[Horton's disease. Coronary localization causing fatal myocardial infarction]. / Maladie de Horton. Localisation coronarienne à l'origine d'un infarctus myocardique mortel.

During autopsies a few number of cases with coronary involvement by specific lesions of Horton's disease are found. It is very unusual that they may be responsible of death. In this case a white woman 79 years old present all symptoms and findings of temporal arteritis. Temporal artery biopsy proved affection. After prednisone therapy was started a tong necrosis appears and a myocardial infarction happens with collapse and death. Autopsy examination showed giant cell arteritis involving a coronary branch near myocardial fresh infarction. Four other cases of literature are summarized. In four times corticosteroide were started but coronary involvement was not stopped and coronary specific lesions responsible of death.

[Aspiration pneumopathy after oesophagogastroscopy (author's transl)]. / Les pneumopathies par inhalation lors des fibroscopies oeso-gastro-duodénales.

Pneumopathy by inhalation less common and less striking than oesophageal perforation are often badly known, complications in endoscopies. However their serious nature (five death out of six cases in this series) obliges to know the elements favouring: local anaesthesia premedication, an advanced age person and clinical characters. Probably caused by anaerobic germs, a precocious antibiotherapy is likely to improve the prognosis.

[Surgery of pain in the lung apex cancers]. / Chirurgie de la douleur dans les cancers du sommet pulmonaire

When invasion of the brachial plexus occurs, tumours of the lung apex result in intolerable pain. On the basis of 13 cases, the authors show that surgical excision, whilst only palliative, is associated with immediate total or quasi-total disappearance of pain in all patients. This effect lasted for two to eighteen months. Operation gives marked relief in a painful situation not helped by medical treatment.