Scandinavian journal of thoracic and cardiovascular surgery最新文献_第2页

Elevated circulating levels of von Willebrand factor and D-dimer in patients with heart failure and mechanical prosthesis. 心衰和机械假体患者血液中血管性血友病因子和d -二聚体水平升高。

Scandinavian journal of thoracic and cardiovascular surgery Pub Date : 1996-01-01 DOI: 10.3109/14017439609107246

P Mastroroberto, M Chello, F Perticone

{"title":"Elevated circulating levels of von Willebrand factor and D-dimer in patients with heart failure and mechanical prosthesis.","authors":"P Mastroroberto, M Chello, F Perticone","doi":"10.3109/14017439609107246","DOIUrl":"https://doi.org/10.3109/14017439609107246","url":null,"abstract":"To test the hypothesis of association between heart failure and altered haemostatic balance in patients with a mechanical valve prosthesis, comparisons were made between 20 patients with mitral valve replacement and stable chronic heart failure (group A), 20 with the same prosthesis but satisfactory haemodynamics (group B) and 20 age-matched controls (group C). The left ventricular ejection fraction was significantly highest (p < 0.001) in group A. The pulmonary artery systolic pressure was also highest in group A (p < 0.001), without significant difference between groups B and C. Two group A patients had a transient ischaemic attack. The D-dimer plasma concentrations and the antigenic and biologic von Willebrand factor activities were significantly greatest in group A. Significant correlation was found between the plasma concentrations of these activities and pulmonary artery systolic pressure and between D-dimer and ejection fraction. Platelet-activating factor was detected only in six group A patients. The observed relationship between haemostatic factors and heart failure in patients with mechanical heart-valve prosthesis advocates careful evaluation of von Willebrand factor and D-dimer in order to prevent embolic events in such cases.","PeriodicalId":76527,"journal":{"name":"Scandinavian journal of thoracic and cardiovascular surgery","volume":"30 2","pages":"77-81"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/14017439609107246","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19824099","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: 6

Surgical treatment of acute infective endocarditis at Tartu University Hospital 1984-1993. 1984-1993年塔尔图大学医院急性感染性心内膜炎的外科治疗。

Scandinavian journal of thoracic and cardiovascular surgery Pub Date : 1996-01-01 DOI: 10.3109/14017439609107247

H Kuiv, T Saar, M Ress

引用次数: 0

Postoperative arrhythmias and myocardial electrolytes in patients undergoing coronary artery bypass grafting. 冠状动脉旁路移植术患者术后心律失常与心肌电解质的关系。

Scandinavian journal of thoracic and cardiovascular surgery Pub Date : 1996-01-01 DOI: 10.3109/14017439609107258

B M Jensen, P Alstrup, N A Klitgård

{"title":"Postoperative arrhythmias and myocardial electrolytes in patients undergoing coronary artery bypass grafting.","authors":"B M Jensen, P Alstrup, N A Klitgård","doi":"10.3109/14017439609107258","DOIUrl":"https://doi.org/10.3109/14017439609107258","url":null,"abstract":"Electrolyte changes in right atrial and skeletal muscle pre- intra- and postoperatively, and their relationship to the development of postoperative atrial fibrillation or flutter were evaluated in 31 patients with coronary artery bypass grafting (CABG). Such postoperative arrhythmias occurred in 14 patients (45%). Before CABG the skeletal muscle potassium concentration was lower in these patients than in the others: median 261.4 (range 148.2-329.5) vs 298.6 (167.1-416.4) mumol/g dry weight, p = 0.017. The right atrial potassium concentration was normal, but sodium levels were higher in the patients with, than in those without postoperative arrhythmias: median 340.3 (263.7-454.9) vs 296.3 (203.9-355.0) mumol/g dry weight, p = 0.008, indicating disturbed transmembrane electrolyte transfer. During CABG the potassium levels fell and sodium increased in both right atrium and skeletal muscle, and on postoperative day 2 the potassium content in skeletal muscle was not yet restored. Magnesium levels showed no changes in right atrium or skeletal muscle, but serum magnesium declined postoperatively. As the observed electrolyte derangements may be important in the development of postoperative arrhythmias, concomitant potassium and magnesium supplement postoperatively may be beneficial in restoring cellular potassium concentration.","PeriodicalId":76527,"journal":{"name":"Scandinavian journal of thoracic and cardiovascular surgery","volume":"30 3-4","pages":"133-40"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/14017439609107258","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19939761","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: 8

Transdiaphragmatic cyst-jejunostomy with Roux-en-Y loop for an exclusively mediastinal pancreatic pseudocyst. 经膈空肠囊肿Roux-en-Y袢造口术治疗纵隔胰腺假性囊肿。

Scandinavian journal of thoracic and cardiovascular surgery Pub Date : 1996-01-01 DOI: 10.3109/14017439609107266

L Kotsis, L Agócs, S Kostic, P Vadász

引用次数: 15

A new no-touch preparation technique. Technical notes. 一种新的无接触制备技术。技术笔记。

Scandinavian journal of thoracic and cardiovascular surgery Pub Date : 1996-01-01 DOI: 10.3109/14017439609107239

