Michael Beyer , Harald Hoffer , Ulrike Beyer , Axel Goertz , Andreas Hannekum
{"title":"Experimental myocardial neovascularisation with a free muscle flap in the dog","authors":"Michael Beyer , Harald Hoffer , Ulrike Beyer , Axel Goertz , Andreas Hannekum","doi":"10.1016/1037-2091(93)90076-G","DOIUrl":"10.1016/1037-2091(93)90076-G","url":null,"abstract":"<div><p>Patients with diffuse small vessel coronary artery disease are often not suitable for direct coronary artery surgery. To gain insight into this problem, the effects on myocardial revascularisation of a free skeletal muscle flap anastomosed to the internal mammary artery were studied in 6 dogs. Four weeks after production of a zone of multiple microinfarctions of the anterior wall of the heart, a free flap of pectoralis muscle was grafted onto the heart. Sixteen to 18 weeks later the animals were sacrificed, and their hearts were subjected to histological and a microvascular corrosion cast examination. The results showed extensive development of a prominent vascular network penetrating from the graft into the heart. Thus, myocardial revascularisation in the dog is possible by grafting a free skeletal muscle onto the heart.</p></div>","PeriodicalId":101220,"journal":{"name":"The AustralAsian Journal of Cardiac and Thoracic Surgery","volume":"2 1","pages":"Pages 22-26"},"PeriodicalIF":0.0,"publicationDate":"1993-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/1037-2091(93)90076-G","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83644607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Thoracoscopic management of recurrent or persistent pneumothorax","authors":"Kwang Ho Kim MD","doi":"10.1016/1037-2091(93)90075-F","DOIUrl":"10.1016/1037-2091(93)90075-F","url":null,"abstract":"<div><p>Eighteen patients with recurrent or persistent spontaneous pneumothorax who would normally have had a thoracotomy were managed by electric ablation of the blebs or bullae and concomitant infusion of tetracycline solution through a conventional thoracoscope. There were 11 male and 7 female patients aged between 17 and 38 years. Fourteen cases were successful and four failed. Follow-up periods for successful cases were from 6 to 22 months. No recurrence was seen. Thoracotomy was necessary in 4 cases. At operation there were no remaining blebs or bullae. The air leaks were from necrotic lung tissue which appeared to follow excessive electric cautery. Wedge resection of the necrotic tissue successfully controlled the air leak. We conclude that the thoracoscopic management of pneumothorax by electric ablation of blebs or bullae and infusion of tetracycline solution can avoid the need for thoracotomy in patients with recurrent or persistent spontaneous pneumothorax.</p></div>","PeriodicalId":101220,"journal":{"name":"The AustralAsian Journal of Cardiac and Thoracic Surgery","volume":"2 1","pages":"Pages 18-20"},"PeriodicalIF":0.0,"publicationDate":"1993-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/1037-2091(93)90075-F","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82086625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Robert H. Anderson MD, FRCPath, Siew Yen Ho PhD, MRCPath
{"title":"Sequential segmental analysis of congenitally malformed hearts: Advances for the 1990s","authors":"Robert H. Anderson MD, FRCPath, Siew Yen Ho PhD, MRCPath","doi":"10.1016/1037-2091(93)90074-E","DOIUrl":"10.1016/1037-2091(93)90074-E","url":null,"abstract":"<div><p>Although the concept of sequential segmental analysis is now widely accepted for description of congenitally malformed hearts, some aspects remain controversial. Our concepts have changed little since our initial descriptions, although we have improved the words we use to describe anatomic features. In this review, we give an outline of the steps needed, prerequisites for application of the steps, and the limited anatomic possibilities available at each step. We emphasise that our analysis of the atrial chambers, following the so-called morphologic method, uses the arrangement of the junctional morphology between the atrial appendages and the venous components of the atriums as the arbiter of morphological rightness and leftness. At the atrioventricular junctions, separate analysis of the connections of the muscle masses from the arrangements of chambers within the ventricular mass clarifies controversies concerning the “univentricular” heart. At the ventriculo-arterial junction, we focus on the need to identify a solitary arterial trunk, together with the fact that precise junctional morphology is conditioned by the semilunar attachments of the leaflets of the arterial valves. We argue that application of these principles will distinguish between those controversies which are semantic as opposed to those reflecting persisting scientific disagreements.