Mycotic aneurysm of the celiac trunk: radical resection and reconstruction without prosthetic material.

The Authors report a case of mycotic aneurysm of the celiac trunk, originating from bacterial endocarditis on the mitral valve. The technique was excision and revascularization without interposition of any material: for the moment it is the first time that a mycotic aneurysm of the celiac trunk is treated in this manner. The post-operative course was normal.

[Porcelain gallbladder. Case reports]. / La colecisti a porcellana. Contributo casistico.

The Authors report some observations on gallbladder calcification with the presentation of two clinical cases. The pathologic anatomy and the clinical aspects of this infrequent affection are described. The Authors underline the importance of surgical treatment, considering the frequency of carcinoma in porcelain gallbladder.

[Role of loco-regional anesthesia in the surgical treatment of atheromatous lesions of the carotid bifurcation]. / Ruolo dell'anestesia locoregionale nel trattamento chirurgico delle lesioni ateromasiche della biforcazione carotidea.

The Authors report a case of carotid bifurcation endarterectomy under loco-regional anesthesia. Despite a stump pressure of 44 mmHg, considered by the most of the Authors, the borderline value for carotid endarterectomy without shunt, the patient had a cerebral ischemic attack after 30 seconds of carotid clamping. So, the local anesthesia represents a valid alternative in order to detect an intolerance to clamping and underlines the importance of cerebral protection in this kind of surgical approach.

[Celiac-mesenteric insufficiency. Apropos of a case of aorto-hepatic bypass]. / L'insufficienza celiaco-mesenterica. A proposito di un caso di by-pass aorto-epatico.

The Authors report a case of coeliac axis atheromatous obstruction, with superior mesenteric artery steal. The coeliac axis, stopped up the origin was indirectly revascularized by hepatic artery. The early diagnosis of chronic intestinal ischaemia should avoid the intestinal infarction. The development of intravenous digital angiography will certainly help an early diagnosis.

[Combined surgical orthodontic therapy in a patient with multiple agenesis]. / Terapia combinata chirurgica ortodontica in paziente con agenesie multiple.

After a wide analysis of the problems concerning biology and integration of autogenic transplantation of tooth germs, the Authors present a clinical case of monolateral agenesis of two premolars, with the transfer of the second premolar germ from one side to an other, suggesting some technical details in flap scalloping.

[Revascularization of the hepatic artery. Apropos of a case]. / Rivascolarizzazione dell'arteria epatica. A proposito di un caso.

A case of emergency revascularisation of the hepatic artery for liver necrosis following its forced ligature during corpo-caudal pancreatectomy for cancer of the pancreas in referred. Necrosis protection mechanisms, namely higher portal flow, increase in O2 extraction and collateral circulation are analysed. The therapeutic aids for preventing this serious event are presented. It is considered that peripheral expansion of the hepatic artery thrombosis prevented the installation of a valid collateral circulation, although the hypothesis of a reduction in portal flow should not be ignored.

[Use of the Maryland Bridge for space maintenance: discussion of a clinical case]. / Uso del Maryland Bridge come mantenitore di spazio: considerazioni su un caso clinico.

The authors illustrate the orthodontic-prosthetic resolution in a child. The necessity to re-establish a physiological occlusal balance, without altering growth and without damaging teeth tissues, is analyzed.