No abstract

Ahterosclerosis of vessels of the lower extremities is widely distributed in the population. Open surgical revascularization is an efficient method for treatment of this pathology. One of the rare postoperative complications is an anastomosis aneurysm development. We report about a clinical case of a 74-year-old male with a giant (25 cm in diameter) aneurysm of the proximal anastomosis after femoropopliteal bypass. Open aneurysmectomy was performed, and the postoperative period was uneventful.

The twenty-year experience of the surgical treatment of 42 patients with intrathoracic goiters is presented. Roentgenologic methods are the basis of the examination standard program of patients. The treatment of intrathoracic goiters may be only operative. There are indications to the operation: the high probability of the goiter malignancy (15-17%) and the presence of the squeeze syndrome of neck and mediastinum organs. There are surgical accesses: Kokhers cervical incision in substernal localization of the goiter, thoracotomy in the full intrathoracic goiter.