Simultaneous presentation of a thyrolipoma and a thymolipoma in a young man.
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Biomedical subjects
Publications and source records attributed to R R Rutsaert.
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Between June 1983 and December 1987, 52 patients underwent resection of a descending thoracic aortic aneurysm under simple aortic cross-clamping without the use of shunting or bypass techniques. The 30-day mortality rate was 11.5%; 4.8% for elective cases and 36.5% for patients operated on in emergency. Two patients (4%) had spinal cord injury. One patient had paraplegia, and the other had mild paraparesis but completely recovered. Both patients were operated on for ruptured aneurysms. Four patients (7.5%) had severe postoperative renal dysfunction that was strongly related to intraoperative hypotension. The cumulative proportional survival rate was 81% at 1 year and 66% at 2 years for the total group. 85% at 1 year and 72% at 2 years for the patients first seen with nonruptured aneurysms. Aneurysms of the descending thoracic aorta can be safely resected without the use of shunting or bypass techniques. Surgery definitely improves the outcome for these patients who have a poor prognosis if left untreated.
We describe a case of a complete persistent sciatic artery in an asymptomatic patient with multiple aortoiliac aneurysms. After endoaneurysmorraphy and ligation of the persistent sciatic artery at its origin, the patient did well, without ischaemic complications. Peripheral vascular reconstruction, although often recommended in the literature, did not seem to be indicated in this case.