Retroperitoneal Aortobifemoral Bypass by a Combination of Horseshoe Kidney and Aortoiliac Occlusive Disease with Stent Thrombosis.

Bilateral aorto-profunda femoris bypass with Dacron bifurcation graft was performed by a patient with aortoiliac occlusive disease (AIOD) and horseshoe kidney (HSK) who had undergone stenting of the right common iliac artery and of the left superficial femoral artery with subsequent stent thrombosis as well as significant subrenal aortic stenosis. As endovascular treatment was not feasible and surgical treatment by means of transperitoneal incision would be associated with high risk of damage to the HSK, the operation was successfully accomplished through left pararectal retroperitoneal approach.

Surgical Treatment of a Patient With Nutcracker Syndrome via Transposition of the Left Renal Vein.

Introduction: Nutcracker syndrome (NCS) is caused by compression of the left renal vein (LRV) between the aorta and the superior mesenteric artery (SMA) where it passes in the fork formed at the bifurcation of these arteries. NCS leads to LRV hypertension, resulting in left flank and abdominal pain, with or without haematuria and pelvic ureteral varices.

Report: The patient was a young female with diagnostic criteria of NCS, with severe clinical manifestations.

[A rare case with excessive congenital arterio-venous angiodysplasy of the upper extremity].

The congenital vascular anomalies of an upper extremity are rare, but may cause serious complications during them development and haemodynamic. We present a case of one patient with congenital arterio-venous malformation of the right arm and fore-arm, advanced and progressed by impossible level of an operation or invasive treatment. The changes in the venous system are with obligate predisposition for dyabrosis, rupture and profuse bleeding from the extremity.

[Analysis of the results of femoro-popliteal arterial bypasses depending on the clinical stage of disease].

The strategy of treating infra inguinal arterial lesions according to the clinical Fontaine stage is very difficult and complicated. Critical limb ischemia is considered a strong indication for revascularization without delay. It is still not clear what operative treatment should be chosen for patients in Fontaine stage II.

[Profundoplasty in patients with chronic thrombosis of the superficial femoral artery not suitable for distal revascularization].

The deep femoral artery is the main source of blood supply to the leg and foot when the superficial femoral artery is occluded. In this situation, the geometry of the trunk of the deep femoral artery represents a stenosis of 50 per cent interposed between the common femoral artery and the collateral circuit of the deep femoral artery. Intimal thickening of only 0,5 and 1,0 mm increases this anatomic stenosis to 64 and 76 per cent, respectively.

[Vascular complications of Baker's cyst].

The presence of Baker's cyst is clinically demonstrated as compression syndrome of the vessels and nervous stem in the popliteal area. This result frequent in deep venous thrombosis, nervous injuries and blood flow insufficiency distal to the compression site. We present two cases of compression stenosis of the popliteal vessels, clinically manifested.

Arterialized cephalic vein as a femoropopliteal bypass graft: A case report.

The overall therapeutic strategy in patients with diabetes mellitus and peripheral arterial disease affecting several arterial segments is problematic. Usually, the greater saphenous vein (GSV) is the gold standard for bypass. However, alternative venous grafts may be necessary when the GSV is not available.