ABSTRACT
Results of surgical treatment of 12 patients with the combined hydatid disease of heart and target organs (liver, lungs) are analyzed. Authors recommend echocardiography for all the patients with echinococcosis of target organs as a means of timely heart involvement diagnostics. Simultaneous surgery for the combined hydatid disease is recommended. The use of artificial circulation is reasonable for cardiac echinococcosis (n=66,7%) treatment, whereas pericardial hydatid cysts (n=33,3%) can be operated without such measures. Cyst perforations to the heart cavity should be considered a fatal complication of the disease. Intraoperative lethality achieved 25%.
Subject(s)
Cardiac Surgical Procedures/methods , Echinococcosis, Hepatic/surgery , Echinococcosis, Pulmonary/surgery , Heart Diseases/surgery , Laparotomy/methods , Pericardium/surgery , Thoracotomy/methods , Adolescent , Adult , Animals , Child , Echinococcosis, Hepatic/complications , Echinococcosis, Hepatic/diagnosis , Echinococcosis, Pulmonary/complications , Echinococcosis, Pulmonary/diagnosis , Echinococcus/isolation & purification , Echocardiography , Female , Follow-Up Studies , Heart Diseases/complications , Heart Diseases/parasitology , Heart Ventricles/diagnostic imaging , Heart Ventricles/surgery , Humans , Liver/diagnostic imaging , Liver/surgery , Lung/diagnostic imaging , Lung/parasitology , Lung/surgery , Male , Pericardium/diagnostic imaging , Pericardium/parasitology , Radiography , Retrospective Studies , Treatment Outcome , Young AdultABSTRACT
Quantitative changes in red cells were studied by dark field scanning electron microscopy of native preparations obtained from patients with Fallot's tetralogy of varying severity and duration. Mainly echinocytic transformation of red cells was revealed that directly depended on the disease duration. Morphologic findings have confirmed the efficacy of surgical correction and drug therapy of Fallot's tetralogy.
Subject(s)
Erythrocytes/ultrastructure , Tetralogy of Fallot/blood , Adolescent , Adult , Child , Child, Preschool , Erythrocyte Count , Humans , Infant , Male , Microscopy, Electron, Scanning , Tetralogy of Fallot/surgery , Time FactorsABSTRACT
The article discusses the results of formation of inter-arterial anastomoses in 58 (12.7%) patients with a severe form of Fallot's tetralogy in dextra-position of the arch of the aorta. The specific features of the course and diagnosis of dextra-position of the aortic arch in Fallot's tetralogy are analysed, and the significance of radiologic and echocardiographic examination in the choice of the position and type of interarterial anastomoses is determined. It is proved that Blalock-Taussig's anastomoses must be formed on the side opposite to the aortic arch, while shunting operations must be carried out on the side on which the arch of the aorta is located.
Subject(s)
Abnormalities, Multiple/surgery , Aorta, Thoracic/abnormalities , Situs Inversus/surgery , Subclavian Artery/abnormalities , Tetralogy of Fallot/surgery , Abnormalities, Multiple/diagnosis , Adolescent , Adult , Anastomosis, Surgical/methods , Aorta, Thoracic/surgery , Child , Child, Preschool , Humans , Infant , Situs Inversus/complications , Situs Inversus/diagnosis , Subclavian Artery/surgery , Tetralogy of Fallot/complications , Tetralogy of Fallot/diagnosisABSTRACT
The paper is concerned with elaboration of criteria for spiroergometric assessment of the level of load hyperventilation (LHV) in patients with heart diseases before and after surgical correction. Study of the dynamics of the correlation between CO2 production and ventilation underlies the method suggested. Four grades of LHV are distinguished: mild, moderate, pronounced and dramatic. It is shown that the pronounced and dramatic grades of LHV may provide indirect evidence for high pulmonary hypertension (stage II or III).
