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A method of intraoperative right ventricular assistance following the Fontan procedure for tricuspid atresia. Fontan手术后术中右心室辅助治疗三尖瓣闭锁的方法。
Cardiovascular diseases Pub Date : 1980-12-01
James J. Livesay, Denton A. Cooley, John C. Norman
{"title":"A method of intraoperative right ventricular assistance following the Fontan procedure for tricuspid atresia.","authors":"James J. Livesay,&nbsp;Denton A. Cooley,&nbsp;John C. Norman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A method of temporary intraoperative right ventricular assistance following the Fontan procedure is described in this case report. The multiple etiologic factors and avenues of treatment for postoperative right ventricular failure are discussed.</p>","PeriodicalId":84396,"journal":{"name":"Cardiovascular diseases","volume":"7 4","pages":"397-400"},"PeriodicalIF":0.0,"publicationDate":"1980-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC287882/pdf/cardiodis00008-0065.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24583085","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
Anomalous origin of the left coronary artery from the pulmonary artery: Scintigraphic diagnosis with Tc 99m lung scan. 左冠状动脉起源于肺动脉异常:tc99m肺部扫描的显像诊断。
Cardiovascular diseases Pub Date : 1980-12-01
Joong H. Choh, V Srinivasan, Leon Levinsky, Daniel R. Pieroni, Robert L. Gingell, S Subramanian
{"title":"Anomalous origin of the left coronary artery from the pulmonary artery: Scintigraphic diagnosis with Tc 99m lung scan.","authors":"Joong H. Choh,&nbsp;V Srinivasan,&nbsp;Leon Levinsky,&nbsp;Daniel R. Pieroni,&nbsp;Robert L. Gingell,&nbsp;S Subramanian","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A case of anomalous origin of the left coronary artery from the pulmonary artery is reported. The diagnosis was made on the basis of characteristic Tc 99m lung scan findings and was confirmed by subsequent angiocardiography and surgery.</p>","PeriodicalId":84396,"journal":{"name":"Cardiovascular diseases","volume":"7 4","pages":"344-349"},"PeriodicalIF":0.0,"publicationDate":"1980-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC287877/pdf/cardiodis00008-0012.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24584317","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
Gore-Tex small-vessel angioplasty: A suitable substitute for the use of autogenous saphenous vein grafts. Gore-Tex小血管成形术:自体隐静脉移植的合适替代品。
Cardiovascular diseases Pub Date : 1980-12-01
Raul Garcia-Rinaldi, John E. Rea, Michael W. Gallagher, Marlene J. Laevsky, Michael Ogburn, Robert H. Porter
{"title":"Gore-Tex small-vessel angioplasty: A suitable substitute for the use of autogenous saphenous vein grafts.","authors":"Raul Garcia-Rinaldi,&nbsp;John E. Rea,&nbsp;Michael W. Gallagher,&nbsp;Marlene J. Laevsky,&nbsp;Michael Ogburn,&nbsp;Robert H. Porter","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Autogenous saphenous vein has been the material of choice for small-vessel angioplasty and for circulatory access graft reconstruction. In an effort to conserve autogenous saphenous vein, we used expanded polytetrafluoroethylene (PTFE) grafts in 45 patients over a 12-month period. We used Gore-Tex(*) to reconstruct 17 circulatory access grafts, 16 carotid arteries, two brachial arteries, seven femoral arteries, and three popliteal anterior or posterior tibial arteries. The indications for reconstruction were chronic occlusion of the access grafts, trauma to the brachial and anterior tibial arteries, and atherosclerotic disease of the carotid, femoral, and popliteal-tibial arteries. Of the reconstructed circulatory access grafts, one failed immediately because of technical problems in the conduit, and one failed 11 months after reconstruction. All other grafts have functioned well and have produced a marked improvement in flow. Of the 28 patients who underwent reconstruction of arteries measuring 3 mm or less, two had patent arteries but died shortly after operation. The remaining 26 have been followed for one to 43 months. All reconstructed arteries are patent, and there have been no instances of distal embolization or false aneurysm formation. From this brief experience, we conclude that Gore-Tex is a suitable short-term alternative to saphenous vein for small vessel arterioplasty; it also may be the material of choice for reconstructing the outflow tract of occluded access grafts.</p>","PeriodicalId":84396,"journal":{"name":"Cardiovascular diseases","volume":"7 4","pages":"371-381"},"PeriodicalIF":0.0,"publicationDate":"1980-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC287880/pdf/cardiodis00008-0039.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24584320","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
Anomalous origin of the left coronary artery from the pulmonary artery treated by palliative Vineberg operation in an infant. 姑息性Vineberg手术治疗婴儿左冠状动脉起源地异常肺动脉。
Cardiovascular diseases Pub Date : 1980-12-01
Adib H. Sabbagh, Lee I. Schocket, James M. Fritz, James E. O'Hare, Robert M. Anderson