</p></div>","PeriodicalId":101220,"journal":{"name":"The AustralAsian Journal of Cardiac and Thoracic Surgery","volume":"2 1","pages":"Pages 10-17"},"PeriodicalIF":0.0,"publicationDate":"1993-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/1037-2091(93)90074-E","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91116889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"In reply","authors":"Joe R. Utley MD","doi":"10.1016/1037-2091(93)90086-J","DOIUrl":"https://doi.org/10.1016/1037-2091(93)90086-J","url":null,"abstract":"","PeriodicalId":101220,"journal":{"name":"The AustralAsian Journal of Cardiac and Thoracic Surgery","volume":"2 1","pages":"Pages 44-45"},"PeriodicalIF":0.0,"publicationDate":"1993-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/1037-2091(93)90086-J","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136714884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Solomon Victor FRCS, FRCP, Vijaya M. Nayak MS, M. Kabeer MD
{"title":"Cardiopulmonary bypass keep it simple and safe","authors":"Solomon Victor FRCS, FRCP, Vijaya M. Nayak MS, M. Kabeer MD","doi":"10.1016/1037-2091(93)90085-I","DOIUrl":"10.1016/1037-2091(93)90085-I","url":null,"abstract":"","PeriodicalId":101220,"journal":{"name":"The AustralAsian Journal of Cardiac and Thoracic Surgery","volume":"2 1","pages":"Page 44"},"PeriodicalIF":0.0,"publicationDate":"1993-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/1037-2091(93)90085-I","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87538350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Andrew D. Cochrane FRACS , Julian A. Smith MS, FRACS , Terry J. Gay FRACP , Stephen P. Lade FRCPA , Donald S. Esmore FRACS
{"title":"Cardiac transplantation for probable cocaine-related cardiomyopathy and retransplantation after biventricular support","authors":"Andrew D. Cochrane FRACS , Julian A. Smith MS, FRACS , Terry J. Gay FRACP , Stephen P. Lade FRCPA , Donald S. Esmore FRACS","doi":"10.1016/1037-2091(93)90079-J","DOIUrl":"10.1016/1037-2091(93)90079-J","url":null,"abstract":"<div><p>A 20-year-old woman presented with a dilated cardiomyopathy and a history of drug abuse, including the regular use of cocaine. After 18 months of medical therapy, her condition deteriorated, and she required cardiac transplantation. She received a “domino donor” heart from a patient with end-stage lung disease and pulmonary hypertension. She was readmitted 8 months later with severe rejection and cardiac failure, and required biventricular mechanical support. After 18 days she was successfully retransplanted, despite acute renal failure and several infective problems.</p></div>","PeriodicalId":101220,"journal":{"name":"The AustralAsian Journal of Cardiac and Thoracic Surgery","volume":"2 1","pages":"Pages 32-35"},"PeriodicalIF":0.0,"publicationDate":"1993-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/1037-2091(93)90079-J","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81750926","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Professional appointments Chinese Technical Cooperation and Training Centre of Cardiovascular Disease","authors":"","doi":"10.1016/1037-2091(92)90018-L","DOIUrl":"https://doi.org/10.1016/1037-2091(92)90018-L","url":null,"abstract":"","PeriodicalId":101220,"journal":{"name":"The AustralAsian Journal of Cardiac and Thoracic Surgery","volume":"1 2","pages":"Pages 56-57"},"PeriodicalIF":0.0,"publicationDate":"1992-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/1037-2091(92)90018-L","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137228357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Early experience with the modified maze operation for atrial fibrillation with and without mitral valve surgery","authors":"David C. Johnson FRACS","doi":"10.1016/1037-2091(92)90005-B","DOIUrl":"10.1016/1037-2091(92)90005-B","url":null,"abstract":"<div><p>A modified maze procedure using fewer atrial incisions than that originally described by Cox has been used successfully in 2 patients with paroxysmal atrial fibrillation resistant to medical therapy and 1 patient with chronic atria) fibrillation having concomitant mitral-valve repair for mitral insufficiency. Good, short and medium term results have been obtained although atrial flutter has occurred early after surgery in 2 patients. Concomitant mitral valve replacement or repair can clearly be performed without undue increase in morbidity and mortality, and warrants further trial as maintenance of sinus rhythm may reduce long-term systemic thromboembolism.</p></div>","PeriodicalId":101220,"journal":{"name":"The AustralAsian Journal of Cardiac and Thoracic Surgery","volume":"1 2","pages":"Pages 13-16"},"PeriodicalIF":0.0,"publicationDate":"1992-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/1037-2091(92)90005-B","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82202267","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}