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Thoraxchirurgie, vaskulare Chirurgie最新文献

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[Isolated left ventricular--right atrial shunt after blunt chest trauma (author's transl)]. [钝性胸部外伤后孤立的左心室-右心房分流术(作者的transl)]。
Thoraxchirurgie, vaskulare Chirurgie Pub Date : 1978-12-01 DOI: 10.1055/s-0028-1096661
E Kreuzer, J Beyer
{"title":"[Isolated left ventricular--right atrial shunt after blunt chest trauma (author's transl)].","authors":"E Kreuzer,&nbsp;J Beyer","doi":"10.1055/s-0028-1096661","DOIUrl":"https://doi.org/10.1055/s-0028-1096661","url":null,"abstract":"<p><p>A case of left-ventricular-right-atrial septal defect secundary to blunt chest trauma is described. The etiology of this type of septal defect, e. g. congenital, following aortic and mitral valve replacement, endocarditis and trauma, is discussed. Early defect closure is recommended in the presence of significant shunt volume.</p>","PeriodicalId":22981,"journal":{"name":"Thoraxchirurgie, vaskulare Chirurgie","volume":"26 6","pages":"398-401"},"PeriodicalIF":0.0,"publicationDate":"1978-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0028-1096661","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11951316","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}
引用次数: 1
[Behaviour of ATP and lactate in human papillary muscle during profound hypothermia and injection cardioplegia with magnesium-asparatate-procaine (author's transl)]. [深度低温和注射天冬氨酸-普鲁卡因时人乳头肌中ATP和乳酸的行为[作者简介]。
Thoraxchirurgie, vaskulare Chirurgie Pub Date : 1978-12-01 DOI: 10.1055/s-0028-1096670
G Fenchel, W Seybold-Epting, C Huth, H E Hoffmeister, R Stunkat, W Heller
{"title":"[Behaviour of ATP and lactate in human papillary muscle during profound hypothermia and injection cardioplegia with magnesium-asparatate-procaine (author's transl)].","authors":"G Fenchel,&nbsp;W Seybold-Epting,&nbsp;C Huth,&nbsp;H E Hoffmeister,&nbsp;R Stunkat,&nbsp;W Heller","doi":"10.1055/s-0028-1096670","DOIUrl":"https://doi.org/10.1055/s-0028-1096670","url":null,"abstract":"<p><p>In 53 patients with mitral- or aortic-mitral valve disease, the content of ATP and lactate of the papillary muscles resected at the time of valve replacement was investigated at the beginning of ischemic arrest and at the time of reperfusion. Profound body hypothermia (25 degrees C) and injection cardioplegia using magnesium-aspartate-procaine were applied for myocardial protection. In hypertrophic papillary muscles the myocardial ATP content decreased at a slower rate (ATP decay 12% of the initial value after 60 minutes of ischemia) than in normal papillary muscles obtained from patients with isolated mitral stenosis (ATP decay 33% of the initial value after 40 minutes of ischemia). 20% of the patients required temporary inotropic circulatory support postoperatively for 12 to 88 hours. The ATP content of the papillary muscles of these patients differed only little from those, in who no myocardial failure occurred. However the myocardial lactate levels were higher in patients in whom a low cardiac output state evolved.</p>","PeriodicalId":22981,"journal":{"name":"Thoraxchirurgie, vaskulare Chirurgie","volume":"26 6","pages":"442-8"},"PeriodicalIF":0.0,"publicationDate":"1978-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0028-1096670","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11951213","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}
引用次数: 0
[Percutaneous transluminal recanalization in a patient with arterial occlusive disease and multiple injuries (author's transl)]. [动脉闭塞性疾病和多发损伤患者的经皮腔内再通术[作者译]。
Thoraxchirurgie, vaskulare Chirurgie Pub Date : 1978-12-01 DOI: 10.1055/s-0028-1096666
P Greminger, A Grüntzig, B Preter, C Heinz, T Hardmeier
{"title":"[Percutaneous transluminal recanalization in a patient with arterial occlusive disease and multiple injuries (author's transl)].","authors":"P Greminger,&nbsp;A Grüntzig,&nbsp;B Preter,&nbsp;C Heinz,&nbsp;T Hardmeier","doi":"10.1055/s-0028-1096666","DOIUrl":"https://doi.org/10.1055/s-0028-1096666","url":null,"abstract":"<p><p>A case of a 66 year old patient with multiple injuries is reported. A combination of conventional trauma treatment and percutaneous transluminal angioplasty (PTR) of a segmented superficial femoral artery occlusion prevented leg amputation. When the patient died 8 weeks later from trauma sequelae the successful recanalization was demonstrated in histopathology investigation. It is concluded that PTR is an ideal accessory to the present therapeutic spectrum in vascular surgery.</p>","PeriodicalId":22981,"journal":{"name":"Thoraxchirurgie, vaskulare Chirurgie","volume":"26 6","pages":"422-6"},"PeriodicalIF":0.0,"publicationDate":"1978-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0028-1096666","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11951321","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}
引用次数: 0
[Fresh autologus blood transfusion during open heart surgery (author's transl)]. [心脏直视手术中新鲜自体输血[作者简介]]。