{"title":"Anomalous origin of the left coronary artery from the pulmonary artery treated by palliative Vineberg operation in an infant.","authors":"Adib H. Sabbagh,&nbsp;Lee I. Schocket,&nbsp;James M. Fritz,&nbsp;James E. O'Hare,&nbsp;Robert M. Anderson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Anomalous origin of the left coronary artery from the pulmonary artery was diagnosed in an infant girl who had evidence of transmural myocardial infarction of the free wall of the left ventricle. At age 13 months, she underwent a palliative left Vineberg implant, and remained asymptomatic until she was 8 years of age. At that time, she underwent suturing of the left coronary ostium for obliteration of the left coronary shunt at the pulmonary artery. At age 13, she underwent aortocoronary bypass to the left main coronary artery, with end-to-end anastomosis. The patient remains asymptomatic to date. We believe that this is the first reported case of a Vineberg operation performed in an infant for palliation of an anomalous left coronary artery originating from the pulmonary artery. This method allows time for the development of collateral circulation to the left coronary artery before definitive surgery is performed.</p>","PeriodicalId":84396,"journal":{"name":"Cardiovascular diseases","volume":"7 4","pages":"350-356"},"PeriodicalIF":0.0,"publicationDate":"1980-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC287878/pdf/cardiodis00008-0018.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24584318","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
Congenital diverticulum of the left atrium. 先天性左心房憩室。
Cardiovascular diseases Pub Date : 1980-12-01
V Srinivasan, Leon Levinsky, Badr Idbeis, Robert L. Gingell, Daniel R. Pieroni, S Subramanian
{"title":"Congenital diverticulum of the left atrium.","authors":"V Srinivasan,&nbsp;Leon Levinsky,&nbsp;Badr Idbeis,&nbsp;Robert L. Gingell,&nbsp;Daniel R. Pieroni,&nbsp;S Subramanian","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Two cases of congenital diverticulum of the left atrial appendage are described. The first patient was a 3-year-old girl who had a cerebral embolism. The second patient was a 3(1/2)-year-old girl with signs of pericarditis. Treatment consisted of excising the diverticula. The limited literature on diverticulum of the left atrium as a congenital abnormality is also briefly reviewed.</p>","PeriodicalId":84396,"journal":{"name":"Cardiovascular diseases","volume":"7 4","pages":"405-410"},"PeriodicalIF":0.0,"publicationDate":"1980-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC287884/pdf/cardiodis00008-0073.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24583087","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
Open heart surgery with concomitant pulmonary resection. 心内直视手术合并肺切除术。
Cardiovascular diseases Pub Date : 1980-12-01
Donald L. Bricker, Thomas M. Parker, Martin L. Dalton, J Jacques Mistrot
{"title":"Open heart surgery with concomitant pulmonary resection.","authors":"Donald L. Bricker,&nbsp;Thomas M. Parker,&nbsp;Martin L. Dalton,&nbsp;J Jacques Mistrot","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>With the increasing applicability of cardiac surgical procedures, particularly in older age groups, increasing numbers of patients will be encountered with concomitant diseases amenable to surgical treatment.(1) We present three patients who underwent pulmonary resection associated with various cardiac surgical procedures. One patient had severe bron-chiectasis and mitral stenosis requiring mitral valve replacement with pneumonectomy. The other two patients had coronary artery disease and pulmonary neoplasms requiring pneumonectomy and bilobectomy concomitant with coronary bypass procedures. All patients survived and returned to constructive life. Operative techniques and therapeutic rationales are discussed.</p>","PeriodicalId":84396,"journal":{"name":"Cardiovascular diseases","volume":"7 4","pages":"411-419"},"PeriodicalIF":0.0,"publicationDate":"1980-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC287885/pdf/cardiodis00008-0079.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24583088","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
Infarct-induced wall motion abnormalities in aortocoronary bypass patients: Correlation with electrocardiographic, enzymatic, and scintigraphic diagnostic criteria. 冠状动脉搭桥患者梗死引起的壁运动异常:与心电图、酶和显像诊断标准的相关性。
Cardiovascular diseases Pub Date : 1980-12-01
E Gordon Depuey, Virendra Mathur, Robert J. Hall, John A. Burdine
{"title":"Infarct-induced wall motion abnormalities in aortocoronary bypass patients: Correlation with electrocardiographic, enzymatic, and scintigraphic diagnostic criteria.","authors":"E Gordon Depuey,&nbsp;Virendra Mathur,&nbsp;Robert J. Hall,&nbsp;John A. Burdine","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Gated isotope ventriculograms performed 7 to 12 days postoperatively in 50 aortocoronary bypass patients with perioperative myocardial infarction (POMI) were compared with preoperative contrast ventriculograms. The diagnosis of POMI was based on serial electrocardiograms (EKGs), cardiac enzyme studies, and (99m)Tc-pyrophosphate (PYP) scintigraphy. Seven patients exhibited no new regional wall motion abnormalities. Nine had new areas of localized hypokinesis. The remaining 34 demonstrated localized akinesis or dyskinesis; 12 of these also exhibited a greater than 20% decrease in ejection fraction. The severity of the postoperative wall motion abnormality was paralleled by the intensity of PYP accumulation but not necessarily by the degree of cardiac enzyme elevation. Because they occurred in only 62% of patients, new Q waves were considered an insensitive indicator of POMI. Our study revealed that POMI frequently produces significant changes in left ventricular kinetics. Of the standard techniques utilized, the PYP scan had the greatest predictive value.