[Eosinophilic granuloma of the parietal bone of an adult patient with BRAF mutation].

The paper describes a case of eosinophilic granuloma of the parietal bone in a 32-year-old man. Histological examination revealed a large number of bean-shaped Langerhans cell histiocytes with lobed nuclei and nuclear grooves. The histiocytes alternated with the foci of obvious eosinophilic infiltration and with eosinophilic microabscesses.

[Angina Recurrence After Coronary Artery Bypass Grafting Caused by the Coronary-Subclavian Steal Syndrome].

We present two cases of surgical treatment of patients with coronary artery steal syndrom and multifocal atherosclerosis, who previously underwent coronary artery bypass grafting using left internal mammary artery. In both cases carotid-subclavian bypass was performed through supraclavicular access using synthetic prosthesis. This method allowed to restore blood flow in the left internal mammary artery, eliminate recurrent angina pectoris, and improve patients quality of life.

[The results of pulmonary veins isolation to prevent postoperative atrial fibrillation].

Aim: To compare an efficacy of primary surgical (epicardial bipolar pulmonary veins isolation) and pharmacological (amiodarone) prevention of postoperative atrial fibrillation.

Material And Methods: The study included 117 patients with coronary artery disease without previous paroxysms of atrial fibrillation who were randomized into 3 groups. The first (I) group (n=39) included patients who underwent coronary artery bypass grafting without radiofrequency ablation of pulmonary veins and prophylactic amiodarone administration.

[A neuropathic component of lumboischialgia: mechanisms of development and treatment approaches].

Low back pain (LBP) is accompanied by the development of pain syndrome that spreads into the leg in 25-57% of patients. This is an important factor predicting the risk of transition of pain from acute to chronic and is an indirect indicator of disease severity. It is often impossible to specify the primary mechanism facilitated pain irradiation in lumboischialgia because many structures can cause analogous symptoms.

[Intraoperative formation of the valved conduit in aortic root surgery].

Aim: To present an experience of intraoperative manufacture of the valved conduit in aortic root surgery in the Department of Cardiac Surgery of Sechenov First Moscow State Medical University.

Material And Methods: In our department aortic valve and ascending aortic replacement using intraoperatively manufactured valved conduit was performed in 11 patients for the period 2012-2016. Technical aspects, choice of vascular prosthesis size and type of fixation to achieve optimal hemodynamics and adequate impermeability of stitches are described.

[Ultrasonic examination of the breast adipose grafts after mammoplasty].

Aim: To present the results of PRP-adipose grafts implanatation.

Material And Methods: The study included 25 patients after transplantation of autologous adipose tissue. Autotransplantation was performed to correct volume defects of breast and to restore lost volume after polyacrylamide gel removal in 4 patients; after mastectomy in 6 cases; after complicated replacement using silicone endoprostheses in 11 patients; after previous reduction in 2 cases; after augmentation mammoplasty in 2 cases.

[Diagnostics and surgical tactics for papillary fibroelastomas of the heart].

Aim: To investigate clinical, diagnostic and surgical aspects of papillary fibroelastomas of the heart.

Material And Methods: Clinical, diagnostic and surgical aspects of papillary fibroelastomas of the heart were analyzed in 12 patients.

Results: Diagnosis was obtained using two-dimensional echocardiography and transesophageal echocardiography or computed tomography.

[Radiofrequency ablation in combined treatment of metastatic colorectal liver cancer].

Aim: To study surgical and oncological outcomes in patients with metastatic colorectal liver cancer who underwent radiofrequency ablation in the structure of combined approach.

Material And Methods: It is a prospective analysis of treatment of 76 patients with metastatic colorectal liver cancer who underwent RFA for the period 2004-2013. Overall survival was analyzed using univariate and multivariate analysis.

New intronic splicing mutation in the LMNA gene causing progressive cardiac conduction defects and variable myopathy.

Background: Most of mutations in the LMNA gene are unique and have been found in only a few unrelated families. The clinical interpretation of new genetic variants, especially beyond the coding area and canonical splice sites, is proving to be difficult and requires advanced investigation.

Methods: This study included patients with progressive cardiac conduction defects with neuromuscular involvement.

[Extracorporeal treatment of hemolytic complications in multifield surgical clinic].

Aim: to optimize the protocol of high-volume plasmapheresis for hemolytic complications in surgical practice.

Material And Methods: We studied 100 patients aged 7-73 years with hemolytic complications. In 83 patients with free hemoglobin level over 200 mg% 50-300% of plasma volume was removed.

[Advisability of biliary drainage in liver fragments reconstruction].

Aim: to estimate the effect of decompressive stented drainage of biliary anastomosis on incidence of biliary complications.

Material And Methods: 294 patients aged from 5 months to 61 years (mean 13.8±0.

[The effect of gender on the results of related kidney transplantation].

Aim: To define the effect of donor and recipient gender on the results of kidney transplantation from living related donor.

Material And Methods: Group of 271 patients who underwent kidney transplantation from living related donor was analyzed. There were 115 women and 156 men.

[Long-term results of surgical treatment of patients with aortic valve disease and functional mitral insufficiency].

Aim: To analyze long-term surgical results in patients with aortic valve disease and concomitant mitral regurgitation (MR) depending on volume of valve surgery.

Material And Methods: It was studied 5-year results in 71 patients with aortic valve disease and different degree of mitral regurgitation. Patients were divided into 3 groups.

[Types of infectious complications exciters in recipients of related kidneys].

Aim: To investigate the nature of microflora causing an infectious-inflammatory complications in recipients of related kidney in the early postoperative period and to substantiate the effectiveness of antibiotic prophylaxis and antibiotic therapy depending on pathogen type with the determination of its sensitivity to antimicrobial agents.

Material And Methods: The medical records of 255 patients who underwent kidney transplantation from a living related donor from 2007 to 2014 were analyzed. Foci of infection were sanitized preoperatively to prevent infectious complications in post-transplantation period.