[The surgical treatment of catheter-related cardiac and vascular embolisms]. / Khirurgicheskoe lechenie kateternykh émbolii serdtsa i sosudov.

Basing on the experience of the surgical treatment of 15 patients with catheteric embolism of the heart and vessels the authors concluded that septic occurrence in given patient category requires urgent operative intervention. In catheteric heart embolism in patients with heart defects surgical interventions may be performed in nonperfusing deep (28-25 degrees C) hypothermal protection, permitting simultaneous removal of heart foreign body and to correlate heart defects not requiring continuous circulation control.

[Reconstructive operations in mitral insufficiency under whole-body hypothermia (27-25 degrees C) without perfusion]. / Rekonstruktivnye operatsii pri mitral'noi nedostatochnosti v usloviiakh obshchei gipotermii (27--25 gradusov C) bez perfuzii.

The article discusses the results of reconstructive valve-preserving operations in mitral insufficiency performed under conditions of hypothermic (27-25 degrees C) protection without perfusion in 114 patients. Depending on the valve morphological changes multicomponent intervention was under taken contemplating the performance of commissurotomy, chorda fenestration, resection and sewing of the cusps, removal of fibrous deposits from the cusps, resection of peripheral and intermediate chordae. The discrepancy between the cusp area and the perimeter of the fibrous ring was corrected in 99 patients by annuloplasty with sutures. The hospital mortality was 6.1%. Six-year postoperative survival was recorded in 91% of cases; no thromboembolic complications encountered in 97.4% of patients. The condition improved in most patients and they moved to NYHA Functional Class I-II. Unfavourable results were due to a severe initial clinical and functional condition and to the operations conducted in the active stage of septic endocarditis.

[T- and B-lymphocyte systems in heart surgery patients in the early postoperative period]. / T- i B-limfotsitarnye sistemy u kardiokhirurgicheskikh bol'nykh v rannem posleoperatsionnom periode.

The number of T- and B-lymphocytes, O cells, the IgA, IgG, IgM content, the lymphocyte transformation in vitro and also the haematological parameters of the white blood were studied in 33 patients with rheumatic heart diseases during the inactive phase of the illness and in 25 operated on patients on the 1st-10th post-operative days. On the 1st-3rd day after the operation marked (3-4-fold) decrease of the absolute number of T- and B-lymphocytes was recorded. The immunological parameters recovered by the 5th-7th days after surgery. On the 10th day they exceed their initial levels. The authors believe it possible to use these data in elaborating the program of immunological control in cardiosurgical patients.

[Association of aortic coarctation with patent ductus arteriosus (analysis of clinical and surgical data]. / Sochetanie koarktatsii aorty i nezarosshego arterial'nogo protoka (analiz klinicheskikh i operatsionnykh dannykh)

A retrospective analysis of clinical and operative data was made covering 56 cases with combined coarctation of the aorta and patent ductus arteriosus. Prior to surgery both anomalies were recognized in 27 patients. Clinical data failed to furnish an reliable criteria as to the difference in anatomic variants of combined aortic coarctation and patent ductus arteriosus. The clinical picture and diagnosis of this congenital pathology are largely contingent upon the conspicuousness of each abnormality and consequently, on a definite orientation of the clinical diagnosis. There is a direct relation between the frequency of detection of the patent ductus arteriosus and its size.