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An unusual case of pulmonary foreign body is reported. The foreign body, Kirschner wire, was used for clavicular fixation. It was found free in the middle part of mediastinum one and a half years after fixation in a control chest roent genogram. We discussed by which tract such a rigid substance had arrived in the pulmonary artery. We also reviewed the diagnostic techniques and surgical difficulties in removing foreign bodies from the pulmonary circulation. [ABSTRACT FROM PUBLISHER]

Between January, 1987 and June 1988, 335 femoropopliteal bypass (FPBP) operations were performed on 308 patients who had limb ischemia caused by femoropopliteal occlusion. The greater saphenous vein graft (SVG) was used whenever possible (165) and polytetrafluoroethylene (PTFE) prosthesis was used in 165. In addition, 4 Dacron grafts and 1 umbilical vein graft were used in 5 operations but were excluded from comparison in this study. The two groups did not differ significantly regarding stage of peripheral ischemia, preoperative indication, distal popliteal anastomotic site, and number of patent runoff ves sels. Overall cumulative patency rates according to occlusive criteria alone were calculated by the life table method. Graft occlusion was determined by angiog raphy, Doppler assessment, loss of previously palpable pulses, or return of symp toms. Diabetes mellitus was associated with a significantly lower patency rate.It is concluded from this study that the saphenous vein is superior to PTFE as femoropopliteal bypass. [ABSTRACT FROM PUBLISHER]

Many reports have been published describing different vascular lesions after lumbar disc surgery but the actual incidence is probably higher than has been published. Lesions of vascular structures (aorta, iliac arteries, and veins) close to the spine can arise as a consequence of the removal of disc fragments.In emergency cases, general surgeons are usually called upon to deal with these in the absence of more qualified vascular surgeons. But for an elective case, an experienced vascular surgeon's knowledge of the pathogenesis and ap propriate management of these lesions is mandatory for the proper care of the patients. Herein, 3 additional cases of late vascular complications of lumbar disc surgery, their diagnostic features, and correct treatments are presented. [ABSTRACT FROM PUBLISHER]

Development of a fistula between the main renal vessels after nephrectomy has heretofore been a rare occurrence, but its increasing frequency would seem to result from increased interest in detection of this fistula. The authors present a rare case of arteriovenous fistula following partial nephrectomy. Renal hyper tension following nephrectomy, also quite rare, developed in this case. [ABSTRACT FROM PUBLISHER]

A rare case of brachial pseudoaneurysm at puncture site in a patient with Behçet's disease is presented. The aneurysm developed at the level of the brach ial artery following an erroneous venipuncture. Aneurysmectomy and en doaneurysmorrhaphy were performed successfully. This kind of complication should always be kept in mind, and care must be taken during all invasive procedures in patients with Behçet's disease. [ABSTRACT FROM PUBLISHER]