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Purpose: The diagnosis of pulmonary sequestration is based on demonstration of mal-developed lung tissue, feeding on abnormal systemic level. We investigate the role of angiography in the diagnosis of pulmonary sequestration in adult patients.

Material And Methods: 1987 to 1998 we examined 9 patients with suspected pulmonary sequestration who were subsequently submitted to surgery.

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[Post-traumatic vena cava thrombosis].

Presse Med

October 1999

Service de Cardiologie, HIA Sainte Anne, Toulon Naval.

Background: Post-traumatic thrombotic events are exceptional in the caval system. We report a case of inferior vena cava thrombosis in a traffic accident victim.

Case Report: A 53-year-old male victim of a traffic accident suffered multiple trauma including blunt trauma of the abdomen.

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[Pulmonary embolism in patients using estrogen-progestagen contraceptives].

Presse Med

October 1998

Services de Médecine interne, Hôpital Purpan, Toulouse.

Objectives: The risk of thromboembolism in patients taking estrogen-progestagen oral contraceptive drugs has apparently increased since the introduction of third-generation progestagens (desogestrel, gestodene). We examined the clinical features, risk factors and outcome of pulmonary embolism in this context.

Patients And Methods: We reviewed 11 cases of thromboembolism in patients on oral contraception and hospitalized in emergency situations in 1995 and 1996 for pulmonary embolism in order to determine the gravity of the thromboembolic event, risk factors and type of drug used.

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The article summarizes the results of clinical examination of 992 patients with thromboembolism of lung artery (TLA), its etiology, frequency of development and risk factors. The author describes clinical symptoms of TLA depending on the diameter of the obturated lung arterial vessel. The estimation of special methods was made from the point of view of its diagnostical significance: ECG, chest roentgenography, echocardiography, angiopneumography.

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Among the causes of the radiological entity known as unilateral or total hyperlucent lung is the decreased blood flow in the lungs. Unilateral and total hyperlucent lung results, among other factors, from the decreased intrapulmonary blood flow. Classically, the diagnosis and haemodynamic evaluation of these situations were usually made through invasive methods: right heart catheterism to perform angiopneumography and pressure evaluations as well as oximetry at several levels of the vascular network, thoracic aortography eventually associated with selective arteriography to detect the abnormalities of the systemic thoracic circulation.

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