The role of chlamydia in the pathogenesis of pulmonary emphysema. Electron microscopy and immunofluorescence reveal corresponding findings as in atherosclerosis.

Chlamydia pneumoniae has been detected in atherosclerotic plaques by various means. Chlamydiae are able to cause persistent infections. Serologically elevated antibody titers are found in severe chronic obstructive pulmonary disease.

The role of subclavian-carotid transposition in surgery for supra-aortic occlusive disease.

From 1977 through 1985, 1043 patients underwent operation for supra-aortic occlusive disease. One hundred thirty-four of these patients (13%) with 146 lesions of the aortic arch branches (innominate, 25; subclavian, 103; and multiple, 10) had one or more symptoms of subclavian steal (78%), transient ischemic attacks (37%), arm ischemia (37%), and others (7%). However, according to results of a critical prospective neurologic examination, the classic steal syndrome appeared in only 13 patients (10%), vertebrobasilar insufficiency in 32 patients (24%), and hemispheric symptoms in 48 patients (36%).

[Thrombectomy with AV fistula in embolizing deep venous thrombosis--better therapeutic concepts].

From 1977 to March 1986 69 patients with embolizing deep vein thrombosis underwent thrombectomy plus av-fistula. The perioperative mortality rate was 7.2%, the rate of recurrent pulmonary embolism during follow up (28 +/- 24 months) 4.