Laser-assisted vascular anastomosis (LAVA) of elastin heterograft to medium size vessel using an albumin stent is feasible. Chronic studies are warranted to determine long-term patency and histology of the LAVA.
Laser-assisted vascular anastomosis of elastin heterograft to medium size vessel is possible. Albumin stent played an important role in strength of the anastomosis. Chronic studies are warranted to determine long-term patency and histology of the laser-assisted vascular anastomosis.
The objective of this paper is to describe the novel four-patch technique [modified Brom's] for repair of supravalvular aortic stenosis (SVAS). After transection of the aortaat the sinotubular junction, three longitudinal incisions are made into thethree sinuses. The aortic root geometry was restored by placement ofthree separate patches of autologous pericardium in the opened sinuses. One additional diamond shaped pericardial patch placed anteriorly between proximal and distal aorta. This modified four patch technique provides a complete and symmetric restoration of theaortic anatomy with insignificant gradient and good short-term and potentially good long-term results.
Enchondroma is a slow growing benign cartilaginous tumour arising from the medullary cavity. These tumours are more of an incidental finding, while screening for surrounding pathologies. Enchondroma of the rib is a rare finding. A 29 year-old Asian male, presented to the outpatient department with complaints of; Right sided chest tenderness since a year. There was no history of fall or trauma. Chest X-ray revealed a well-circumscribed lytic lesion of around 4x2x2 cm, located on the right 5 th rib. After surgery, patient's histopathology report revealed an enchondroma of the rib (5x2x1.5 cm with a lytic area of 2x1 cm). Despite enchondromas being benign, the ones in the ribs should be closely examined for signs of enchondrosarcoma. Complete surgical excision is the treatment of choice.
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