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Coarctation of the aorta (December 2022 [2])
Aortic coarctation is a localized narrowing in the thoracic aorta which is rarely diagnosed in adulthood. This image shows an aortic coarctation in a 70-year-old male. This was approached by left thoracotomy. The segment of coarctation was successfully resected while on the left-sided cardiac bypass and replaced by an interposition graft.
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Long intact plaque extracted by femoral artery endarterectomy (August 2022 [1])
This intraoperative image shows an intact calcified plaque removed by endarterectomy. The plaque had caused a long occlusion of the superficial femoral artery. Superficial femoral artery endarterectomy should be considered when the saphenous vein is unavailable.
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Snapshot quiz (November 2021 [2])
A 72-year-old man presented with recurrent attacks of melaena and severe anaemia. Oesophagogastroduodenoscopy and colonoscopy were normal. Contrast-enhanced abdominal CT showed extravasation of contrast medium in the left abdomen. Ongoing bleeding necessitated surgical intervention. A 1.5 × 2.0-cm lesion in the proximal jejunum, 10 cm distal to the Treitz ligament, was found at surgery. What is the diagnosis?
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Snapshot quiz (November 2021 [1])
A 65-year-old man presented to the emergency department with chronic abdominal pain. His medical history included hypertension, tobacco use, and he had lost 8 kg during the previous 6 months. His physical examination was notable for a distended abdomen with a pulsatile mass at the epigastrium. Laboratory tests showed elevated inflammatory markers. He underwent surgery. What is shown in the intraoperative picture?
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