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J Fourmestraux

Publications and source records attributed to J Fourmestraux.

6 recordsLinked to original sources

[Polyaneurysmal dystrophy].

Polyaneurysmal dystrophy (PAD) is a strange disease. It is also an uncommon disease if only strict, arteriographic and pathological criteria, are considered. True varicose disease of the arteries, this disease develops slowly and its clinical manifestations, often severe, only occur in patients over 50. The frequent association with dolichomega arteries (DMA), especially at the aorto-iliac level, is certainly not accidental. A continuous dystrophy of the media would result in the occurrence of DAM; a segmental dystrophy these diseases under a single entity: ectatic mediadystrophy. Our small personal series of 9 cases is presented to analyse the course of this disease and specify its treatment.

Aged

[Value of nuclear magnetic resonance in the detection of false aneurysm of the abdominal aorta].

Among the long-term complications that jeopardize bilateral aorto-femoral prostheses, the development of a false aneurysm on the aortic suture line, is indeed one of the most severe. Its frequency, approximately 1 p. cent of cases, is probably underestimated, since its diagnosis, with usual exploration methods, is difficult. The nuclear magnetic resonance (NMR) examination is here particularly indicated and, when in doubt, must be systematically requested, especially in the presence of a false aneurysm of the femoral suture line.

Aorta, Abdominal

[Current role of partial interruption of the inferior vena cava. Apropos of 100 cases].

In reference to a personal series of 100 partial interruptions of the inferior vena cava (74 clips, 11 Mobin-Uddin umbrellas, 15 Greenfiled's filters), the authors analyze the criteria of choice in various procedures where the mortality, morbidity and sequellae remain low. In light of these results, the current place of surgery in the prevention of pulmonary embolism is discussed, in cases where anticoagulant therapy is contraindicated, inadequate or has failed.

Constriction

[Aneurysm of the inferior mesenteric artery].

Aneurysm of the inferior mesenteric artery is rare. Often unrecognized unless complicated, it is, today, demonstrated by sonography or tomodensitometry and confirmed by angiography. Usually observed in patients with atheroma, it presents a mechanical origin secondary to a "jet disorder" phenomenon occurring in an artery with a hyper-output, responsible for almost the entire gastro-intestinal vascularization. The prevention of its dangerous complications (rupture or thrombosis) justifies a systematic procedure usually requiring, in addition to the excision of the aneurysm, a revascularization of the digestive arteries, as in the case presented here.

Aneurysm

Aortic anastomotic pseudoaneurysms: US, CT, MR, and angiography.

Correlation of imaging and anatomic findings in seven men with abdominal aortic graft prostheses (four "end-to-end" anastomoses and three "end-to-side" anastomoses) was done to compare the value of different imaging modalities in detecting postoperative complications, especially aortic anastomotic pseudoaneurysms (AAPs). In all cases, angiographic and CT studies were carried out. In six patients ultrasound and MR examinations were also performed. Anatomic verification was obtained by surgery in six patients and autopsy in one case. Five patients had an AAP (four at surgery and one at autopsy), one had a true abdominal aortic aneurysm above the anastomosis, and one a nondetectable abnormality of the aortic suture line. Digital subtraction angiography diagnosed one of five AAPs, missed the true aneurysm in the sixth patient, and was normal in the patient without any aneurysm. Computed tomography correctly diagnosed the five AAPs and the true aneurysm and was normal in the last patient. Ultrasound correctly diagnosed the AAPs in three of four patients, incorrectly diagnosed an AAP in the patient who had the true aneurysm, and was normal in the patient without any aneurysm. Magnetic resonance diagnosed four of four AAPs and the true aneurysm and was normal in the last patient. Computed tomography seems to be the best imaging modality with which to diagnose and evaluate an aortic AAP in patients with aortoiliofemoral graft prosthesis.

Aged