The purpose is to describe our experience with endovascular treatment of type B aortic dissections. Five patients were treated for complications following type B dissections like, false channel aneurysm formation, rupture and arterial obstruction. They were treated in general anaesthesia using a ‘homemade’ endoprosthesis or a commercially available endoprosthesis (Excluder®) deployed during fluoroscopy. The patients have been followed at regular intervals with a median observation time of 18 months (range 12–36). One patient needed a secondary intervention due to dislodgement of the proximal stentgraft with haemorrhage into both the false and the true lumen. Otherwise there have been no early or late mortality or major complications in this series. Even if our experience with endovascular treatment of type B dissections is rather limited, the results so far are promising. Open surgery in many of these cases is complicated with high morbidity and mortality rate and the endovascular technique offers great advantages. A longer follow-up period is necessary to define the place of endovascular treatment.

Two patients developed chylous complications following abdominal aortic aneurysm repair. One patient had chylous ascitis and was successfully treated by a peritoneo-caval shunt. The other patient developed a lymph cyst, which gradually resorbed after puncture. Chylous complications following aortic surgery are rare. Patients in bad a general condition should be treated by initial paracentesis and total parenteral nutrition, supplemented by medium-chain triglyceride and low-fat diet. If no improvement is observed on this regimen, the next step should be implementation of a peritoneo-venous shunt, whereas direct ligation of the leak should be reserved for those who are not responding to this treatment.

Acta Pathologica Microbiologica ScandinavicaVolume 32, Issue 2 p. 275-279 INVESTIGATIONS ON A MOTILE STREPTOCOCCUS ISOLATED FROM BLOOD CULTURE A. Ødegaard, A. Ødegaard BACTERIOLOGICAL LABORATORY, ULLEVAL HOSPITAL, OSLO (CHIEF: L. O. BORGEN, M.D.)Search for more papers by this authorO. Gardborg, O. Gardborg BACTERIOLOGICAL LABORATORY, ULLEVAL HOSPITAL, OSLO (CHIEF: L. O. BORGEN, M.D.)Search for more papers by this author A. Ødegaard, A. Ødegaard BACTERIOLOGICAL LABORATORY, ULLEVAL HOSPITAL, OSLO (CHIEF: L. O. BORGEN, M.D.)Search for more papers by this authorO. Gardborg, O. Gardborg BACTERIOLOGICAL LABORATORY, ULLEVAL HOSPITAL, OSLO (CHIEF: L. O. BORGEN, M.D.)Search for more papers by this author First published: July 1953 https://doi.org/10.1111/j.1699-0463.1953.tb00252.xCitations: 3AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onEmailFacebookTwitterLinkedInRedditWechat References 1 Auerbach, H. and Felsenfeld, O.: J. Bact., 56, 587, 1948. Web of Science®Google Scholar 2 Billroth, Th.: Untersuch. über die Vegetationsformen der Coccobact. septic. u. s. w. Berlin, Georg Reimer, 1874. Google Scholar 3 Ellis, D.: Zentr. Bakt. Parasitenk., 2, 9, 546, 1902. Google Scholar 4 Flatzek, A.: Zentr. Bakt. Parasitenk., I Orig., 82, 234, 1919. Google Scholar 5 Graudal, H.: Acta Path. Microb. Scand. Vol. XXXI, Fasc. 1, 1952. Google Scholar 6 Jensen, W.: Acta Path. Microb. Scand., 8, 314, 1931. 10.1111/j.1600-0463.1931.tb05385.x Google Scholar 7 Koblmüller, L. O.: Zentr. Bakt. Parasitenk., I Orig., 133, 310, 1935. Google Scholar 8 Pownall, M.: Brit. J. Exp. Path., 16, 155, 1935. Google Scholar 9 Sherman, J. M.: J. Bact., 35, 81, 1938. CASPubMedWeb of Science®Google Scholar 10 Skadhauge, K.: Studies on Enterococci. Thesis. Copenhagen 1950. Google Scholar Citing Literature Volume32, Issue2July 1953Pages 275-279 ReferencesRelatedInformation