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Biomedical subjects

A Lande

Publications and source records attributed to A Lande.

36 records · Page 2Linked to original sources

Traumatic pseudoaneurysms: a review of 32 cases.

The management of 23 patients with traumatic pseudoaneurysms is presented. A pulsatile mass associated with pain was the usual presentation. Hypertension and hypovolemic shock from rupture are uncommon presentations but potential hazards of this lesion. Twenty-one pseudoaaeurysms were treated surgically. Resection with end-to-end anastomosis (eight patients), with graft replacement (one patient), with lateral repair (seven patients) was done. Hypothermia with circulatory arrest and external Dacron shunt were used to prevent visceral ischemia during high aortic occlusion. There were no mortalities or significant postoperative complications.

Adolescent↗

Takayasu arteritis. An arteriographic-pathological correlation.

We report an aortographic-pathological correlation in a patient with Takayasu arteritis. The inflammatory activity in Takayasu arteritis gradually subsides and accordingly, the histological appearance goes through a cycle of changes, ranging from acute florid inflammation to an old scarred vessel. At gross pathological inspection, the aortic intima frequently shows longitudinal wrinkling and tree-barking indistinguishable from syphilitic aortitis. In other instances, secondary atherosclerosis totally obscures the underlying changes of aortitis. In such instances, close search at various levels of the aorta is likely to uncover persistent foci of arteritis and thereby permit identification of the pathological changes as secondary to previous aortitis.

Adult↗

Acute adult onset bacterial nephritis: long-term urographic and angiographic followup.

Most adults with acute bacterial renal infection demonstrate no roentgen abnormality in the acute stage and recuperate without significant functional or morphological renal abnormality. We report the initial and long-term findings in a virulent form of acute bacterial nephritis caused by gram-negative organisms and predominantly in patients with diabetes and associated septicemia. The findings of a small, poorly functioning symmetrically scarred kidney with significant caliceal distortion and the associated angiographic abnormalities are presented for the first time in the long-term followup of this disease.

Acute Disease↗

Celiac arteriography following percutaneous splenoportography.

Splenic arteriography was performed in 14 patients immediately following antecedent splenoportography. Arteriographic evidence of splenic hematoma was demonstrated in 3 patients while in the remaining 11, no arteriographic abnormalities were detected.

Angiography↗

The value of total aortography in the diagnosis of Takayasu's arteritis.

The arteriographic and clinical spectrum of Takayasu's arteritis in a series of 23 cases is reviewed. The incidence of the disease appears to be much higher than is generally suspected. Although it primarily afflicts young women, children are frequently affected. Two clinical stages of the disease are recognized: an early systemic and a late occlusive phase. The signs and symptoms of both stages are protean and variable. The pathological appearance varies with the activity and duration of the disease. Total aortography is of primary diagnostic importance in demonstrating the characteristic appearance of the diseased aorta.

Adult↗

Chest roentgenography as a window to the diagnosis of Takayasu's arteritis.

The chest roentgenographic findings in Takayasu's arteritis include widening of the ascending aorta, contour irregularities of the descending aorta, arotic calcifications, pulmonary arterial changes, rib notching, and hilar lymphadenopathy. The single most important diagnostic sign is a segmental calcification outlining a localized or diffuse narrowing of the aorta. The other signs may be suspicious or suggestive, but the diagnostic accuracy increases when several findings are present simultaneously.

Adolescent↗

The use of an external dacron shunt in repair of a supraceliac abdominal aorta traumatic aneurysm.

This is the sixth report in the English literature of survival following repair of a supraceliac aortic traumatic aneurysm secondary to penetrating injury. Symptoms, (12 months after a stab wound of the flank), led to discovery of an aneurysm 15 cm in diameter, originating from the left side of the supraceliac aorta. Repair was accomplished with a temporary thoracoabdominal bypass shunt graft of woven Dacron.

Adult↗