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Biomedical subjects

A Rodríguez Mori

Publications and source records attributed to A Rodríguez Mori.

5 recordsLinked to original sources
PubMedDate not supplied

[Mobile carotid plaque].

INTRODUCTION: In the literature only seven cases have been published describing a mobile carotid plaque, and lack of precise description makes it difficult to differentiate these lesions from mobile thrombotic lesions. The natural history of these lesions is not known and their treatment is controversial, although there is a tendency to choose the type of treatment to be given according to the embologenic potential of the lesion. CLINICAL CASES: We report two cases with mobile carotid plaques. In both cases diagnosis was made on ultrasound Doppler. The first patient had neurological symptoms and a mobile plaque associated with stenosis of over 70%. Surgical treatment was indicated. The second patient had no neurological symptoms. On ultrasound Doppler studies there was a fragment of mobile plaque in the common carotid artery, in the region of the carotid sinus with stenosis of 30 50%. Distal to this zone, in the bulb of the internal carotid artery there was stenosis of >70%. In this case medical treatment was given in view of deterioration in the patient s general state. Both patients improved. CONCLUSIONS: Including our second case, three patients with mobile carotid plaques (neurologically asymptomatic) have now been reported to have made good progress with medical treatment. Until there is more data regarding the natural history of these lesions, they should not be considered to be in themselves sufficient reason for carrying out carotid endarterectomy. The possibility of indicating surgical treatment depends on the degree of carotid stenosis.

Aged↗
PubMedDate not supplied

Surgery of the innominate artery.

The authors describe their experience with the surgical treatment of 28 patients with obliteration or stenosis of the innominate artery. In 18 (64.3%) patients an intrathoracic operation was done and in three of these a multiple bypass from the aorta to the affected trunks was carried out. In the remaining 10 patients (35.7%) extrathoracic operations were carried out. Immediate results were good in 24 (85.7%) of cases. Thrombosis occurred in 3 during the first 30 days after operation. One patient suffered thrombosis of the bypass and following removal of this became comatose and subsequently died. Long term results were good inasmuch as at 5 years 94.8% of patients survived with a patent reconstruction. The clinical procedures reviewed as is the topography of associated lesions of the other supra-aortic trunks together with the different techniques employed and their indications. The authors express their preference for the technique of an end to side graft in the aorta and end to end in the innominate artery, when the distal portion of this artery is patent and the age and general state of the patient permits a thoracic approach. This technique assures revascularization of the right carotid and vertebral areas, apart from complying with optimal hemodynamic conditions.

Adult↗