{"title":"[Recurrent bilateral pneumothorax treated by pleural talc infiltration in 2 patients with pulmonary metastases of osteogenic sarcoma].","authors":"L Derveaux, L M Lacquet","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76107,"journal":{"name":"Le Poumon et le coeur","volume":"38 6","pages":"363-5"},"PeriodicalIF":0.0,"publicationDate":"1982-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18012828","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}
J P Chevalier, M Levassor, B Lauvergeon, H Barragan, R Patin
{"title":"[A case of choriocarcinoma with pulmonary metastases].","authors":"J P Chevalier, M Levassor, B Lauvergeon, H Barragan, R Patin","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76107,"journal":{"name":"Le Poumon et le coeur","volume":"38 4","pages":"263-9"},"PeriodicalIF":0.0,"publicationDate":"1982-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17941229","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":"[A new technical procedure for middle and lower lobe lobectomy].","authors":"C Coman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Among combined pulmonary resections, one of the most difficult operations is right middle and lower lobe lobectomy because of the very intricate anatomical relations between the three pulmonary lobes. Technical difficulties during the first-stage approach to the pulmonary artery in the fissure are compounded by the presence of pathological processes (neoplasm, suppuration, etc.) which provoke adhesions between the pulmonary artery and the bronchus, with inevitable major risks. A new technique for middle and lower lobe lobectomy which avoids the frequent accidents during this operation is described. The first stage involves ligature and section of the inferior root of the superior pulmonary vein and liberation of the horizontal fissure. Opening of the horizontal fissure exposes the superior fissural vein, which is then displaced towards the upper lobe. This allows access to the pulmonary artery in the fissure, together with its branches to the lower and middle lobes, and the fissural arteries to the upper lobe. This procedure enables simple dissection and ligature of the pulmonary artery, as at this level it is not adherent to the intermediary part of the bronchus. The triangular ligament, inferior pulmonary vein, and intermediary bronchus are then ligatured and sectioned. The advantages of this method consist in the simplification of the dissection, ligature, and section of the pulmonary artery in the fissure, and the need to apply only one ligature if there are no anatomical variations (common dorsal fissural and inferior apical artery, or common ventral fissural and middle lobe artery).</p>","PeriodicalId":76107,"journal":{"name":"Le Poumon et le coeur","volume":"38 4","pages":"227-31"},"PeriodicalIF":0.0,"publicationDate":"1982-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18161755","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}
J P Kleisbauer, M Thomas, B Salasc de Surmont, P Rathelot
{"title":"[Semi-concentrated radiation of cerebral metastases of bronchial cancer].","authors":"J P Kleisbauer, M Thomas, B Salasc de Surmont, P Rathelot","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Results of radiotherapy in 49 patients with cerebral metastases are reported, overall treatment including anti-edema therapy based on Synacthene and radiotherapy of the whole brain by delivering 17.5 grays in 5 days. Tolerance to treatment was good. Total, durable (more than 2 months) neurological remission was obtained in 50 p. cent of cases, duration of remission being a mean of 120 days in patients responding to therapy. Concentrated irradiation is therefore effective and useful in the treatment of cerebral metastases from bronchial cancer as it improves survival conditions.</p>","PeriodicalId":76107,"journal":{"name":"Le Poumon et le coeur","volume":"38 6","pages":"333-7"},"PeriodicalIF":0.0,"publicationDate":"1982-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17251453","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":"[Drug induced pulmonary disease. Diffuse interstitial pneumonitis during chemoradiotherapy for small cell carcinoma of the lung. Two cases (author's transl)].","authors":"R Riou, P Duvillard, R Touraine","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Two patients with small cell carcinoma of the lung treated by chemoradiotherapy developed, diffuse interstitial pneumonitis after 7 and 21 months of treatment while in complete remission of their malignant disease. One patient died after an acute respiratory distress syndrome, but the second improved after steroid therapy and discontinuation of cytotoxic therapy. Pulmonary toxicity appeared to be related to cyclophosphamide therapy, but radiation therapy could have potentiated cyclophosphamide toxicity as it has been shown in bleomycin lung disease.</p>","PeriodicalId":76107,"journal":{"name":"Le Poumon et le coeur","volume":"38 1","pages":"57-62"},"PeriodicalIF":0.0,"publicationDate":"1982-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17345421","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":"[Pulmonary hemangiopericytoma. Apropos of a case].","authors":"J C Cheminat, D Monneyron-Gabrillargues","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A primary pulmonary location of a hemangiopericytoma, a tumor of vascular origin developing from pericytes, is very rarely observed, no more than 40 cases having been reported in the published literature. Diagnosis cannot be based on clinical symptomatology, often inexistent, or on radiological findings which are not very characteristic, but depends on results of pathological examination. Malignant potentiality, assessed by the pathologist mainly by the presence of necrotic zones in the tumor, is evidenced by local recurrence and by metastases. The course is unpredictable and the tendency is for local recurrences to occur. The only current effective treatment is by excision.</p>","PeriodicalId":76107,"journal":{"name":"Le Poumon et le coeur","volume":"38 6","pages":"377-80"},"PeriodicalIF":0.0,"publicationDate":"1982-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18178535","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}