Subject(s)
Heart Defects, Congenital/diagnosis , Hyperventilation/diagnosis , Physical Exertion/physiology , Adolescent , Adult , Child , Ductus Arteriosus, Patent/diagnosis , Ductus Arteriosus, Patent/surgery , Exercise Test , Female , Heart Defects, Congenital/surgery , Heart Septal Defects, Atrial/diagnosis , Heart Septal Defects, Atrial/surgery , Heart Septal Defects, Ventricular/diagnosis , Heart Septal Defects, Ventricular/surgery , Humans , Male , Middle Aged , SpirometryABSTRACT
The dynamics of spiroveloergometric parameters and perfusion scintigraphy of the lungs with a postural test in 129 patients with congenital heart diseases were studied before and at different terms after surgical correction of the disease. It was established that main spiroergometric parameters were improved within the period from 3 to 6 months. However, normalization of physical working ability in the group of women took place about one year later than in men.
Subject(s)
Cardiac Output/physiology , Ductus Arteriosus, Patent/surgery , Heart Septal Defects/surgery , Pulmonary Circulation/physiology , Respiration/physiology , Adolescent , Adult , Child , Ductus Arteriosus, Patent/physiopathology , Female , Heart Septal Defects/physiopathology , Humans , Male , Sex FactorsSubject(s)
Abnormalities, Multiple/surgery , Ductus Arteriosus, Patent/surgery , Heart Septal Defects, Atrial/surgery , Heart Septal Defects, Ventricular/surgery , Hemodynamics/physiology , Abnormalities, Multiple/physiopathology , Adolescent , Adult , Carbon Dioxide , Caseins , Child , Child, Preschool , Ductus Arteriosus, Patent/complications , Ductus Arteriosus, Patent/physiopathology , Echocardiography/methods , Heart Septal Defects, Atrial/complications , Heart Septal Defects, Atrial/physiopathology , Heart Septal Defects, Ventricular/complications , Heart Septal Defects, Ventricular/physiopathology , Humans , Postoperative Period , Time FactorsABSTRACT
The article discusses the results of radical correction of total anomalous drainage of the pulmonary veins in 5 patients; 4 had the supracardial and 1 patient--the cardial type of the anomaly with drainage of all pulmonary veins into the coronary sinus. Some details of the surgical intervention are described; some findings of the examination in late postoperative periods (2.0 +/- 1.15 years, on the average) are discussed.
Subject(s)
Pulmonary Veins/abnormalities , Adolescent , Adult , Child , Humans , Pulmonary Veins/surgerySubject(s)
Blood Volume , Ductus Arteriosus, Patent/surgery , Heart Septal Defects/surgery , Hypertension, Pulmonary/pathology , Lung/pathology , Pulmonary Artery/pathology , Pulmonary Circulation , Adolescent , Adult , Child , Child, Preschool , Ductus Arteriosus, Patent/pathology , Ductus Arteriosus, Patent/physiopathology , Heart Septal Defects/pathology , Heart Septal Defects/physiopathology , Humans , Hypertension, Pulmonary/etiology , Lung/blood supply , Prognosis , Time FactorsSubject(s)
Arteriovenous Shunt, Surgical/rehabilitation , Heart Defects, Congenital/rehabilitation , Work Capacity Evaluation , Adolescent , Adult , Exercise Test , Female , Follow-Up Studies , Heart Defects, Congenital/surgery , Humans , Hypertension, Pulmonary/rehabilitation , Hypertension, Pulmonary/surgery , Male , Sex Characteristics , Time FactorsABSTRACT
The authors had under their observation 389 patients over 16 years of age with congenital heart diseases, 157 of whom were operated on. The specific features of the diagnosis, course, and operative treatment of the most commonly encountered congenital heart disease among adults were studied. Peculiarities were revealed in the clinical symptomatology in adults with congenital heart diseases complicated by pulmonary hypertension. The authors discuss the problems of rehabilitation of adults who had been operated on, in the light of the study of the late postoperative results.
