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J Ferrané

Publications and source records attributed to J Ferrané.

At least 19 recordsLinked to original sources

The value of computed tomography in osseous hydatid disease (echinococcosis).

The authors report three cases of osseous hydatid disease (echinococcosis) in which examination by computed tomography (CT) was found to be helpful in establishing the diagnosis. Recognition of this rare bone infection in orthodox radiographs is notoriously difficult, but is aided by knowledge of the patient having lived in an area in which the disease is endemic. In two instances, one involving the shoulder and the other the thoracic spine, radiological abnormalities had been attributed at first to tuberculosis. In the third case, in which a destructive lesion in the sacrum had been interpreted correctly, CT studies provided confirmation of a recurrence. CT has proved to be an effective and sensitive method of demonstrating these destructive lesions in bone, of determining their spread, and of establishing the presence of other hydatid cysts in adjacent soft tissues. This technique has been found to be of value in preoperative planning of the surgical approach to hydatid lesions of the skeleton.

Adult↗

[Value of the transscapular view in radiological of shoulder trauma (author's transl)].

With a one year experience concerning 67 patients, the authors suggest to use for any shoulder trauma, a transscapular view associated with the routine antero postereiur film of the shoulder. This incidence has a major advantage on all the other lateral positions to be always possible at the exclusion of severely polytraumatised patients. Luxations of the shoulder, humerus and scapula fractures and lesions of acromio clavicular joints are quite correctly visualized.

Acromioclavicular Joint↗

Computed tomography of aortic dissection.

Fourteen patients suspected of having dissection of the thoracic aorta, two with possible extensions into the abdomen of previously diagnosed dissection of the thoracic aorta, and one patient who had undergone surgical repair of an aortic dissection were examined by CT (computed tomography). Findings included localized increase of the aortic caliber, displaced intimal calcifications, intimal flaps, and false channels. These findings were confirmed by angiography or at necropsy. Two patients in whom CT showed no abnormalities had a favorable outcome. The authors conclude that CT is the examination of choice in removing doubt from the clinical diagnosis of aortic dissection.

Aortic Dissection↗

[Radiological diagnosis of ventrycular aneurysms. A report on 36 operated cases (author's transl)].

The value of different radiological examinations in the diagnosis of left ventricular aneurysms following infarcts is assessed using the results obtained in 36 operated cases. By correlating radiological and surgical findings the orientation value of standard examinations can be determined: almost constant cardiomegaly, irregularity of the borders of the heart, and more rarely, myocardial calcification, are significant signs. The two essential examinations are ventriculography and coronarography. Ventriculography can demonstrate anatomical abnormalities (protrusion), or dynamic changes only (hypokinesia, akinesia, systolic expansion). This remarkably reliable examination showed a predominance of anterior and anterolateral aneurisms (87% of cases), and enables definition of the critical cardiac surface area (about 25%) above which the aneurysm is operable. Coronarography shows that the anterior interventricular artery (A.I.V.) is affected in a large proportion (90%) of aneurysms. These two examinations can be used to select those patients suitable for surgery. Results were good and only one death occurred. In the other cases, the disorders of rhythm were reduced and the manifestations of cardiac insufficiency disappeared.

Adult↗