Georg Thieme Verlag最新文献

Invited Commentary 请评论

Georg Thieme Verlag Pub Date : 1979-08-01 DOI: 10.1055/s-0028-1096248

A. Castaneda

{"title":"Invited Commentary","authors":"A. Castaneda","doi":"10.1055/s-0028-1096248","DOIUrl":"https://doi.org/10.1055/s-0028-1096248","url":null,"abstract":"Surgical management of d-TGA, ventricular septal defect (VSD), and left ventricular outflow tract obstruction (LVOTO) continues to be controversial. In these patients, symptoms are mostly related to the degree of LVOTO and the consequent decrease in pulmonary blood flow. Treatment of symptomatic infants varies from systemic artery to pulmonary artery shunts (usually with a surgical atrial septectomy) in preparation for a future Rastelli operation, to resection of the LVOTO whenever anatomically feasible, accompanied by closure of VSD and a Mustard or Senning operation. Dr. Oelert and his colleagues must be congratulated for their impressive results with a group of patients with such complex pathology. Unfortunately the authors do not include a detailed description of the nature of the LVOTO. In our experience, isolated and short segmented forms of fibromuscular type obstructions, aneurysms of the pars membranacea septi and localized excrecences of remnants of endocardial cushion tissue lend themselves readily to excision through the pulmonary artery and valve. Obstruction due to a long segment, tunnel-type fibromuscular obstruction is much more difficult to treat and at times impossible, given the nature of the lesion. Ideally, the extent and the anatomic type of subpulmonary stenosis should be recognized preoperatively by cineangiography and echocardiography. Because of the excellent early and late results with the Rastelli operation we favor in this particular subset of patients (with long segment obstruction), a palliative shunt rather than attempted resection followed later by a Rastelli operation.","PeriodicalId":236452,"journal":{"name":"Georg Thieme Verlag","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1979-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132225683","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

Aortenbogenlängsruptur

Georg Thieme Verlag Pub Date : 1978-12-01 DOI: 10.1055/s-0028-1096668

V. Vécsei, A. Opitz, K. Kretschmer

引用次数: 0

Ösophagopleurale Fisteln als seltene Komplikation nach Lungenresektion 脊椎骨脱发是肺部切除后的罕见并发症

Georg Thieme Verlag Pub Date : 1978-04-01 DOI: 10.1055/S-0028-1096599

St. Karaśkiewicz, M. Lukiański, M. Rzepecki

引用次数: 1

Intraoperative Fluß- und Druckmessungen beim Karotis-Subklavia-Bypass 颈动脉旁路静脉注流与打印

Georg Thieme Verlag Pub Date : 1977-10-01 DOI: 10.1055/S-0028-1097046

F. Altstaedt, K. Kersting, M. Trede, C. Klinik, Städtischen Krankenanstalten

引用次数: 0

Einleitung zur Sitzung: Koronarchirurgie, intra- und postoperative Probleme 带劲手术吧带劲后带劲

Georg Thieme Verlag Pub Date : 1977-06-01 DOI: 10.1055/s-0028-1096708

J. Emde

引用次数: 0

Bericht über die 6. Jahrestagung der Deutschen Gesellschaft für Thorax-, Herz- und Gefäßchirurgie vom 17.–19. Februar 1977 in Bad Nauheim* 报告他们19年7月17日至19日德国胸外科协会年会1977年2月2日在巴特纳汉

Georg Thieme Verlag Pub Date : 1977-06-01 DOI: 10.1055/S-0028-1096707

M. Trede

引用次数: 3

Bericht der Kommission für Kapazitätsermittlung der Deutschen Gesellschaft für Thorax-, Herz- und Gefäßchirurgie 德国胸外科及血管科能力评估委员会的报告

Georg Thieme Verlag Pub Date : 1977-02-01 DOI: 10.1055/s-0028-1096682

M.-J. Polomus, H. Borst, H. Dittrich

引用次数: 3

Die tracheo-ösophageale Fistel als Komplikation der Langzeitbeatmung 呼吸暂停

Georg Thieme Verlag Pub Date : 1977-02-01 DOI: 10.1055/S-0028-1096675

B. Savić, W. Tholen, E. Wobser, K. Rommelsheim

引用次数: 1

Direkte Messung der Funktion der Papillarmuskeln des linken Ventrikels während akuter Koronarokklusion beim Hund* 可以直接测量左脑室极端背膜的功能*

Georg Thieme Verlag Pub Date : 1976-08-01 DOI: 10.1055/s-0028-1095933

J. Schoenmackers, S. Hagl, W. Heimisch, H. Meisner, R. Erben, M. Baum, N. Mendler, F. Sebening

{"title":"Direkte Messung der Funktion der Papillarmuskeln des linken Ventrikels während akuter Koronarokklusion beim Hund*","authors":"J. Schoenmackers, S. Hagl, W. Heimisch, H. Meisner, R. Erben, M. Baum, N. Mendler, F. Sebening","doi":"10.1055/s-0028-1095933","DOIUrl":"https://doi.org/10.1055/s-0028-1095933","url":null,"abstract":"Mit einem Ultraschall-Laufzeitverfahren wurde bei The functions of the normal and ischemic papillary 10 Hunden die Funktion der Papillarmuskeln des muscle in the intact canine heart were studied using linken Ventrikels in situ unter physiologischen Bean ultrasonic transit time method. Miniaturized dingungen und während experimenteller Myokardpiezoelectric crystals (1.5-2 mm Ø ) were implanted ischämie direkt gemessen. Ergebnisse: 1. Zyklische during extracorporeal circulation into the root and Änderungen der Ventrikelgeometrie determinieren tip of the anterior and posterior papillary muscle of den dynamischen Ablauf der Papillarmuskelbewethe left ventricle. Results: 1. Phasic changes of left gung. 2. Amplitude und Geschwindigkeit dynamiventricular geometry during the heart cycle deterscher Längenänderungen des Papillarmuskels entmine the dynamic pattern of papillary muscle movesprechen denen myokardialer Wandsegmente. 3. Eine ments. 2. The amplitude and velocity of papillary Ischämie führt innerhalb von wenigen Sekunden zu muscle length is directly related to those of myocareiner totalen Dysfunktion des Papillarmuskels. 4. Todial wall segments. 3. Experimental ischemia induces tale Paillarmuskeldysfunktion induziert akut keine total dysfunction of the papillary muscle within seMitralinsuffizienz. conds. 4. Despite total muscle dysfunction no mitral insufficiency occured.","PeriodicalId":236452,"journal":{"name":"Georg Thieme Verlag","volume":"117 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1976-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126313889","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

Penetrierende Schußverletzung der Arteria carotis interna 在小刀间中弹

Georg Thieme Verlag Pub Date : 1976-06-01 DOI: 10.1055/s-0028-1095903

V. Vécsei, N. Hölbling, P. Polterauer

引用次数: 1