RESUMO
Twelve out of 14 patients with aneurysm of the proximal ascending aorta (AA) combined with aortic valve incompetence (AI) were operated upon by replacement of both the aneurysm and valves by prostheses. Eight of the patients operated on (67%) survived and are living free of symptoms 3 months to 3 years after operation. The operative technique and complications are discussed.
Assuntos
Aneurisma Aórtico/complicações , Insuficiência da Valva Aórtica/complicações , Adolescente , Adulto , Idoso , Aneurisma Aórtico/cirurgia , Insuficiência da Valva Aórtica/cirurgia , Prótese Vascular , Feminino , Seguimentos , Próteses Valvulares Cardíacas , Humanos , Masculino , Pessoa de Meia-Idade , Complicações Pós-Operatórias/mortalidadeRESUMO
Intra-aortic balloon pumping (IABP) was used in the treatment of 29 patients in cardiogenic shock refractory to pressor drugs subsequent to open-heart surgery. Nineteen patients recovered from the shock primarily, but four died later in hospital. The remaining 15 were discharged alive. Peroperative electromagnetic flow measurements in one patient showed a 23% increase in aortic flow and a 26% increase in aortocoronary bypass flow when pumping was started.