The efficiency of pain control using a thigh pad under the elastic stocking in patients following venous stripping: results of a case-control study.

Background: The use of a specific thigh foam pad placed under compression stockings increases interface pressure. The interface pressure obtained under 2 medical compression stockings of 15 to 20 mm Hg at the ankle, is 14 ± 2.2 mm Hg in the middle of the thigh in the horizontal position and rises to 49.

Fibromuscular dysplasia of the renal artery responsible for renovascular hypertension: a histological presentation based on a series of 102 patients.

Background: Fibromuscular dysplasia (FMD) is a rare non-atherosclerotic and non-inflammatory disease in the arterial system. The purpose of the study was a retrospective analysis of FMD in the renal artery.

Patients And Methods: A total number of 102 patients (mean age: 36.

[Kaposiform angiodermatitis (Bluefarb-Stewart syndrome) caused by a superficial arteriovenous malformation of the trochanter area: a case report].

We reported a case of kaposiform angiodermatitis (Bluefarb-Stewart syndrome) complicating a superficial arterio-venous malformation of the skin and the sub-cutaneous tissue of the right trochanter area of a 28 year-old-man. This lesion resulted from large arterio-venous shunts occurring over a one-year period inside the vascular malformation, which remained stable for 27 years. This case report underlines that any vascular malformation may take an uncertain turn and needs an attentive follow-up with adequate treatment.

[Arterial fibromuscular dysplasia unveiled by a traumatic false aneurysm: a case report].

An inadvertent puncture of the brachio-cubital artery during an intravenous perfusion provoked a false aneurysm in a 59-year-old woman. The angiographic check-up disclosed a "pile of dishes" pattern on the humeral artery. Pathological examination of the resected false aneurysm confirmed the presence of an extensive medial fibromuscular dysplasia distant from the rupture area.

Anomalous course of the left anterior descending coronary artery between the aorta and pulmonary trunk: a rare cause of myocardial ischaemia at rest.

When the left anterior descending coronary artery follows an anomalous course between the aorta and pulmonary artery it can cause myocardial ischaemia or sudden death during exercise in young people. Coronary arteriography in a 27 year old man with angina pectoris at rest showed a left anterior descending coronary artery arising from a common right trunk and running from the aorta to the pulmonary artery. Follow up after revascularisation was uneventful.

[Percutaneous femoral artery coronary arteriography. 300 consecutive cases with French 5 catheters].

Owing to the ever growing practice of coronary angioplasty, each patient is subjected to multiple examinations and it has become imperative, both for ethical and functional reasons, to reduce the morbidity of coronary arteriography. For this purpose, reduction in the caliber of catheters is a step forward which must be made without altering the procedure and even while making it simpler (shorter stay in bed and in hospital). Between april, 1986 and january, 1987, 300 consecutive coronary arteriographies were performed in a uniform manner and using 5 French catheters in 239 men (mean age 55.

[Posttraumatic false aneurysm of the superficial temporal artery. Apropos of a case report and review of the medical literature].

Traumatic false aneurysm of superficial temporal artery is infrequent. About 21 cases were published during these last fifty-three years (1932-1985) in medical literature. The authors report a case of traumatic false aneurysm in a 50 y.

[Splenic abscess disclosing endocarditis].

A 54 year old man, hospitalised for thoraco-abdominal pain resulting from a septicemia which gives positive hemocultures for streptococcus D Bovis, is diagnosed to have a splenic abscess which will require splenectomy. At the same time, an endocarditis develops and gets worse, with auriculo-ventricular blockade and, especially, major aortic insufficiency, which is the cause of death by a brutal and massive pulmonary oedema. In the progression of an endocarditis, the occurrence of a splenic abscess, primary localisation of the initial septicemia or the secondary of an arterial septic embolism, is a rare contingency compared to the frequency of splenomegaly or splenic infarction: less than 2 percent of the cases in the literature.

[Septal rupture in elderly patients. Apropos of 2 cases treated surgically in the acute phase of myocardial infarction].

Two cases of interventricular septal rupture (VSR) in elderly patients (71 and 74 years) occurring at the 5th and 12th day of primary postero-inferior myocardial infarction, were reported. The diagnosis was made at 2D echocardiography and confirmed at catheterisation with coronary angiography. Good surgical results were obtained after operation 72 and 12 hours after VSR (9th and 12th infarct days, respectively): the first patient had a good outcome with a 2 year follow-up, but the second patient died in the 55th postoperative day, of renal failure.

[Sclerosing cholangitis following the surgical treatment of hydatid cyst of the liver].

The authors report a case of sclerosing cholangitis following surgical treatment of a hydatid cyst of the liver. The review of the literature demonstrates the rarity of this serious complication. The authors speculate on the mechanism of this disease: postoperative infection of the common bile duct, or chemical trauma associated with a cysto-biliary fistula.

[The syndrome of compression of the left iliac vein at the promontory level; a new, serious anatomo-clinical entity?].

A new case of pseudo-Cockett syndrome is reported. Both the clinical picture and the anatomic characteristics were unusual. Apparently, no similar cases have been reported in the medical literature.

[Role of surgery in the treatment of thromboembolic disease and deep phlebitis of the legs. Apropos of 12 surgical cases].

In reviewing a series of twelve cases treated surgically for deep venous thrombosis, with an admittedly short follow up (2 months to 2 years), the authors stress the beneficial effects of venous surgery. The postoperative mortality rate was zero and the morbidity rate marginal. They underline the importance of phlebographic exploration leading to earlier diagnosis, and list the therapeutic indications which vary according to the case and may include a supporting heparinotherapy and fibrinolytic treatment in a specialized center.