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Transascending aortic intraaortic balloon insertion with delayed sternal closure: A retrospective analysis. 经升主动脉主动脉内球囊置入伴延迟胸骨闭合:回顾性分析。
Cardiovascular diseases Pub Date : 1980-09-01
Clement C. Ugorji, Stephen A. Turner, Michael G. McGee, Thomas M. Fuhrman, Denton A. Cooley, John C. Norman
{"title":"Transascending aortic intraaortic balloon insertion with delayed sternal closure: A retrospective analysis.","authors":"Clement C. Ugorji,&nbsp;Stephen A. Turner,&nbsp;Michael G. McGee,&nbsp;Thomas M. Fuhrman,&nbsp;Denton A. Cooley,&nbsp;John C. Norman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Intraaortic balloon pumping (IABP) is an established therapeutic adjunct in the treatment of postcardiotomy/infarction low cardiac output states. Although the common femoral or iliac arteries are the preferred sites for balloon insertion, severe arterial occlusive disease may preclude entry by these methods. To circumvent this problem, alternative methods of insertion utilizing transthoracic approaches have evolved. In our institution, direct (transaortic) IABP insertion, combined with delayed sternal closure to avoid cardiac compression and possible tamponade, was performed in 28 adult postcardiotomy patients (mean age 60.4 +/- 3 years). The severity of generalized atherosclerosis was reflected in an overall survival rate of 28.6%. Retrospective analyses of the clinical courses of these patients revealed that the transaortic approach allowed utilization of larger and more effective balloons. Successful insertion of 30 and 40 ml balloons was accomplished in 27 of 28 (96%) of these patients, and one patient with a hypoplastic aorta required a 20 ml balloon. There were no complications directly attributable to this alternative site of balloon insertion, and tamponade was avoided. Delayed sternal closure was accomplished within 48 to 96 hours. We concluded that when severe peripheral vascular occlusive disease prevents insertion of intraaortic balloons via the femoral or iliac arteries in patients with low cardiac output, the alternative transaortic approach is indicated. Combined with delayed sternal closure in patients with postcardiotomy dilatation, additional benefits accrue.</p>","PeriodicalId":84396,"journal":{"name":"Cardiovascular diseases","volume":"7 3","pages":"307-315"},"PeriodicalIF":0.0,"publicationDate":"1980-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC287870/pdf/cardiodis00007-0075.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24583518","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Lower limb vascularization by means of omental autotransplantation. 自体大网膜移植术在下肢血管重建中的应用。
Cardiovascular diseases Pub Date : 1980-06-01
Juan M. Matesanz, F J Garcia, F Acin, B Mendez, S E Tamames
{"title":"Lower limb vascularization by means of omental autotransplantation.","authors":"Juan M. Matesanz,&nbsp;F J Garcia,&nbsp;F Acin,&nbsp;B Mendez,&nbsp;S E Tamames","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A case of successful autotransplantation of the omentum is presented, and some of the possible uses of this technique are discussed. The procedure appears to be a sensible means of limb salvage in patients with Buerger's disease, an advanced state of vascular insufficiency, with a lack of run-off vessels.</p>","PeriodicalId":84396,"journal":{"name":"Cardiovascular diseases","volume":"7 2","pages":"199-205"},"PeriodicalIF":0.0,"publicationDate":"1980-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC287854/pdf/cardiodis00006-0083.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24582193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Treatment of aortic insufficiency with a descending aortic valvular homograft: 19-year follow-up and historical perspective. 降主动脉瓣同种异体移植治疗主动脉功能不全:19年随访和历史回顾。
Cardiovascular diseases Pub Date : 1980-06-01
J Marvin Smith, Timothy A. Dernbach, Denton A. Cooley
{"title":"Treatment of aortic insufficiency with a descending aortic valvular homograft: 19-year follow-up and historical perspective.","authors":"J Marvin Smith,&nbsp;Timothy A. Dernbach,&nbsp;Denton A. Cooley","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This case report and 19-year follow-up concerns a patient with aortic insufficiency who was one of the first to undergo surgical treatment with a descending aortic valvular homograft. The historical perspective afforded here may stimulate ideas concerning advances in future methods and materials to be used in cardiac surgery.</p>","PeriodicalId":84396,"journal":{"name":"Cardiovascular diseases","volume":"7 2","pages":"206-213"},"PeriodicalIF":0.0,"publicationDate":"1980-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC287855/pdf/cardiodis00006-0090.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24582194","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Left ventricular function early after aortic valve replacement for aortic regurgitation: Assessment by gated radionuclide ventriculography. 主动脉瓣置换术治疗主动脉返流后早期左心室功能:门控核素心室造影术评估。
