Harefuah
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Subclavian vein catheterization is safe as long as proper indications and contraindications are observed. In the hands of highly qualified personnel, subclavian vein catheterization has a minimum rate of complications. Pneumothorax is by far the most common complication of the procedure. We describe a 64-year-old man who developed pneumothorax late after left subclavian vein catheterization.
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Congenital diaphragmatic hernia (Bochdalek) is a congenital malformation usually presenting early after birth with a mortality of 50-70%. It is rarely diagnosed after the neonatal period, when the prognosis is considered favorable. We operated on 11 children past the neonatal period, ranging from 6 months to 5.5 years of age. 9 had presented with respiratory symptoms and were operated on semi-electively with excellent results. 2, operated on for strangulation of bowel incarcerated in the hernia, eventually died (aged 7 months and 1 year, respectively). Early diagnosis is important, as early surgery is recommended, even in those without symptoms.
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Aortic dissecting aneurysm is a rare, serious complication of pregnancy. This condition was diagnosed in a 34-year-old woman in the 38th week of pregnancy. Cesarean section was immediately performed, and was followed by surgical repair of the dissection. A normal male infant was delivered.