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Biomedical subjects

J A Root

Publications and source records attributed to J A Root.

12 recordsLinked to original sources

Popliteal vein thrombosis secondary to popliteal artery aneurysm.

Two patients with popliteal vein thrombosis secondary to popliteal artery aneurysm are described. The association of venous abnormalities in 623 reported cases of popliteal artery aneurysm is reviewed. The high morbidity from popliteal vein thrombosis would seem to justify preoperative leg venography in patients with popliteal artery aneurysm.

Aneurysm

"Spoon bowl" deformity of proximal femoral bypass vein graft: a cause of late graft failure on four occasions.

We cite four examples of splaying of the proximal end of femoral bypass vein grafts accompanied by graft stenosis as a cause for late postoperative recurrent ischemic symptoms or graft failure. Though usually associated with dilation of the common femoral artery, one patient showed no arterial aneurysm. After appropriate angiographic views to demonstrate the "spoon bowl" deformity, corrective surgery to widen or bypass the stenotic segment and prevent further dilation of the artery, where indicated, resulted in patent grafts in all patients for at least one year. Diminishing pulses or the recurrence of ischemic symptoms after femoral bypass vein graft are indications for angiography of the graft. This should include appropriate views to demonstrate the proximal anastomosis that may show a "spoon bowl" deformity amenable to surgical correction.

Aged

Jejunal diverticulitis.

Two patients with jejunal diverticulitis are presented. Each demonstrated a wide spectrum of clinical and radiographic findings over several years. Radiographic abnormalities including incomplete jejunal obstruction, an omental mass displacing jejunal loops, leakage of barium into adjacent mesenteric abscess, and extrinsic serosal changes involving the transverse colon have permitted a correce preoperative diagnosis in each patient.

Aged