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Biomedical subjects

A Thevenet

Publications and source records attributed to A Thevenet.

At least 55 records · Page 3Linked to original sources

[Arteriovenous fistula of the renal pedicle after nephrectomy (author's transl)].

Two cases of arteriovenous fistula of the renal pedicle after nephrectomy are described, and the general features of this type of lesion reviewed in relation to the findings in these 2 cases and 52 other patients reported in the published literature. The following points are emphasized : the importance of local signs for revealing the presence of a fistula; the long period during which no signs of cardiac complications appear; the high-output cardiac failure which finally occurs is unaffected by medical treatment but responds remarkably well to surgical cure of the fistula. Hemodynamic tests were conducted in one case. The treatment of choice is resection of the aneurysmal sac with suture of the vessels, but less complex procedures, ligature of the artery and vein or the artery alone, may be sufficient.

Angiography↗

[Renovascular hypertension: prediction of surgical treatment by angiotensin II blockade and saralasin (author's transl)].

The response of arterial pressure to an infusion of saralasin was compared to the effect of surgical correction of renal vascular lesions (3 to 6 months after surgery) in eleven patients whose hypertension was associated with uni or bilateral stenosis of renal artery. Saralasin was infused after four days of dietary sodium restriction (10--40 mEq/day). An excellent correlation (r = 0.83, p less than 0.005) between the effects of saralasin and surgery was obtained. There was no correlation between the response to saralasin or to surgery and the ratio of renal vein renin activities. It is suggested that saralasin may be a good tool for predicting the effect of surgery in renovascular hypertension, when infused in moderately sodium depleted patients.

Adult↗