D Souza

引用次数: 117

Relationships between divisions of the lingular bronchus and vascularization patterns in the lingula. 舌支气管分支与舌内血管形态的关系。

Scandinavian journal of thoracic and cardiovascular surgery Pub Date : 1996-01-01 DOI: 10.3109/14017439609107238

R Maciejewski, S Jablonka, Z Wójtowicz

引用次数: 1

Diaphragmatic hernia following transhiatal esophagectomy. 经食管切除术后膈疝。

Scandinavian journal of thoracic and cardiovascular surgery Pub Date : 1996-01-01 DOI: 10.3109/14017439609107251

H Reich, A Y Lo, J C Harvey

引用次数: 21

Conduction disturbances after different blood cardioplegia modes in coronary artery bypass grafting. Including comparison with an earlier patient series. 冠状动脉旁路移植术中不同血液停搏方式的传导干扰。包括与早期患者系列的比较。

Scandinavian journal of thoracic and cardiovascular surgery Pub Date : 1996-01-01 DOI: 10.3109/14017439609107260

E J Pehkonen, E L Honkonen, P J Mäkynen, M J Kataja, M R Tarkka

{"title":"Conduction disturbances after different blood cardioplegia modes in coronary artery bypass grafting. Including comparison with an earlier patient series.","authors":"E J Pehkonen, E L Honkonen, P J Mäkynen, M J Kataja, M R Tarkka","doi":"10.3109/14017439609107260","DOIUrl":"https://doi.org/10.3109/14017439609107260","url":null,"abstract":"One-hundred and nine patients undergoing coronary artery bypass grafting were randomized to seven groups according to cardioplegia technique (5 types) and right coronary patho-anatomy (2 types). There were no major intergroup differences in postoperative outcome. Conduction disturbances developed in 26 patients, also without intergroup difference. Factors predictive of conduction disturbances were studied by univariate and multivariate analyses. Patients with such disturbances had lower myocardial temperatures than the others and more often postoperative atrial fibrillation (10/26 vs 15/83, p < 0.05). Comparison of this case series with a prospective study from our hospital in 1988-1989 showed that myocardial protection was superior in the present study. The incidence of right bundle branch block was similar in the two studies (24% vs 23%), but that of left-side conduction disturbances (bundle branch or fascicular block) was dramatically reduced (19% vs 1%, p < 0.0001) concomitantly with improved myocardial protection, indicating that development of a left-side conduction disturbance is associated with myocardial injury.","PeriodicalId":76527,"journal":{"name":"Scandinavian journal of thoracic and cardiovascular surgery","volume":"30 3-4","pages":"149-55"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/14017439609107260","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19939763","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: 9

Oesophageal squamous cell carcinoma after gastrectomy for benign ulcer disease. 胃切除术后食管鳞状细胞癌并发良性溃疡。

Scandinavian journal of thoracic and cardiovascular surgery Pub Date : 1996-01-01 DOI: 10.3109/14017439609107237

N Y Hsu, C Y Chen, J T Chen, C P Hsu

引用次数: 10

Ten-year survival after resection for lung carcinoma. Effect of blood transfusion and tumour stage on outcome. 肺癌切除术后10年生存率。输血及肿瘤分期对预后的影响。

Scandinavian journal of thoracic and cardiovascular surgery Pub Date : 1996-01-01 DOI: 10.3109/14017439609107248

P Rainio, R Bloigu, J Satta, R Pokela, P Pääkkö

{"title":"Ten-year survival after resection for lung carcinoma. Effect of blood transfusion and tumour stage on outcome.","authors":"P Rainio, R Bloigu, J Satta, R Pokela, P Pääkkö","doi":"10.3109/14017439609107248","DOIUrl":"https://doi.org/10.3109/14017439609107248","url":null,"abstract":"The objectives were to evaluate the prognosis in resected lung cancer and to observe if perioperative blood transfusion adversely affects the prognosis. Of 208 patients with resection for lung cancer in 1978-1980, all but five were smokers: 127 had squamous cell and 81 non-squamous cell carcinoma. Stage I disease was found in 143 patients. (69%), stage II in 18 (9%) and stage IIIa in 47 (23%). Five-year survival was 52% in stage I, 29% in stage II and 7% in stage IIIa tumour; the respective 10-year rates were 37, 19 and 3%. Patients given perioperative blood transfusion (n = 95) had poorer prognosis than the non-transfused patients. According to Cox multivariate analysis, however, the relative risk of death was only slightly increased by perioperative transfusion (p = 0.07). In patients with stage II or IIIa carcinoma at diagnosis, this relative risk was 2.17 and 4.99 times higher than in stage I (p = 0.004 and p = 0.0001). Long-term survival thus was related to extent of the disease at diagnosis rather than to numbers of blood transfusions.","PeriodicalId":76527,"journal":{"name":"Scandinavian journal of thoracic and cardiovascular surgery","volume":"30 2","pages":"87-91"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/14017439609107248","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19824101","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: 13