{"title":"[Echocardiographic diagnosis of thrombus on a Hancock bioprosthesis in mitral position following endocarditis (author's transl)].","authors":"W Daniel, H Klein, H Oelert, K Gahl, 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}
{"title":"[Biochemical and morphological investigations on the human heart in cardioplegia and profound hypothermia (author's transl)].","authors":"V Döring, N Bleese, W Lierse, H Pokar","doi":"10.1055/s-0028-1096671","DOIUrl":"https://doi.org/10.1055/s-0028-1096671","url":null,"abstract":"method of intraoperative myocardial protection overall hospital mortality of patients undergoing open heart surgery has been reduced to 2,2 %.","PeriodicalId":22981,"journal":{"name":"Thoraxchirurgie, vaskulare Chirurgie","volume":"26 6","pages":"449-57"},"PeriodicalIF":0.0,"publicationDate":"1978-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0028-1096671","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11951214","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":"[Cystic adventitial degeneration of radial artery (author's transl)].","authors":"P A Moubayed, H U Nover","doi":"10.1055/s-0028-1096667","DOIUrl":"https://doi.org/10.1055/s-0028-1096667","url":null,"abstract":"<p><p>The cystic adventitial degeneration of peripheral blood vessels is a rare lesion with unknown etiology and pathogenesis. The lesions are most frequent with a predominantly unilateral manifestation in the popliteal artery. The own observations included a rare affection of the radial artery. The literature relating to this condition has been reviewed. Etiology and histogenesis of the arterial alterations have been discussed.</p>","PeriodicalId":22981,"journal":{"name":"Thoraxchirurgie, vaskulare Chirurgie","volume":"26 6","pages":"427-33"},"PeriodicalIF":0.0,"publicationDate":"1978-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0028-1096667","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11951322","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":"[Abolition of pacing induced akinesia after aorto-coronary bypass grafting in patients with stable angina (author's transl)].","authors":"F Schwarz, M Sesto, P Walter, F Hehrlein","doi":"10.1055/s-0028-1096649","DOIUrl":"https://doi.org/10.1055/s-0028-1096649","url":null,"abstract":"<p><p>Hemodynamic studies were performed in 6 normal individuals, 8 patients with severe obstruction (more than 85% stenosis) of the left anterior descending coronary artery (LAD), 10 patients with patent LAD grafts and 4 patients with stenosed or occluded LAD grafts. All patients were suffering from stable angina before operation. Monoplane ventriculograms and left ventricular pressure determinations were carried out at rest and immediately after ventricular pacing (170/min.). Anterior wall motion was determined from half-diameter shortening and ejection fraction was calculated using the area-length method. Heart rate and left ventricular systolic pressure were comparable in all 4 groups at rest and after pacing. Normal individuals and patients with patent grafts to the LAD showed no significant change of anterior wall motion, ejection fraction and left ventricular enddiastolic pressure after pacing as compared to rest. Patients with LAD stenosis showed a significant decrease of anterior wall motion, of ejection fraction and an increase of left ventricular end-diastolic pressure. Patients with graft failure revealed a drastic though not significant decrease of anterior wall motion. Decrease of ejection fraction and increase of left ventricular end-diastolic pressure were significant. Thus, in patients with stable angina and severe coronary stenosis regional and total left ventricular function may well be maintained at rest but become severely impaired after pacing. Successful revascularization abolishes this ischemic response.</p>","PeriodicalId":22981,"journal":{"name":"Thoraxchirurgie, vaskulare Chirurgie","volume":"26 5","pages":"336-40"},"PeriodicalIF":0.0,"publicationDate":"1978-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0028-1096649","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11523325","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":"[Peripheral nerve injuries complicating extracranial vascular surgery (author's transl)].","authors":"T Grobe, D Raithel","doi":"10.1055/s-0028-1096656","DOIUrl":"https://doi.org/10.1055/s-0028-1096656","url":null,"abstract":"<p><p>Peripheral nerve injuries may complicate extracranial vascular surgery. Pareses of the recurrent and hypoglossal nerves are clinically important. The nervus laryngeus superior, the ramus marginalis mandibulae of the facial nerve and the brachial plexus may be involved. Horner's syndrom indicating damage of sympathetic fibers may also appear. Lesions of the glossopharyngeal, vagus and phrenic nerves are rather seldom.