DELAYED SURGERY FOR GIANT SPONTANEOUS RUPTURE OF THE DISTAL THORACIC AORTA CAUSED BY CYSTIC MEDIAL NECROSIS.

Spontaneous (idiopathic) thoracic aortic rupture (STAR) is uncommon and assumes a rupture of the normal-sized thoracic aorta with no visually apparent aortic disease. Since 1961 about fifty reports have been published. STAR is established in cases of thoracic normal-sized aorta rupture with no traumas, aneurysms/dissections, infection, inflammation, connective tissue diseases, aortic and adjacent organs tumors/metastases, previous surgery, and occurring during pregnancy and the peripartum.

[Aneurysm of the extracranial portion of the internal carotid artery combined with kinking of its distal segment].

Presented herein is a clinical case report regarding successful operation for an aneurysm of the left internal carotid artery (measuring 4.5*8.3 cm) combined with pathological tortuosity in its distal portion.

Primary leiomyosarcoma of inferior vena cava adjacent to hepatic veins: complete off-pump resection and inferior vena cava graft reconstruction with application of external skin surface cooling.

Objectives: Resection of a leiomyosarcoma of the inferior vena cava (IVC) requires venovenous bypass, especially if IVC clamping above the hepatic veins is planned. This report describes the application of external skin surface cooling for off-pump resection of a primary IVC leiomyosarcoma adjacent to the hepatic veins with graft IVC reconstruction in conditions of suprahepatic caval clamping and uninterrupted Pringle's manoeuvre.

Methods: A 62-year-old woman presented with IVC leiomyosarcoma adjacent to the hepatic veins.

[Efficacy of oral drug Thrombovasim® in therapy of lower extremity deep vein thromboses].

Within the framework of the multicenter randomized placebo-controlled double-blind clinical trial "VETTER-1" the authors carried out assessment of therapeutic efficacy and safety of oral drug Thrombovasim® possessing a thrombolytic effect in comprehensive treatment of lower-extremity deep vein thrombosis (LEDVT). The clinical study comprised a total of 154 patients. All patients received standard therapy accepted in LEDVT.

[Use of infusion solution remaxol in the combination treatment of patients with leptospirosis].

Aim: To evaluate the efficiency of using remaxol in the combination treatment of patients with leptospirosis.

Subjects And Methods: Thirty patients (29 men and 1 woman) with leptospirosis were treated with remaxol. The icteric and anicteric forms of the disease were diagnosed in 28 and 2 patients, respectively.

[The assesment of significance of the retroperitoneal lymph node dissection in proximity of metastatic tumor with main vessels in patients with germ cell testicular tumors].

The therapeutic approach should be defined more exactly in proximity of residual retroperitoneal metastases of germ cell testicular tumor and main vessels (left after chemotherapy). The data of 29 (24%) patients were analyzed over a period of time since 2003 till 2011. The general survival was 82% in the group without lymph node dissection (17 patients) in median observation of 27.

[Resection of leiomyosarcoma of the inferior vena cava].

Experience in treatment of leiomyosarcoma of the retrohepatic segment of the inferior vena cava at any separately taken clinic is scarce. Given a rare nature of the pathology involved, whose diagnosis and management require joint participation of various-specialty physicians, we have considered it wise to present our own clinical case report.

[Surgical treatment of leiomyosarcoma of the inferior vena cava].

The presented review of the literature is generalization of the currently existing data of foreign and Russian literature concerning treatment of a rare non-organic retroperitoneal tumour from smooth-muscle tissue, i. e., leiomyosarcoma of the inferior vena cava.

[Clinical peculiarities of posttraumatic arteriovenous fistulas].

Analysed herein are clinical manifestations of, and outcomes of successful surgical management for postoperative arteriovenous fistulas.

[Positive experience in long-term follow-up and surgical management of a stenosing lesion of the thoracoabdominal portion of the aorta and its branches in non-specific aortoarteritis].

The article is based on experience gained in 25-year follow-up of a female patient presenting with pathology of the thoracoabdominal aorta and its branches in non-specific aortoarteritis. Discussed herein are clinical peculiarities of the development and course of the disease, analysing the outcomes of the reconstructive operations performed, followed by due assessment of efficacy of long-term treatment.

