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Biomedical subjects

M Haimov

Publications and source records attributed to M Haimov.

At least 37 records · Page 2Linked to original sources

Infected false aneurysms of the subclavian artery: a complication in drug addicts.

Two cases of infected false aneurysms of the subclavian artery in drug addicts are described. The clinical findings related to the location of these rare lesions are presented, together with an attempt to explain their pathophysiology. The signs and symptoms include a tender supraclavicular mass in an obviously septic patient associated with brachial plexus palsy, a swollen edematous arm, Horner's syndrome, and hemoptysis. Because of the complexity of symptoms, delay in diagnosis is common. It is emphasized that the recognition of this constellation of symptoms should prompt the physician to perform emergency angiography followed by immediate surgery.

Aneurysm, Infected↗

Renovascular hypertension associated with a pelvic kidney and multicystic dysplasia.

We report on a 9-year-old boy with severe hypertension due to a variant of fibromuscular dysplasia of the renal artery supplying a functioning pelvic kidney. The other kidney proved to be a nonfunctioning multicystic remnant and several other congenital abnormalities of the genitourinary tract were present. Corrective vascular surgery was followed by normalization of arterial pressure and significant reduction of plasma renin activity. This is the first case report of renovascular hypertension due to renal artery stenosis in a single functioning pelvic kidney.

Arterial Occlusive Diseases↗

Restoration of renal function after bilateral renal artery occlusion.

Five patients had anuric renal failure caused by occlusion of the main renal arteries. All had a background of controlled hypertension, but in three patients, hypertension accelerated in the months before anuria. Extensive atherosclerotic disease was clinically evident in the peripheral (3/5), coronary (4/5), and cerebral (1/5) vessels. Identifiable precipitating events preceded the development of anuria in four patients. Although the use of renal ultrasonogram and scintiscan was suggestive, angiography was essential to establish the diagnosis after a brief period of maintenance hemodialysis. Renal artery revascularization performed as long as 38 days after the onset of anuria resulted in restoration of kidney function.

Acute Kidney Injury↗

Clinical experience with the expanded polytetrafluoroethylene vascular prosthesis.

Expanded polytetrafluoroethylene grafts were used in 44 patients in the last 18 months. In 13 patients the graft was used for various types of peripheral vascular reconstructive procedures, as a substitute of the autogenous saphenous veins. In 31 patients the prosthesis was used for the construction of vascular access for hemodialysis. Results of the use of this new vascular prosthesis are comparable to those achieved with the autogenous saphenous vein when used for the same purposes. A much longer period of observation is necessary before a definitive verdict can be reached on the safety and clinical applicability of any new vascular prosthetic material. But preliminary clinical results with the PTFE vascular prosthesis are encouraging and seem to justify continued cautious application of this vascular substitute.

Arteriovenous Shunt, Surgical↗

Persistent immunoglobulinuria in irreversible renal allograft rejection in humans.

To evaluate the extent of injury in short- and long-term renal allografts, the urinary excretion of IgG, IgA, and IgM was observed during acute rejection crisis. In reversible rejection, treatment resulted in prompt correction of immunoglobulinuria, whereas in irreversible crisis urinary immunoglobulin levels continuously increased in spite of the same antirejection treatment. A good prognosis in long-term allografts was shown by low levels of immunoglobulinuria; unstable graft function had higher levels. Immunoglobulinuria can be used as an additional test to evaluate the reversibility of acute rejection, and also has significance in the long-term situation.

Adult↗

Venous revascularization of the arm: report of three cases.

Three patients with disabling sequelae of venous obstruction in the upper extremity were treated surgically. In one, direct venous repair was used, whereas in the other two, the internal jugular vein was used to bypass the area of obstruction. Restoration of adequate venous return was associated with permanent symptomatic relief.

Adult↗