background: the standard methods for reconstruction of soft tissue defects in the leg include gastrocnemius flap for proximal third defects, soleus flap for middle third and free flap in the distal third. however, there are problems with the use of free flap, like increased operative time, damage of major vessels and the need for experienced microsurgeon. mathods: this prospective study was und...

abstract background: the transverse rectus abdominis musculocutaneous (tram) flap remains the gold standard for postmastectomy reconstruction either immediate or delayed. however, transfer of tram flap can be associated with donor site morbidities and complications in flap. a successful reconstruction consists of careful patient selection, surgical technique and meticulous preoperative planning...

Transposition of the great arteries (TGA) is caused by discordance between the great arteries and the ventricles. If left untreated, this anomaly has a disastrous perspective. More recent surgical approach for correction includes the Lecompte technique in which the pulmonary bifurcation is transposed anterior to the aorta, which may be less physiologic. Although the early results are excellent,...

PATIENTS presenting with high-pitched diastolic decrescendo murmurs along the left sternal border may have insufficiency of either the aortic or pulmonary semilunar valve. If the peripheral pulses are those of aortic insufficiency in type, the source of the diastolic murmur is located easily. However, in the absence of both the peripheral physical signs of aortic insufficiency and the electroca...

Anatomically true cross-sectional ultrasonic images of the heart have demonstrated ventricular septal defects in 25 patients with this lesion as an isolated anomaly or in conjunction with other defects. In two additional patients a defect was visualized but confirmation was not obtained. Ventricular septal defects were not demonstrated in 13 other patients in whom this lesion was identified by ...

Nine patients with a clinical presentation suggestive of truncus arteriosus were examined by echocardiography. Subsequent intracardiac studies including cardiac catheterization and angiocardiography divided this group into five patients with truncus arteriosus and four patients with other congenital heart diseases. In all patients with proven truncus arteriosus, it was possible to identify only...