Subject(s)
Adrenal Cortex Hormones/therapeutic use , Heart Transplantation/immunology , Immunosuppressive Agents/therapeutic use , Prednisone/therapeutic use , Adrenal Cortex Hormones/administration & dosage , Adult , Azathioprine/therapeutic use , Cyclosporine/therapeutic use , Drug Administration Schedule , Drug Therapy, Combination , Female , Follow-Up Studies , Humans , Male , Middle Aged , Morbidity , Postoperative Complications/epidemiology , Prednisone/administration & dosage , Prospective Studies , Time FactorsSubject(s)
Aortic Valve/surgery , Equipment Failure , Heart Valve Prosthesis , Prosthesis Failure , Humans , Male , Middle AgedSubject(s)
Lung Neoplasms/diagnostic imaging , Adenoma/diagnostic imaging , Adolescent , Adult , Aged , Bronchial Neoplasms/congenital , Bronchial Neoplasms/diagnostic imaging , Child , Chondroma/diagnostic imaging , Cysts/congenital , Cysts/diagnostic imaging , Female , Hamartoma/diagnostic imaging , Humans , Leiomyoma/diagnostic imaging , Male , Middle Aged , RadiographySubject(s)
Palliative Care , Tetralogy of Fallot/surgery , Child , Child, Preschool , Humans , Infant , MethodsABSTRACT
The case is presented of a 15-month-old male, affected by severe mitral valve regurgitation associated to aortic coarctation. The surgical treatment consisted in replacement of the mitral valve by a Hancock prosthesis followed, at a second state, by resection of the coarctation. The mitral insufficiency was secondary to an anomaly of the subvalvular apparatus of the "Parachute Valve" type. The incidence of defects associated to congenital mitral insufficiency is commented. The surgical indications for replacement or repair of these anomalies in infancy are discussed, and the surgical results achieved to data are analysed. Emphasis is made on the convenience, in case the corrective procedure requires valvular replacement, of implanting a low-profile biological prosthesis, which does not require anticoagulant therapy.
Subject(s)
Aortic Coarctation/complications , Mitral Valve Insufficiency/etiology , Mitral Valve/abnormalities , Aortic Coarctation/surgery , Heart Failure/etiology , Heart Valve Prosthesis , Humans , Infant , Male , Mitral Valve/surgery , Mitral Valve Insufficiency/surgeryABSTRACT
Successful treatment of an eight-year-old esophagopleural fistula by means of endoscopic cauterization with an alkaline solution is reported. Previous therapeutic attempts with other more conventional measures had failed. The technique of the successful treatment is described. No complications could be attributed to its use.
Subject(s)
Cautery , Endoscopy , Esophageal Fistula/therapy , Fistula/therapy , Pleural Diseases/therapy , Chronic Disease , Humans , Male , Middle AgedABSTRACT
The variations of plasma glucose and insulin levels were studied during the course of deep hypothermia with cardiocirculatory arrest of 60 minutes in 3 experimental groups of dogs using a pump mixture of homologous blood and Ringer's lactate solution at 33%, 50%, and 100% hemodilution. Insulin levels decreased in all groups during the cooling period and remained stable throughout the rest of the experiments, showing a slight significant increase only at the end of rewarming after a temperature of 30 degrees C was reached. Glucose levels reacted similarly except during rewarming, where an important increase in glucose concentration greatly preceded the rise in insulin. We stress the importance of this dissociation in view of the possible clinical implications that may exist.
Subject(s)
Blood Glucose/analysis , Blood Volume , Hypothermia, Induced , Insulin/blood , Animals , Dogs , Extracorporeal Circulation , HematocritABSTRACT
Four groups of dogs are subjected to extracorporeal circulation. Total hemodilution is used in groups I and II, either in normothermia or moderate hypothermia at 30 degrees C. Partial hemodilution is used in groups III and IV with identical temperature variations. The animals are kept under extracorporeal circulation for 120 min. Osmolar and free water clearance are measured at basal conditions after 40, 80 and 120 min. The present results show that total hemodilution should be used in those patients subjected to extracorporeal circulation where renal function has been previously disturbed.
Subject(s)
Osmolar Concentration , Renal Dialysis , Temperature , Acute Kidney Injury/therapy , Animals , Dogs , Evaluation Studies as Topic , Humans , Water-Electrolyte BalanceABSTRACT
Two cases of Budd-Chiari syndrome caused by membranous occlusion of the proximal portion of the inferior vena cava are presented. Both were treated surgically, using the modified technique of Kimura in one case, and a resection with direct vision and extracorporeal circulation in the other. Both patients progressed well. We discuss the etiology and pathogenesis of the syndrome, the diagnostic means that can be used, and the importance of early treatment.
Subject(s)
Budd-Chiari Syndrome/etiology , Adult , Budd-Chiari Syndrome/diagnostic imaging , Budd-Chiari Syndrome/surgery , Female , Humans , Male , Radiography , Thrombophlebitis/complications , Vena Cava, Inferior/diagnostic imaging , Vena Cava, Inferior/surgery , Vena Cava, Superior/diagnostic imaging , Vena Cava, Superior/surgeryABSTRACT
Three patients who underwent successful surgical treatment of cardiac hydatid disease are discussed. The nonspecificity of diagnostic measures and the importance of keeping this diagnosis in mind when faced with a patient coming from an area where hydatidosis is endemic are stressed. We propose the use of cardiopulmonary bypass in the surgical treatment of this problem.