Cardiovascular diseases Pub Date : 1980-06-01
Robert A. Hardy, E Gordon Depuey, Virendra S. Mathur, Robert E. Sonnemaker, Efrain Garcia, Carlos De Castro, John E. Burdine, Robert J. Hall
{"title":"Left ventricular function early after aortic valve replacement for aortic regurgitation: Assessment by gated radionuclide ventriculography.","authors":"Robert A. Hardy,&nbsp;E Gordon Depuey,&nbsp;Virendra S. Mathur,&nbsp;Robert E. Sonnemaker,&nbsp;Efrain Garcia,&nbsp;Carlos De Castro,&nbsp;John E. Burdine,&nbsp;Robert J. Hall","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This study characterizes left ventricular performance early after aortic valve replacement for severe isolated aortic regurgitation. Gated radionuclide ventriculography studies in 13 patients showed that left ventricular end-diastolic volume was reduced after surgery and that ejection fraction dropped significantly. Despite the fall in ejection fraction, the postoperative cardiac index was significantly greater than the preoperative value. Radionuclide ventriculography is a useful and reliable means of noninvasively assessing left ventricular function soon after aortic valve replacement for aortic regurgitation.</p>","PeriodicalId":84396,"journal":{"name":"Cardiovascular diseases","volume":"7 2","pages":"127-136"},"PeriodicalIF":0.0,"publicationDate":"1980-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC287844/pdf/cardiodis00006-0011.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24583521","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Ionescu-Shiley pericardial xenograft valve: Hemodynamic evaluation and early clinical follow-up of 326 patients. 326例异种心包移植瓣膜血流动力学评价及早期临床随访。
Cardiovascular diseases Pub Date : 1980-06-01
David A. Ott, Aldemire T. Coelho, Denton A. Cooley, George J. Reul
{"title":"Ionescu-Shiley pericardial xenograft valve: Hemodynamic evaluation and early clinical follow-up of 326 patients.","authors":"David A. Ott,&nbsp;Aldemire T. Coelho,&nbsp;Denton A. Cooley,&nbsp;George J. Reul","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Dissatisfaction with the hemodynamic characteristics of available porcine valves prompted a clinical trial of the Ionescu-Shiley percardial xenograft (ISPX) valve. Three hundred fifty-six ISPX valves were implanted consecutively in 326 patients. Operative mortality was 2.6% (2/75) for aortic valve replacement alone and 7.7% (12/155) for aortic valve replacements that included reoperations and combined procedures such as mitral commissurotomy, annuloplasty, and coronary artery bypass. Operative mortality for all patients who underwent mitral valve replacement was 9.5% (14/147). The mean peak systolic gradient pressure in the aortic position was 5.4 mm Hg overall and 4.27 mm Hg with the size 19 mm valve. There were no embolic episodes in patients who received the ISPX valve in the aortic position. The available data indicate that the rate of peripheral embolism with the ISPX valve compares favorably with that of porcine valves. Considering its hemodynamic advantage, if the longterm durability of the full-orifice Ionescu-Shiley pericardial xenograft valve continues to be confirmed by follow-up studies, it is our opinion that it is the biologic valve of choice.</p>","PeriodicalId":84396,"journal":{"name":"Cardiovascular diseases","volume":"7 2","pages":"137-148"},"PeriodicalIF":0.0,"publicationDate":"1980-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC287845/pdf/cardiodis00006-0021.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24583522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Disturbances in cardiac rhythm caused by the removal of temporary pacemaker wires. 移除临时起搏器导线引起的心律紊乱。
Cardiovascular diseases Pub Date : 1980-06-01
Nayef R. Eldibs, Zvonimir Krajcer, Roberto Lufschanowski, Denton A. Cooley, Robert Leachman
{"title":"Disturbances in cardiac rhythm caused by the removal of temporary pacemaker wires.","authors":"Nayef R. Eldibs,&nbsp;Zvonimir Krajcer,&nbsp;Roberto Lufschanowski,&nbsp;Denton A. Cooley,&nbsp;Robert Leachman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The effects of temporary pacemaker wire removal on cardiac rhythm were studied in 22 open-heart surgery patients who had temporary pacemaker wires implanted at the time of chest wall closure. During wire removal, 16 patients developed premature ventricular contractions (PVCs), most commonly occurring as single PVCs, and less often as ventricular couplets. The authors recommend that external pacemaker wire removal be accompanied by electrocardiographic monitoring or at least by a short period of careful clinical observation.</p>","PeriodicalId":84396,"journal":{"name":"Cardiovascular diseases","volume":"7 2","pages":"194-198"},"PeriodicalIF":0.0,"publicationDate":"1980-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC287853/pdf/cardiodis00006-0078.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24582192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Duplication of the tricuspid valve. 三尖瓣的重复。
