Meningocerebral haemorrhage due to the rupture of malformation of cerebral arterio venous fistula is neurosurgical emegency that requires the radical management to prevent from relapsed haemorrhage. Currently in Vietnam, the operation for malformation removal is an unique technique. The restrespective study on 16 cases suffered the rupture of malformation of cerebral arterio venous fistula in Vietduc during 1999-2000 showed the encourage results. 81.3% of malformations were radically removed, 18.7% of malformation were partial removed and experienced ligation of artery the outcomes: good (81%) and no death
abnormalities ; Arteries ; surgery

The tissue deficiency in the upper lip after cleft lip repair produces a tight lip, and an Abbe flap procedure is indicated. In order to increase the mobility of the pedicle and decrease the distortion of the lips at transfer, a procedure has been developed in which the pedicle is cut all around soft tissue leaving only a inferior labial artery. Therefore, the Abbe flap which is an arterial flap has been converted to an island flap. The authors performed 15 cases(14 men and 1 woman) of the correction of a tight lip in cleft lip deformities between 1986 and 2000. The patient ranged in age from 18 years to 33 years at the time of surgery, with a mean age of 24.4 years. From 1 to 14 years(mean, 9.7 years) postoperatively, the patients were evaluated by the photogrammetric analysis using preoperative and postoperative photograph, and the ordinary scale method. By the photogrammetric analysis, the upper vermilion contour index and the lip protrusion index were measured. The upper vermilion contour index is the percentage of the surface distance of the upper vermilion ridge to the mouth width. The lip protrusion index is the percentage of the labiale superius-tragion to the labiale inferius-tragion. One represented the correction of the horizontal deficiency in the upper lip, and the other showed the protrusion of the upper lip in relation th the lower lip. By the ordinary scale method, "excellent" aesthetic results were noted. In conclusion, the Abbe island flap provides maximal flexibility without reducing its viability and an accurate adaptation in the defect of the upper lip can be made. The upper vermilion contour index and the lip protrusion index represent objectively the effects of the Abbe island flap.
Arteries ; Cleft Lip* ; Congenital Abnormalities* ; Humans ; Lip ; Male ; Mouth ; Pliability

Horseshoe kidney (HSK) is the most common congenital abnormality of the urologic system encountered during abdominal aortic aneurysm (AAA) surgery. Here, the authors report a case of AAA coexisting with HSK that was successfully treated by open surgery. Two accessory renal arteries of 2.5 mm and 3.1 mm were reimplanted. One of the implanted arteries later occluded and infarct of the isthmus developed, but there was no impairment of renal function. The authors discuss the complexity of the surgical treatment of AAA coexisting with HSK, and place focus on which accessory renal arteries should be reconstructed.
Aortic Aneurysm, Abdominal* ; Arteries ; Congenital Abnormalities ; Kidney* ; Renal Artery

Congenital onychodysplasia of the index fingers (COIF, Iso and Kikuchi syndrome) is a congenital disorder characterized by various forms of nail dysplasias mainly-involving the index fingers. Its etiopathogenesis is still unknown, but ischemia of the palmar digital arteries has been suggested to play a role in this disorder. Although not specific to it, a Y-shaped bifurcation of the distal affected phalanx is a characteristic finding of this syndrome. In this review, we report a case of COIF who presented with bilateral micronychia with a Y-shaped bifurcation of the distal phalanx.
Arteries ; Congenital, Hereditary, and Neonatal Diseases and Abnormalities ; Fingers ; Ischemia ; Nails

No abstract available.
*Cerebral Angiography ; Cerebral Arteries/*abnormalities ; Female ; Humans ; Intracranial Aneurysm/*radiography

This study was performed to measure the distance of perforating point for superficial and deep external pudendal arteries from pubic tubercle and anterior superior iliac spine, patterns of arterial distribution, and external diameter. Fifty three thighs from 27 Korean cadavers (13 males / 14 females), clinically normal and without deformity, were dissected and standard points were determined as follows: point of pubic tubercle (A) and point of anterior superior iliac spine (B). The obtained results were as follows: 1. The external pudendal artery branched from femoral artery was distributed in the medial thigh. Superficial external pudendal artery is located above the saphenous opening and Deep external pudendal artery is located below the saphenous opening. 2. The saphenous opening were 4.7+/-1.2 cm apart from point A and 10.1+/-1.3 cm from B. 3. The superficial external pudendal artery were 5.2+/-1.2 cm apart from A and 8.9+/-2.1 cm from B. 4. The deep external pudendal artery were 4.7+/-1.1 cm apart from A and 10.8+/-1.3 cm from B. Consequently, the patterns of distribution of superficial and deep external pudendal arteries, obtained in this study, will provide useful anatomical backgrounds for the external pudendal flap surgery in korean.
Arteries* ; Cadaver ; Congenital Abnormalities ; Femoral Artery ; Humans ; Male ; Spine ; Thigh

