Treatment of venous pulsatile tinnitus in younger women.

Background: We present 7 cases of pulsatile tinnitus (PT) of venous origin in younger women seen over a period of 24 years and treated by Internal Jugular Bulb ligation.

Methods: All patients had a pulsatile bruit in one side of the neck that disappeared when gentle pressure over the internal jugular vein (IJV) caused it to collapse as seen in a duplex scan. Their computed tomography showed a dominant venous system with a high jugular bulb on the side of the bruit.

Experimental and clinical evidence supporting septectomy in the primary treatment of acute type B thoracic aortic dissection.

Background: We reviewed the mechanics involved in the aneurysmal dilatation of the false lumen (FL) in type B aortic dissection and the experimental and clinical evidence supporting the proposition that the main agent for this dilatation is a differential of pressure between the false and true lumena. This difference in pressure is the consequence of a restricted outflow of the FL. Our aim was to study the relationship between the size of a septectomy that increases the outflow of the FL and its effect on the values of the differential of pressure.