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In the century of advanced technology, medicine has leaped forward, which contributed to the possibility of correcting such severe congenital heart defects in children as the transposition of great vessels. However, despite the progress in medicine and compliance with the rules of asepsis and antisepsis, infection of the postoperative wound remains one of the frequent and terrible postoperative complications, worsening the prognosis and increasing the risk of mortality. In this retrospective analysis, we consider a clinical case of a radical correction of the great vessels transposition with a complication that has arisen (wound infection) in the early and late postoperative period. The relevance of the article lies in the fact that we studied international experience in managing patients with this complication and applied it in this clinical case in a child with transposition of great vessels, who underwent several cardiac and thoracic operations complicated by wound infection, sepsis, DIC-syndrome with significant deficit bone skeleton of the chest. The child’s condition improved significantly: infectious complications were stopped, signs of heart failure decreased. The child is observed for 7 years, the observation will continue.

The goal is to describe a clinical case of a patient with nonspecific aortoarteritis. A special feature of this case is the lesion of the left branch of the pulmonary artery, the progression of the disease with the development of pulmonary hypertension and dilatation of the right heart, combined defeat of the descending thoracic aorta and brachiocephalic arteries. The issues of long-term course of the disease and the difficulties of diagnosis are discussed, in order to help practitioners of different profiles to increase the detectability and early diagnosis of this disease.

Computed tomography is required for selection of living donors for kidney transplant. We assessed the diagnostic relevance and effectiveness of multiphase contrast-enhanced computed tomography angiography for evaluating patients before and after transplant.Thirty-two potentially living kidney donors (15 men and 17 women) underwent multiphase computed tomography angiography for evaluation before kidney transplant and 2 posttransplant recipients under went this test owing to abnormal vascularization. Computed tomography angio graphy was used to determine parenchymal blood-flow conditions and vascular architecture of the kidney grafts. All of the 34 patients underwent prestudy Doppler ultrasonography.Additional renal arteries were found in 11 patients (32.3%). From them, a single additional renal artery, situated from the aorta to the lower segment of the kidney, was observed in 8 (72.7%) patients; dual additional renal arteries with equivalent caliber trunks were observed in 3 (27.3%) patients. An additional renal artery occurred more often in women in 6 (54.5%) donors. Concomitant renal pathology was detected in 3 (9.3%) of 32 donors: simple cysts in 2 donors and hydro nephrosis transformation in 1 donor. These 3 cases represented an accidental discovery and were therefore excluded from the list of donors. In addition, all donors underwent excretory-phase computed tomography, and their renal function and urinary collecting system results were evaluated. Two recipients with graft dysfunction presented with decreased venous return and delayed arterial filling of the renal arteries that manifested as delayed contrast in the kidney graft medulla. Renal parenchymal ischemic zones were consistent with microvasculature thrombosis, the most common cause of vascular complications in these recipients.Multiphase computed tomography angiography is a necessary tool for assessing the structure and condition of vascular architecture in kidney donors and recipients. Individuals with ambiguous Doppler results, this test should be required; it is also warranted when renal graft vascular complications are suspected.