Intralobar pulmonary sequestration is a rare congenital lung anomaly. It is defined as a portion of nonfunctioning lung parenchyma that receives its blood supply from an anomalous systemic artery. Patients often present with chronic or recurrent pneumonia. A chest radiograph may show a cystic lesion with air-fluid levels in the lung base. A high index of suspicion is needed for a diagnosis. Surgical removal of a symptomatic intralobar pulmonary sequestration is generally the treatment of choice. Identifying the aberrant artery is a difficult problem when resecting a pulmonary sequestration. The thoracic and abdominal aortas are the most common origins for the abnormal blood supply. However, arterial supply from the celiac artery is quite rare. We present a case of intralobar pulmonary sequestration with the blood supply originating from the celiac artery.
Aorta, Abdominal ; Arteries ; Bronchopulmonary Sequestration ; Celiac Artery ; Humans ; Lung ; Pneumonia ; Respiratory System Abnormalities ; Thorax

Pulmonary systemic arterialization to normal basal lung without sequestration is a rare congenital anomaly. In this rare abnormality, arterialization of the left lower lobe is the most common type. In general, surgical treatments have been performed. Recently, for reducing the complications and risks of surgery, embolization is mainly attempted by using coils. We report a case of 22-year-old male patient with a 10 mm anomalous arterial supply to his normal lung, which is being successfully treated by transcatheter embolization when using the Amplatzer Vascular Plug that has been adapted for the treatment of high-flows and large artery occlusions.
Arteries ; Embolization, Therapeutic ; Humans ; Lung ; Male ; Pulmonary Artery ; Respiratory System Abnormalities ; Young Adult

Autogenous bone grafts are frequently harvested for the purposes of bone union and stability. Ilium is the most common site for bone-graft harvesting. Although some donor site complications may be unavoidable, awareness of the anatomy and complications may aid in planning the approach and minimizing the risks. A tricortical graft from the anterior ilium should be taken at least 2cm posterior to the anterior superior iliac spine(ASIS). Iliac donor-site complications include pain, neurovascular injury, avulsion fractures of the ASIS, hematoma, infection, herniation of abdominal contents, gait disturbance, cosmetic deformity, violation of the sacroiliac joint, and ureteral injury. The neurovascular structures at risk for injury during iliac bone-graft harvesting include the lateral femoral cutaneous, iliohypogastric, and ilioinguinal nerves anteriorly and the superior cluneal nerves and superior gluteal neurovascular bundle posteriorly. Violation of the sacroiliac joint can be avoided by not penetrating the inner cortex. The caudal limit for bone harvesting should be the inferior margin of the roughened area anterior to the PSIS on the outer table to keep from injuring the superior gluteal artery. Strict observation of relevant anatomic considerations will help in avoiding these complications.
Arteries ; Congenital Abnormalities ; Gait ; Hematoma ; Humans ; Ilium ; Sacroiliac Joint ; Tissue Donors ; Transplants* ; Ureter

PURPOSE: Reconstruction of chest wall has always been a challenging problem. Muscle flaps for chest wall reconstruction have been helpful in controling infection, filling dead space and covering the prosthetic material in this challenge. However, when we use muscle flaps, functional and cosmetic donor site morbidities could occur. The authors applied and revised various partial muscle flaps and combination use of them to cover the prosthetic material for the chest wall reconstruction and evaluated the usefulness of partial muscle flaps. METHODS: This study included 7 patients who underwent chest wall reconstruction using partial muscle flap to cover prosthetic material from 2004 to 2008. The pectoralis major muscle was used in anterior 2/3 parts of it leaving lateral 1/3 parts of it. The anterior 2/3 parts of the pectoralis major muscle were used while lateral 1/3 parts were left. In case of the rectus abdominis muscle flap, we used upper half of it, or we dissected it around its origin and then advanced to cover the site. The latissimus dorsi muscle flap was elevated with lateral portion of it along the descending branch of the thoracodorsal artery. If single partial muscle flap could not cover whole prosthetic material, it would be covered with combination of various partial muscle flaps adjacent to the coverage site. RESULTS: Flap coverage of the prosthetic material and chest wall reconstructions were successfully done. There occurred no immediate and delayed post operative complications such as surgical site infection, seroma, deformity of donor site and functional impairment. CONCLUSION: When we use the muscle flaps to cover prosthetic material for chest wall reconstruction, use of the partial muscle flaps could be a good way to reduce donor site morbidity. Combination of multiple partial flaps could be a valuable and good alternative way to overcome the disadvantages of partial muscle flaps such as limitation of volume and size as well as flap mobility.
Arteries ; Congenital Abnormalities ; Cosmetics ; Humans ; Muscles ; Rectus Abdominis ; Seroma ; Thoracic Wall ; Thorax ; Tissue Donors