[Comparative study of mechanical and manual suture of bronchial stumps in pneumonectomy (author's transl)].

The incidence and time of onset of bronchial fistulae were retrospectively studied in 306 patients who underwent pneumonectomy at the Saint-Joseph Hospital, Paris, between 1975 and 1979. The bronchial suture was performed mechanically in 145 cases and manually in 161 cases. Patients in both groups were of comparable age, lung disease, side operated upon, nature of the bronchial division, post-operative course and surgeon's ability.

[Pericardiac tamponade revealing a lympho-epithelial thymoma (author's transl)].

An inaugural pericardiac tamponade performed on a 39 years old man, reveals a lympho-epithelial thymoma. The anatomic diagnosis first suggested by the radiography after evacuation of the effusion, is confirmed by the swab taken during the retroxiphoidal drainage. A 57 Gray cobaltotherapy was then performed.

[Right heart haemodynamics in bullous emphysema associated or not with diffuse emphysema. Interest in surgical indication (author's transl)].

A right heart haemodynamic study brings us closer to answering the following question: Would surgical intervention allow the re-expansion of a compressed lung area in the case of bullous emphysematous lesions more or less associated with a localized or generalized diffuse bullous dystrophy? It is difficult to know if a positive pressure exists at the level of the lesions to be treated. Furthermore, the consequences involving the neighboring lung parenchyna, mediastinal organs, and right-heart circulation also raise several problems.

[Treatment of mitral insufficiency by Wooler-Reed annuloplasty. Remote results].

The outcome of 67 patients operated on between 1963 and 1971 for pure mitral regurgitation due to dilatation of the mitral ring (group I: 25 cases), papillary muscle dysfunction (group II: 11 cases) and valvular and/or subvalvular lesions (group III: 31 cases) was analysed with an average follow up of 9.1 years (range 4 to 12 years). Eleven patients (16 p.

[Subvalvular aortic stenosis, dysmorphic familial syndrome and peripheral muscular disease].

Two related cases are reported, those of two sisters aged 7 and 13, who had an aortic subvalvular stenosis in the form of a fibro-muscular channel, associated with mitral incompetence, a triangular facies with a pointed chin, pinched lips, a divergent squint, hypertelorism, a mask-like face, normal intelligence, and a peripheral muscular disorder with arthrogriposis. The description of such a combination of malformations is original, and this is discussed.

[Angiofollicular lymphoid hyperplasia (Castelman's tumor) in the mediastinum. Apropos of 2 cases].

The authors report two new cases of angiofollicular hyperplasia of the mediastinum (Castelman's tumour). The only clinical peculiarity was a rapid increase in volume. The authors then review about 200 published cases.

[Aneurysm of the superior vena cava, Apropos of 1 case].

Report of the case of a seventeen-year-old man in whom was discovered in the course of a systematic X-ray examination of the thorax a shadow of the right upper mediastinum. The variability of the pictures in relation with the upward or supine position, suggest the diagnosis of a vascular tumour, which was confirmed by angiocardiography. Towards the end of this examination there was a cardiac arrest with coma, which was suggestive of the probable diagnosis of thrombo-embolic accident, and the operation was undertaken under extracorporeal circulation.