[A case report of successful surgical management for a combined wound of the neck with a rare variant of an injury of the vertebral artery].

Presented herein is a clinical case report regarding successful surgical management of a male patient presenting with a concomitant injury of the neck and involvement of the second portion of the contralateral vertebral artery.

[A case report of successful surgical management of lower-limb critical ischaemia on the background of femoropopliteal atherosclerotic aneurysms].

Presented herein is a case report of successful surgical management of a male patient presenting with lower-limb critical ischaemia on the background of thrombosis of femoropopliteal atherosclerotic aneurysms and the presence of a necrobiotic process on the stump of the foot. The reconstructive intervention performed resulted in salvation of the extremity, followed by uneventful wound healing on his left foot with complete medical and social rehabilitation of the patient.

The clinical diagnosis of cranial nerve injuries at operations on the carotid arteries.

Operation on the carotid arteries (CA) prevent strokes in patients with occlusions and stenoses of these arteries. We have worked out the measures for preventing perioperative strokes. During interventions on the CA, iatrogenic injuries to the cranial nerves (CN) are paid little attention.

[The role glucose-6-phosphate dehydrogenase in pathogenesis of anemia in leptospirosis].

The activity of glucose-6-phosphate dehydrogenase (G-6-PDG) of plasma and erythrocytes, levels of erythrocytes, hemoglobin, free hemoglobin and reticulocytes in different periods of illness were assessed in 30 men with severe icteric leptospirosis and anemia. Elevation of plasma G-6-PDG activity, levels of free hemoglobin (FH) and reticulocytes were found. Hemolysis was more pronounced at the height of the disease.

Electret-thermal analysis of blood.

The thermally stimulated discharge (TSD) method, intended for the analysis of charged dielectrics, was used for human blood research. Above-room-temperature TSD spectra of blood consist of three peaks. There are indications that the low-temperature peak (40-50 degrees C) corresponds to the thermally stimulated destruction of hydrate shells surrounding blood components while the mid-temperature peak (70-90 degrees C) is related to thermal denaturation of blood proteins.

[Sudden cardiac death: the possible role of latent myocardial ischemia in the mechanisms of its formation and development].

An analysis was performed of comprehensive (non-invasive and invasive) observations of IHD patients presenting with atherosclerotic lesions of coronary arteries of the heart and atypical clinical picture of the condition. A possibility was shown of a significant obstruction of arteries of the heart in atypical localization of pain and in those patients who had not derived much benefit from nitroglycerin during the development of ischemia and measures instituted against it. Inadequate reaction to nitroglycerin may be explained by specificities of changes in the vegetative nervous system, by the hemodynamics reaction, and, in the first place, by a propensity for developing tachycardia under physical loading, emotional stress, and after ingestion of nitroglycerin.

[Use of the superficial femoral vein in reconstructive-corrective vascular surgery].

The paper describes the procedure and results of using the femoral vein in reconstructive-corrective operations on arteries. The femoral vein was used in infection of a synthetic vascular prosthesis in the inguinal area in 24 patients, in the reconstruction of arteries below the inguinal ligament in the absence or in applicability of the large subcutaneous vein in 17 patients, in vascular plasty during a radical removal of malignant tumors in 5 patients. A good result was achieved in 83.

[Behavioral effects of the combined chronic action of 9375 and 1765 MHz microwaves].

Combined pulse-discrete microwave irradiation (9375 and 1765 MHz, irradiance flux density to 375 microW/cm2, by 12 h/day for 4 months) caused faint inhibition of CNS in locomotion activity and defensive reflex parameters.

[Freezing an acutely necrotized extremity for the purpose of preparing the patient for amputation].

102 patients of a high operative risk were prepared for amputation of a lower extremity with acute ischemic gangrene by its freezing and tourniquet application. A special portable freezing chamber was used in most cases which could be installed in any surgical hospital. The refrigeration ranged from 18 hours to 14 days.

[The status of the higher nervous activity in animals exposed to microwaves in conditions simulating the intermittent work of radiolocators].

Impulsive microwave irradiation (3 GHz, 400 imp/sec, duration of a pulse 2 microseconds, rotary speed--3.16 and 29 rpm) leads to the CNS activation in white rats. Activation was most at the slow antenna rotation (3 rpm).