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At least 469 records · Page 26Linked to original sources
PubMedDate not supplied

Peripheral nerve section as palliation for severe ischemic foot pain.

Multisensory peripheral nerve divisions were performed in 17 elderly patients with severe ischemia, forefoot pain and non-healing lesions or localised gangrene. They were unsuitable for a vascular reconstructive operation, or for localised foot amputation. The mean age of the patients was 73 years; 13 were males and 10 had diabetes mellitus. All were faced with a major amputation. Considerable pain relief was achieved in all patients but only five patients retained a functional lower extremity for more than 6 months. Of these five one was a diabetic and four were non diabetic. Peripheral nerve section is a useful procedure, but should be applied very selectively and only rarely in diabetic patients.

Aged↗
PubMed1978

Congenital membranous obstruction of the inferior vena cava.

Congenital membranous obstruction of the inferior vena cava is a rare phenomenon resulting from failure of anastomosis between the right subcardinal vein and the liver. A case is reported in which the presenting symtpom was bleeding from esophageal varices. Cirrhosis was present and other signs of vena caval obstruction were minimal. The diagnosis was made only after an ineffective mesenterico-caval shunt had been performed. Venacavography or pressure measurements in the inferior vena cava are mandatory before attempting a porta-systemic shunt operation.

Budd-Chiari Syndrome↗
PubMedDate not supplied

Perigraft lipid accumulation with unusual complications in a hyperlipidemic patient.

A 50-year-old man with hyperlipidemia, on long-term clofibrate therapy, 2 g/day, developed a series of unusual complications after insertion of a Dacron bifurcation graft from the aorta to the right popliteal and left femoral arteries. There were false aneurysms at all graft-to-artery suture lines, and a clinical picture of peripheral cholesterol emboli developed. At operation, a lipid accumulation under pressure was found between the graft and the perigraft adventitia. The perigraft adventitia later ruptured and a psoas muscle xanthomatous inflammatory mass developed, causing an acute abdomen; a second operation was performed. The mechanism of formation of the perigraft lipid accumulation and the relationship of this unusual sequence of complications to the hyperlipidemia or its treatment with clofibrate are discussed.

Aorta↗