGROUND The utilization of off-pump coronary artery bypass surgery (OPCAB) has resulted in the development of new technology to facilitate the creation of aorto-coronary graft anastomoses. Proximal aortic devices (PADs) enable the construction of a proximal aortic anastomosis without the use of a side-biting aortic clamp, thus reducing the risk of neurologic injury from particulate embolizat...

This patient was 42 years old when he had a mandible fracture treated with an intermaxillary blockage. The patient presented with endocarditis caused by Kingella denitrificans. There was a large disinsertion of both prostheses, a paravalvular abscess, and a fistula between the aorta and the right atrium. A double valvular replacement redux associated with a closure of the communication was perf...