[Carotid and aortic lesions: two-stage surgery].

The problem of chronology between different surgical acts is at stake when a patient suffering from carotid and aorto-iliac or femoropopliteal diseases requires surgery. The joint operation increases surgical risk and its practice penalizes the surgeon. Sequential surgery is safer.

[Extramedullary hematopoiesis of thoracic and vertebral intraductal localization. Apropos of a case. Review of the literature].

The authors report a case of extramedullary haematopoiesis, presenting in the form of several tumor masses in the posterior mediastinum and in the vertebral canal. The patient presented with oedema in his lower limbs due to compression of the inferior vena cava by the mediastinal masses. The asymptomatic mass in the vertebral canal was detected by magnetic resonance imaging.

[Role of bronchial resection-anastomosis in conservative surgery of lung cancer. Apropos of 34 cases].

We report our 20 year experience with bronchial sleeve resection for endobronchial neoplasms. Among 832 patients who underwent resection procedures, thirty-four underwent a bronchial sleeve resection (4.1%): 27 bronchogenic carcinomas out of 780 (3.

[Impotence of vascular origin. Techniques of exploration and therapeutic orientations].

Vascular problems of arterial and/or venous origin are often found as the cause of erectile dysfunction. Clinical examination alone is insufficient and must followed up by a number of non or minimally invasive tests in order to confirm the etiology. Such testing should include: Doppler measurements or, better, duplex sonography, nocturnal penile plethysmography, psychological status, clinical biochemistry and intracavernous injection of vasoactive drugs.

Calcified obstructive disease of the aortic isthmus.

A 52-year-old man presented with a calcified thrombus measuring 5 cm in length, which was responsible for obstruction of two-thirds of the aortic isthmus lumen. At operation the thrombus was seen to stem from an ulcerated plaque in the aortic wall, 4 mm in diameter. Six years later, his aortograms were normal.