Cardiovascular diseases Pub Date : 1980-06-01
Thomas G. Lynch, Donald B. Doty
{"title":"Duplication of the tricuspid valve.","authors":"Thomas G. Lynch,&nbsp;Donald B. Doty","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Duplication of the atrioventricular (AV) valves is a rare anomaly, more commonly seen in the mitral position. Only 13 cases have been reported in the literature.(1-10) The case described here represents an unusual variant of this anomaly and provides an opportunity to review the pathology and embryologic genesis of duplication deformities of the AV valves.</p>","PeriodicalId":84396,"journal":{"name":"Cardiovascular diseases","volume":"7 2","pages":"159-164"},"PeriodicalIF":0.0,"publicationDate":"1980-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC287847/pdf/cardiodis00006-0043.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24583524","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
In-vivo sensitivity of canine myocardium to acute depression of serum ionized calcium. 犬心肌对血清离子钙急性降低的体内敏感性。
Cardiovascular diseases Pub Date : 1980-06-01
Kenneth Kampman, John J. Lamberti, Edwin Kaplan, Constantine E. Anagnostopoulos
{"title":"In-vivo sensitivity of canine myocardium to acute depression of serum ionized calcium.","authors":"Kenneth Kampman,&nbsp;John J. Lamberti,&nbsp;Edwin Kaplan,&nbsp;Constantine E. Anagnostopoulos","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Recent technologic advances make it possible to measure reliably serum or plasma ionized calcium with a high degree of accuracy. In this study, with the use of 16 mongrel dogs, the quantitation of the hemodynamic response to acute changes in ionized calcium was attempted. It was found that normal cardiac function required a normal level of ionized calcium. In intact animals, severe depression of myocardium is masked by pressor reflexes designed to maintain homeostasis. In their absence, myocardial depression is readily apparent. Animals that are hypercalcemic at the beginning of infusion respond in essentially the same manner. To a degree previously unsuspected, myocardial function depends upon a constant level of ionized calcium.</p>","PeriodicalId":84396,"journal":{"name":"Cardiovascular diseases","volume":"7 2","pages":"169-177"},"PeriodicalIF":0.0,"publicationDate":"1980-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC287849/pdf/cardiodis00006-0053.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24582188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prolapse of noncoronary aortic cusp with severe aortic regurgitation after a tear of the aortic root. 主动脉根部撕裂后非冠状动脉瓣尖脱垂伴严重主动脉反流。
Cardiovascular diseases Pub Date : 1980-06-01
Fernando Sarnago Bullón, Agustin Camacho Pedrero
{"title":"Prolapse of noncoronary aortic cusp with severe aortic regurgitation after a tear of the aortic root.","authors":"Fernando Sarnago Bullón,&nbsp;Agustin Camacho Pedrero","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A patient with acute aortic regurgitation, a dissecting aneurysm with a localized transverse tear just above the aortic valve, and an aortic noncoronary cusp eversion is discussed. The valvular defects were considered to be of recent etiology, and the patient underwent successful aortic valve replacement and repair of the dissection.</p>","PeriodicalId":84396,"journal":{"name":"Cardiovascular diseases","volume":"7 2","pages":"178-183"},"PeriodicalIF":0.0,"publicationDate":"1980-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC287850/pdf/cardiodis00006-0062.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24582189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Concepts of health and disease in medicine: Interdisciplinary perspectives. 医学中健康和疾病的概念:跨学科的观点。
Cardiovascular diseases Pub Date : 1980-06-01
Denton A. Cooley
{"title":"Concepts of health and disease in medicine: Interdisciplinary perspectives.","authors":"Denton A. Cooley","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":84396,"journal":{"name":"Cardiovascular diseases","volume":"7 2","pages":"123-126"},"PeriodicalIF":0.0,"publicationDate":"1980-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC287843/pdf/cardiodis00006-0007.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24583520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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