Thoraxchirurgie, vaskulare Chirurgie Pub Date : 1978-12-01 DOI: 10.1055/s-0028-1096669
M H Nadjmabadi, H Rastan, E Aftandelian
{"title":"[Fresh autologus blood transfusion during open heart surgery (author's transl)].","authors":"M H Nadjmabadi,&nbsp;H Rastan,&nbsp;E Aftandelian","doi":"10.1055/s-0028-1096669","DOIUrl":"https://doi.org/10.1055/s-0028-1096669","url":null,"abstract":"<p><p>Hemodynamic parameters were measured in 80 unselected patients prior to cardiopulmonary bypass for a variety of a operative procedures. Isovolemic blood withdrawel up to 24.7 ml/kg or 10 gms% and 30% hematocrit during sternotomy using ACD blood storage containers was carried out prior to bypass. Moderate hemodilution during bypass with postbypass autologous blood transfusion resulted in 60% of the study group not requiring homologous blood. The mean post-operative blood loss in this group was 245 ml. The remaining 40% received up to 1550 ml homologous blood with 820 ml mean post-operative blood loss. Omission or reduction of homologous blood requirement decreases the risk of shock lung, saves clotting factors and reduces strain on blood banking facilities.</p>","PeriodicalId":22981,"journal":{"name":"Thoraxchirurgie, vaskulare Chirurgie","volume":"26 6","pages":"437-41"},"PeriodicalIF":0.0,"publicationDate":"1978-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0028-1096669","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11774631","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}
引用次数: 1
[Pericardial tamponade, an acute emergency during transvenous cardiac pacemaker implantation (author's transl)]. [心包填塞，经静脉心脏起搏器植入期间的急性紧急情况[作者的transl]。
Thoraxchirurgie, vaskulare Chirurgie Pub Date : 1978-12-01 DOI: 10.1055/s-0028-1096662
G Geiger, U Rückert
{"title":"[Pericardial tamponade, an acute emergency during transvenous cardiac pacemaker implantation (author's transl)].","authors":"G Geiger,&nbsp;U Rückert","doi":"10.1055/s-0028-1096662","DOIUrl":"https://doi.org/10.1055/s-0028-1096662","url":null,"abstract":"<p><p>Three cases of right ventricular perforation and acute pericardial tamponade during transvenous pacemaker implantation and one case of chronic electrode penetration are reported. Successful repair was achieved via pericardiotomy in all cases with acute tamponade. Fragility of the myocardium in the elderly is considered to be the major reason for this complication which may occur despite the use of flexible electrodes and correct surgical technique. The relatively small intervention of inferior pericardiotomy appears to be the therapy of choice in case of tamponade. This approach should be feasible when transvenous pacemakers are implanted. Immediate availability of general anesthesia and postoperative intensive care appears to be manatory.</p>","PeriodicalId":22981,"journal":{"name":"Thoraxchirurgie, vaskulare Chirurgie","volume":"26 6","pages":"402-6"},"PeriodicalIF":0.0,"publicationDate":"1978-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0028-1096662","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11951317","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}
引用次数: 1
[Longitudinal rupture of the aortic arche (author's transl)]. [主动脉弓纵向破裂(作者图)]。
Thoraxchirurgie, vaskulare Chirurgie Pub Date : 1978-12-01
V Vécsei, A Opitz, K Kretschmer
{"title":"[Longitudinal rupture of the aortic arche (author's transl)].","authors":"V Vécsei,&nbsp;A Opitz,&nbsp;K Kretschmer","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This is a case report of a 75 year old man who sustained a longitudinal rupture of the aortic arch in addition to cerebral and extremity trauma following a traffic accident. An emergency operation without the use of the heart-lung-machine could not save the patient's life. Possible mechanisms leading to this unusual damage to the aortic arch are discussed.</p>","PeriodicalId":22981,"journal":{"name":"Thoraxchirurgie, vaskulare Chirurgie","volume":"26 6","pages":"434-6"},"PeriodicalIF":0.0,"publicationDate":"1978-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11951212","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}
引用次数: 0
[Some psychological predictors for psychosis after open heart surgery (author's transl)]. [心脏直视手术后精神病的一些心理预测因素(作者译)]。
Thoraxchirurgie, vaskulare Chirurgie Pub Date : 1978-12-01 DOI: 10.1055/s-0028-1096672
B Flemming, B Dahme, P Götze, G Huse-Kleinstoll, P Kalmar, J Meffert, H Speidel
