Acute aortic dissection remains a surgical emergency. The conventional approach involves graft replacement of the ascending aorta under circulatory arrest with variable extension into the root or arch depending on morphology at presentation. A significant proportion of patients are deemed too high-risk for surgery and are managed medically, but the 30-day mortality is over 58% (1). A 55-year-ol...

A 74-year-old man with chronic obstructive pulmonary disease presented at the Emergency Department with hypertension. A chest X-ray was obtained, revealing a hepato-diaphragmatic interposition of an intestinal loop, known as Chilaiditi’s sign (Fig. 1). The patient did not describe any gastrointestinal symptoms and the clinical examination only revealed mild hypertension. Chilaiditi’s sign was f...

Interposition arthroplasty with bioreplaceable poly-L-D-lactic acid (PLDLA) implants has yielded promising results in reconstruction of rheumatoid hands. In this prospective clinical study we compared the PLDLA implant arthroplasty (n = 17) with that of tendon interposition (n = 12) for destruction of the trapeziometacarpal joint in arthritic patients. There was no significant difference betwee...

The aim of this study is to investigate the usefulness of arterial reconstruction using the recipient's own internal iliac artery for multiple kidney graft arteries.The safety and efficacy of various arterial reconstruction methods have been demonstrated. Although some reports have documented arterial reconstruction with the recipient's own internal iliac artery for multiple kidney graft arteri...

Chilaiditi syndrome, symptomatic interposition of bowel beneath the right hemidiaphragm, is uncommon and usually managed without surgery. Morgagni hernia is an uncommon diaphragmatic hernia that generally requires surgery. In this case a patient with a longstanding diagnosis of bowel interposition (Chilaiditi sign) presented with presumed Chilaiditi syndrome. Abdominal computed tomography was p...

Today’s programs run in hostile environments. An adversary attacking a running process may radically alter the program’s course of execution. Such attacks will be of little value to the adversary unless he can cause the program to affect the outside world by executing a system call. A fruitful line of research on system call interposition has investigated using security checks on system calls t...

Chilaiditi syndrome is an occasional radiographic anomaly characterized by the interposition of the bowels between the liver and the diaphragm. The presence of Chilaiditi syndrome can cause serious problem on percutaneous endoscopic gastrostomy (PEG) procedure, because the anomalous position of the transverse colon can obstruct the procedure and might lead to occurrence of complications. Our re...