J A Barra, D Deredec, L Tanguy, A Pavie, P Legendre, D de La Faye, Y Raut, C Cabrol
{"title":"[Thermal isolation of the heart by means of a plastic foam pad during surgical cooling of the heart: experimental study].","authors":"J A Barra, D Deredec, L Tanguy, A Pavie, P Legendre, D de La Faye, Y Raut, C Cabrol","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Maintenance of myocardial cooling during aortic clamping is a problem encountered currently during heart surgery. A plastic foam isolation pad was studied. Eight animals (pigs weighing 50 kg) were placed on extracorporeal circulation, 4 of them constituting the control group (A). Two coronary injections of a cardioplegic solutions were administered, the first at the time of aortic clamping and the second 30 minutes later. The myocardium of the 4 animals in the treated group (B) was isolated with the foam pad, and this significantly prolonged the \"cold\" effect of the cardioplegic. Ten minutes after injection of the cardioplegic, temperature of the total myocardial mass with isolation was between 10.7 and 12 degrees C, as against 16 to 18 degrees C in the reference group (p less than 0.05). By the 20th minute, the isolated myocardium was at approximately 15 degrees C as against 22 degrees C in group A (p less than 0.01). Finally, by the 30th minute, temperature in group B was 17 degrees C as against 23 degrees C in group A (p less than 0.01). Reheating of the heart was significantly slowed by thermal isolation, though the limit of 15 degrees C was reached by the 20th minute. To ensure that myocardial temperature remains below this limit when the foam pad is employed, further injections of cardioplegic solutions are necessary every 20 minutes.</p>","PeriodicalId":76107,"journal":{"name":"Le Poumon et le coeur","volume":"38 4","pages":"235-44"},"PeriodicalIF":0.0,"publicationDate":"1982-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18161756","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}
P Hyvernat, X André-Fouet, J C Guérin, A Bonmartin, J P Mallet, C Gayet, J F Thizy, M Perrin-Fayolle
{"title":"[Cardiac involvement in sarcoidosis. Results of a prospective study of 37 cases].","authors":"P Hyvernat, X André-Fouet, J C Guérin, A Bonmartin, J P Mallet, C Gayet, J F Thizy, M Perrin-Fayolle","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>An evaluation of the incidence of cardiac lesions in sarcoidosis was conducted in a group of patients with progressive pulmonary signs of the disease. Five non-invasive methods: echocardiogram, ECG, Holter, effort ECG, and thallium scintigraphy were employed on a routine basis; 31 patients were investigated by all procedures, scintigraphy being performed in all 37 cases. First degree auriculoventricular block was detected in only one case, this being compatible with cardiac sarcoidosis, though the possibility of a congenital lesion could not be excluded. The ECG remains an essential investigation among those employed, other examinations not supplying superior data. Scintigraphy appears to be of positive value, as faults in localized uptake were demonstrated in 17 p. cent of cases, these possibly corresponding to intramyocardial granulomas.</p>","PeriodicalId":76107,"journal":{"name":"Le Poumon et le coeur","volume":"38 6","pages":"329-32"},"PeriodicalIF":0.0,"publicationDate":"1982-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18178532","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}
F Natali, J Kermarec, P Allard, R Herning, H de Muizon, J Hocquel
{"title":"[Mediastinal pseudotumor due to atrial hernia caused by a left pericardial defect].","authors":"F Natali, J Kermarec, P Allard, R Herning, H de Muizon, J Hocquel","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Radiological examination in a young adult revealed the presence of an opacity facing the second left arch of the heart shadow. This finding associated with data from computed tomography suggested a diagnosis of a thymic tumor. Surgical exploration demonstrated a defect in the left pericardium through which there was a rhythmic protrusion of the auricle and fatty tissue. Aplasia of the pericardium is rarely observed, and usually involves its left side. It results from premature atrophy of the left Cuvier's canal, and is associated with cardiac or pulmonary anomalies in half of the cases. Diagnosis should be suggested by the abnormal appearance of the second left arch, very often clinically asymptomatic, and is confirmed when the creation of a pneumothorax produces a simultaneous pneumopericardium. A thoracic scan can visualize the left auricular hernia beyond the mediastinal limits. However, pericardial aplasia must remain a differential diagnosis of pathological opacities in the middle mediastinum.</p>","PeriodicalId":76107,"journal":{"name":"Le Poumon et le coeur","volume":"38 6","pages":"359-62"},"PeriodicalIF":0.0,"publicationDate":"1982-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18178533","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":"[Comparative study of various routes of vaccination and testing. An instance of a killed bacterial vaccine].","authors":"P Binder, P du Colombier, R Bureau Fontanges","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The efficiency of intranasal subcutaneous, aerosol and digestive vaccinations with killed Klebsiella pneumoniae as vaccine was studied on the survival curves after experimental disease with pathogen K. pneumoniae I inoculated by the same routes. Results show that the local immunization is an important factor of protection and the intranasal route is very convenient.</p>","PeriodicalId":76107,"journal":{"name":"Le Poumon et le coeur","volume":"38 5","pages":"317-23"},"PeriodicalIF":0.0,"publicationDate":"1982-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17812613","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}