{"title":"[Some psychological predictors for psychosis after open heart surgery (author's transl)].","authors":"B Flemming,&nbsp;B Dahme,&nbsp;P Götze,&nbsp;G Huse-Kleinstoll,&nbsp;P Kalmar,&nbsp;J Meffert,&nbsp;H Speidel","doi":"10.1055/s-0028-1096672","DOIUrl":"https://doi.org/10.1055/s-0028-1096672","url":null,"abstract":"<p><p>In a study of postoperative psychosis after open heart surgery three psychopathological syndromes were identified which had different psychological predictors. Predictors of postoperative emotional disturbances are family problems and the lack of plans for the future, whereas patients with postoperative disorientations seem to have difficulties in their jobs and therefore feel distressed preoperatively. Predictors of the paranoid syndrome after the operation are: a high degree of fear in awaiting the operation and little confidence in the doctors. The social surroundings of these patients are often unstable and although they have no precise plans for the future they object to start working again after operation.</p>","PeriodicalId":22981,"journal":{"name":"Thoraxchirurgie, vaskulare Chirurgie","volume":"26 6","pages":"458-62"},"PeriodicalIF":0.0,"publicationDate":"1978-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0028-1096672","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11951215","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}
引用次数: 1
[Dissecting aneurysm of the splenic artery (author's transl)]. [脾动脉夹层动脉瘤(作者译)]。
Thoraxchirurgie, vaskulare Chirurgie Pub Date : 1978-12-01 DOI: 10.1055/s-0028-1096663
P Steffens, F Pascu, R Steckenmesser
{"title":"[Dissecting aneurysm of the splenic artery (author's transl)].","authors":"P Steffens,&nbsp;F Pascu,&nbsp;R Steckenmesser","doi":"10.1055/s-0028-1096663","DOIUrl":"https://doi.org/10.1055/s-0028-1096663","url":null,"abstract":"<p><p>A case of a dissecting aneurysm of the splenic artery is presented. Although aneurysms of the splenic artery are common, a dissecting aneurysm has been mentioned infrequently in the available literature. Clinical aspects, confirmation of the diagnosis by celiac arteriography and surgical therapy are described. The pathogenesis is discussed briefly. The necessity of clinical awareness in cases of obscure abdominal pain is emphasized.</p>","PeriodicalId":22981,"journal":{"name":"Thoraxchirurgie, vaskulare Chirurgie","volume":"26 6","pages":"407-12"},"PeriodicalIF":0.0,"publicationDate":"1978-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0028-1096663","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11951318","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}
引用次数: 0
[Septicemia secondary to an infected pacemaker system: removal of the endocardial lead with the aid of extracorporeal circulation (author's transl)]. [继发于感染起搏器系统的败血症:借助体外循环去除心内膜铅(作者简介)]。
Thoraxchirurgie, vaskulare Chirurgie Pub Date : 1978-12-01 DOI: 10.1055/s-0028-1096660
J Beyer, E Alt, M Gottsmann, E Kreuzer
{"title":"[Septicemia secondary to an infected pacemaker system: removal of the endocardial lead with the aid of extracorporeal circulation (author's transl)].","authors":"J Beyer,&nbsp;E Alt,&nbsp;M Gottsmann,&nbsp;E Kreuzer","doi":"10.1055/s-0028-1096660","DOIUrl":"https://doi.org/10.1055/s-0028-1096660","url":null,"abstract":"<p><p>Right ventriculotomy with extracorporeal circulation was used for removal of an infected transvenous pacemaker electrode which was firmly attached to the myocardium in a patient with septicemia. Alternative methods and suggestions to prohibit electrode incarceration are discussed.</p>","PeriodicalId":22981,"journal":{"name":"Thoraxchirurgie, vaskulare Chirurgie","volume":"26 6","pages":"394-7"},"PeriodicalIF":0.0,"publicationDate":"1978-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0028-1096660","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11951315","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}
引用次数: 5
[Echocardiographic diagnosis of thrombus on a Hancock bioprosthesis in mitral position following endocarditis (author's transl)]. 心内膜炎后二尖瓣位置汉考克生物假体血栓的超声心动图诊断(作者简介)。
Thoraxchirurgie, vaskulare Chirurgie Pub Date : 1978-12-01 DOI: 10.1055/s-0028-1096664
W Daniel, H Klein, H Oelert, K Gahl, P Lichtlen
{"title":"[Echocardiographic diagnosis of thrombus on a Hancock bioprosthesis in mitral position following endocarditis (author's transl)].","authors":"W Daniel,&nbsp;H Klein,&nbsp;H Oelert,&nbsp;K Gahl,&nbsp;P Lichtlen","doi":"10.1055/s-0028-1096664","DOIUrl":"https://doi.org/10.1055/s-0028-1096664","url":null,"abstract":"<p><p>Acute stenosis of a Hancock bioprosthesis in mitral position was found eight months after surgery and three months following septic periproctitic abscess in a 59 year old woman. Echocardiography revealed almost complete valve obstruction by thrombus formation: unusual dense and inhomogenous structures between the anterior and posterior stent echos of the prosthesis were seen in systole as well as in diastole. Echocardiography appears to be a useful non-invasive method for detection of the rare thrombotic complications in Hancock bioprostheses.</p>","PeriodicalId":22981,"journal":{"name":"Thoraxchirurgie, vaskulare Chirurgie","volume":"26 6","pages":"413-7"},"PeriodicalIF":0.0,"publicationDate":"1978-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0028-1096664","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11951319","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}
引用次数: 0
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