[Surgical treatment of vascular malformations of the limbs].
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Biomedical subjects
Publications and source records attributed to A Puglionisi.
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Successful management of a patient with an intracardiac tumor thrombus of renal carcinoma is described. This case and a few others in the literature have led us to consider the clinical signs of cavo-atrial obstruction, frequently silent and unspecific; the diagnostic methodology, especially based upon CAT scan and cavography, and the type of surgery and surgical technique called for, especially as regards the approach and the possible use of extracorporeal circulation (ECC).
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Results of surgical treatment in 22 patients with inferior vena cava thrombosis from extension of femoro-iliac thrombosis are reviewed. Indications for the different types of operation and their technical modalities (thrombectomy through a femoral approach or by cavotomy, caval blockade by clip or Mobin Uddin's umbrella alone or combined with thrombectomy, arteriovenous fistula) are discussed in relation to the various pathological and clinical pictures observed.
The authors describe a case of malignant neoplasm of the mediastinum affecting the S.V.C. and the right lung. Radical removal of the neoplasm involved a right pneumonectomy and resection of the S.V.C. Replacement of the latter with a prosthesis in K Dacron double velour was successful--a success which has lasted 5 months to date.