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Surgical treatment of Servelle-Martorell syndrome.

Turk Gogus Kalp Damar Cerrahisi Derg

April 2018

Department of Cardiovascular Surgery, Sivas Numune Hospital, Sivas, Turkey.

Although the etiology and prognosis are not known precisely, Servelle-Martorell syndrome is often a venous, but rarely an arterial vascular malformation characterized by soft tissue hypertrophy and musculoskeletal hypotrophy of the affected extremity. In general, surgery is the choice in restricted conditions for the treatment of vascular malformations; however, it is unavoidable, if complications occur. These vascular malformations are often treated with medically using compression stockings and drugs.

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Arteriovenous dysplasia is rather uncommon disease, quite often leading to severe complications even in young age. Involvement of the osseous apparatus into the pathological process is frequently associated with the problem of amputation of the affected limb. Therefore, salvage of the extremity while removing arteriovenous shunt and trophic impairments is an extremely important clinical task.

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[Parkes-Weber syndrome and pregnancy: anaesthetic implications].

Ann Fr Anesth Reanim

May 2013

Département d'anesthésie et réanimation, hôpital d'instruction des armées Percy, 101 avenue Henri-Barbusse, Clamart, France.

We report two deliveries in a patient with a Parkes-Weber syndrome. This parturient had a complex angiodysplasia including a soft tissue hypertrophy of a lower limb, a cutaneous angioma and arteriovenous malformations. The risk of perimedullar arteriovenous malformations was ruled out by angiographic magnetic resonance imaging of the spinal cord.

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[Lymphedema: anatomy, physiology and pathophysiology of lymphedema, definition and classification of lymphedema and lymphatic vascular malformations].

Wien Med Wochenschr

April 2013

Zentrum für Lymphologie, Rehabilitationsklinik für lymphangiologische Rehabilitation mit Akut-Station, LKH Wolfsberg, Paul Hackhoferstrasse 9, 9400 Wolfsberg, Österreich.

Lymphedema is a chronic disease associated with a congenital or acquired disorder of the lymphatic vessels or lymph nodes. Untreated lymphedema can lead to complications and disability. Clinical Lymphology deals not only with lymphedema of the extremities but also of the head, the genitals and the internal organs (lymphostatic enteropathy, chylaskos, chylothorax, chylopericard etc).

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The authors share herein their experience with an antegrade brachial access for treatment of patients presenting with arteriovenous angiodysplasia localizing on the distal portions of the upper limbs, also describing the choice of the site for puncture and the technique of antegrade catheterization of the brachial artery. This is followed by reporting the results of successful use of this access in a total of 27 patients. The access is simple to create, making it possible to easily perform the intervention using instruments of standard length.

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