Ascending aorta to femoral arteries bypass without opening the abdominal cavity. Choice treatment in cases of complete occlusion of the infrarenal aorta.

In two cases which needed a revascularization of the inferior limbs, it was possible to utilize the subrenal aorta (the first case was affected by an infrarenal aortic occlusion; the second by an infection of a previously inserted aortofemoral graft), the AA. elected to perform a bypass with a dacron graft between the ascending aorta and femoral arteries according to the technique already proposed by Kaplitt. Having accomplished the proximal anastomoses to the ascending aorta through a midsternal incision, the graft was placed into a properitoneal tunnel down to both inguinal regions. This tunnel was obtained in the anterior abdominal wall by a blind blunt dissection entering the properitoneal space at the inferior end of the sternal incision. In this way the opening of the abdomen is avoided. On account of its poor risk, this procedure is advisable not only in cases of infrarenal aortic occlusion but almost in all aged and poor risk patients who require a revascularization of the inferior limbs.

[Pulmonary valve angioplasty via the jugular vein in a 73-year-old female patient]. / Angioplastica valvolare polmonare per via giugulare interna in una paziente di 73 anni.

Percutaneous balloon valvuloplasty was successfully performed in a 73-year-old woman with severe congestive heart failure due to severe calcific valvular pulmonary stenosis. An approach by right internal jugular vein was used for the procedure.

Arteriovesical fistula after ureterolithotomy: a case report and review of the literature.

A case is reported of massive recurrent hematuria after ureterolithotomy caused by a fistula between a branch of the hypogastric artery and the bladder.

[Anomalies of the vena cava inferior: report on four cases associated with congenital heart disease (author's transl)]. / Anomalie della vena cava inferiore. Descrizione di quattro casi associati a cardiopatie congenite

Infrahepatic interruption of the inferior vena cava with azygos continuation has been demonstrated by angiography in three patients; in a fourth case an anomalous venous channel connected the patent azygos vein and the inferior vena cava at the renal level. Cardiac defects were present in all cases.