</p>","PeriodicalId":84396,"journal":{"name":"Cardiovascular diseases","volume":"7 4","pages":"382-396"},"PeriodicalIF":0.0,"publicationDate":"1980-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC287881/pdf/cardiodis00008-0050.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24583084","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
Histrionics, vignettes and quartets: A syndrome of stress in heart surgeons. 表演，小插曲和四重奏:心脏外科医生的压力综合症。
Cardiovascular diseases Pub Date : 1980-12-01
John C. Norman
{"title":"Histrionics, vignettes and quartets: A syndrome of stress in heart surgeons.","authors":"John C. Norman","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":84396,"journal":{"name":"Cardiovascular diseases","volume":"7 4","pages":"339-343"},"PeriodicalIF":0.0,"publicationDate":"1980-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC287876/pdf/cardiodis00008-0007.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24584316","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
Traumatic disruption of the fibrous skeleton of the heart, with injury of the tricuspid and mitral valves, aortic annulus, and ventricular septum. 外伤性心脏纤维骨架断裂，包括三尖瓣、二尖瓣、主动脉环和室间隔损伤。
Cardiovascular diseases Pub Date : 1980-09-01
John M. Kratz, Robert M. Sade, Bruce W. Usher, Joe E. Gaddy
{"title":"Traumatic disruption of the fibrous skeleton of the heart, with injury of the tricuspid and mitral valves, aortic annulus, and ventricular septum.","authors":"John M. Kratz,&nbsp;Robert M. Sade,&nbsp;Bruce W. Usher,&nbsp;Joe E. Gaddy","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In an automobile accident, a young man sustained blunt trauma to the chest that caused injury to the fibrous skeleton of the heart. The mitral and tricuspid valves and their annuli were lacerated, the aortic annulus was separated from the ventricular septum, and the ventricular septum was disrupted; however, with surgical management, the patient survived.</p>","PeriodicalId":84396,"journal":{"name":"Cardiovascular diseases","volume":"7 3","pages":"288-293"},"PeriodicalIF":0.0,"publicationDate":"1980-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC287866/pdf/cardiodis00007-0056.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24583513","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
Use of a composite Biomer-butyl rubber/Biomer material to prevent transdiaphragmatic water permeation during long-term, electrically-actuated left ventricular assist device (LVAD) pumping. 使用复合生物聚合物-丁基橡胶/生物聚合物材料防止长期电驱动左心室辅助装置(LVAD)泵送时经膈水渗透。
Cardiovascular diseases Pub Date : 1980-09-01
Michael G. McGee, Michael Szycher, Stephen A. Turner, Warren Clay, Ruben Trono, John M. Fuqua, John C. Norman
{"title":"Use of a composite Biomer-butyl rubber/Biomer material to prevent transdiaphragmatic water permeation during long-term, electrically-actuated left ventricular assist device (LVAD) pumping.","authors":"Michael G. McGee,&nbsp;Michael Szycher,&nbsp;Stephen A. Turner,&nbsp;Warren Clay,&nbsp;Ruben Trono,&nbsp;John M. Fuqua,&nbsp;John C. Norman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The pumping diaphragm of the Texas Heart Institute (THI) E-Type ALVAD must perform the dual functions of providing a flexible blood interface and isolating the electrical actuator from adjacent fluids. Thus, protection is required against fluid leakage and moisture diffusion to prevent corrosion and damage to electrical actuator components. Average diffusion rates up to 1 ml per day through currently used elastomeric diaphragm materials have been measured during static in-vitro and in-vivo tests. To circumvent this problem, an improved pumping diaphragm has been recently developed for use with the electrically-actuated THI E-Type ALVAD. This trilaminar diaphragm consists of a composite Biomer and butyl rubber design. A.010 inch layer of butyl rubber (characterized by an extremely low diffusion rate for water, approximately 0 ml per day) is positioned between two Biomer layers (.020 and.010 inches in thickness). Initial invitro and in-vivo studies, in calves, indicate that this composite diaphragm provides an excellent barrier to water permeation, without sacrificing biocompatibility or structural integrity under conditions of chronic flexure.</p>","PeriodicalId":84396,"journal":{"name":"Cardiovascular diseases","volume":"7 3","pages":"278-287"},"PeriodicalIF":0.0,"publicationDate":"1980-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC287865/pdf/cardiodis00007-0046.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24583512","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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