</p>","PeriodicalId":22981,"journal":{"name":"Thoraxchirurgie, vaskulare Chirurgie","volume":"26 5","pages":"373-6"},"PeriodicalIF":0.0,"publicationDate":"1978-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0028-1096656","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11916588","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":"[Inflammatory and tumorous metastases of the thoracic spine: operative management and results (author's transl)].","authors":"P Wex, A Göb","doi":"10.1055/s-0028-1096645","DOIUrl":"https://doi.org/10.1055/s-0028-1096645","url":null,"abstract":"<p><p>133 patients with inflammatory or tumorous metastases of the thoracic spine were operated upon within the last 11 years. Radical removal of inflammatory lesions with consecutive corticalis-spongiosa-plasty, taken from the christa pelvis, and chemotherapy are a therapeutical unit. Excision of the tumor with supplement bone grafting or \"Pallacosplombe\" and stabilization according to the principals of osteosynthesis are rewarding in individual cases. Four out of nine tumor patients survived two years after surgery.</p>","PeriodicalId":22981,"journal":{"name":"Thoraxchirurgie, vaskulare Chirurgie","volume":"26 5","pages":"315-20"},"PeriodicalIF":0.0,"publicationDate":"1978-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0028-1096645","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11916580","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":"[The influence of postischemic reperfusion on the recovery of ischemic lesions of the left ventricle (author's transl)].","authors":"J Mulch, H H Scheld, W Flameng, F W Hehrlein","doi":"10.1055/s-0028-1096646","DOIUrl":"https://doi.org/10.1055/s-0028-1096646","url":null,"abstract":"<p><p>In an isolated dog heart preparation the influence of normothermic ischemic arrest and recovery of the ventricular function during the period of post-ischemic reperfusion were investigated. If ischemic arrest has caused a depression of ventricular function, the functional recovery of the myocardium cannot be improved significantly by a prolonged reperfusion of the empty beating heart.</p>","PeriodicalId":22981,"journal":{"name":"Thoraxchirurgie, vaskulare Chirurgie","volume":"26 5","pages":"321-4"},"PeriodicalIF":0.0,"publicationDate":"1978-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0028-1096646","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11916581","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}
K H Tscheliessnigg, B Rigler, H Höfler, W Hermann, W Stenzl
{"title":"[Pulmonary artery arrosion due to parietal endocarditis--a late complication of a haemodynamically ineffective VSD (author's transl)].","authors":"K H Tscheliessnigg, B Rigler, H Höfler, W Hermann, W Stenzl","doi":"10.1055/s-0028-1096657","DOIUrl":"https://doi.org/10.1055/s-0028-1096657","url":null,"abstract":"<p><p>A case of late complication after operative correction of a valvular pulmonary stenosis is reported. Chronic pulmonary embolism secondary to bacterial endocarditis situated opposite to an uncorrected small ventricular septal defect in the right ventricle caused arrosion of the pulmonary artery and subsequent severe fatal bronchial hemorrhage. The relation between VSD and bacterial endocarditis and the surgical consequences are discussed.</p>","PeriodicalId":22981,"journal":{"name":"Thoraxchirurgie, vaskulare Chirurgie","volume":"26 5","pages":"377-80"},"PeriodicalIF":0.0,"publicationDate":"1978-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0028-1096657","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11916448","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":"[Cancer treatment in surgery. Recommendations of the German Society for Surgery].","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":22981,"journal":{"name":"Thoraxchirurgie, vaskulare Chirurgie","volume":"26 5","pages":"381-4"},"PeriodicalIF":0.0,"publicationDate":"1978-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11303515","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":"[EMCO for acute respiratory failure: clinical outcome and technique of aortic root perfusion (author's transl)].","authors":"J A Herzer, K Falke, A Krían, H D Schulte","doi":"10.1055/s-0028-1096654","DOIUrl":"https://doi.org/10.1055/s-0028-1096654","url":null,"abstract":"<p><p>A 15-year-old female was treated with ECMO for acute respiratory insufficiency after severe aspiration. During 81 hours perfusion in V-A-technique even distribution of the artificially oxygenated blood was achieved by supravalvular position of the aortic cannula, which had been advanced to this position with a Ducor-Angiographycatheter. Without any improvement of the lung disease the treatment was terminated after cerebral damage due to toxic edema became evident.</p>","PeriodicalId":22981,"journal":{"name":"Thoraxchirurgie, vaskulare Chirurgie","volume":"26 5","pages":"363-6"},"PeriodicalIF":0.0,"publicationDate":"1978-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0028-1096654","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11916587","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}