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1.
Artigo em Russo | MEDLINE | ID: mdl-2393592

RESUMO

The article discusses experience in radical correction of Fallot's tetrad with hypoplasia of the pulmonary trunk in 43 patients by means of plastics with monocuspid xenopericardial grafts (MXG). Their processing was based on enzymatic chemical treatment of the xenopericardium. The function of the MXG was evaluated with quantitative registration of regurgitation by the method of dilution of electroimpedence indicators. Mortality in the group of patients with MXG was 8.0%, which did not differ from that in the group of patients with satisfactorily developed pulmonary trunk and its branches, and characterized the promising character of the use of this method of pulmonary trunk plastics.


Assuntos
Transplante de Coração/métodos , Pericárdio/transplante , Tetralogia de Fallot/cirurgia , Transplante Heterólogo/métodos , Adolescente , Adulto , Animais , Criança , Pré-Escolar , Feminino , Humanos , Masculino , Valva Pulmonar/anormalidades , Valva Pulmonar/cirurgia , U.R.S.S.
2.
Vestn Akad Med Nauk SSSR ; (12): 34-6, 1990.
Artigo em Russo | MEDLINE | ID: mdl-2127142

RESUMO

The possibility of using impedance plethysmography to assess changes in the volume of the extravascular lung fluid in intensive therapy and resuscitation patients is discussed. Changes in the volume of the fluid during extracorporeal detoxication are analysed. A correlation was found between these changes and lung distensibility (r = -0.7). A significant diminution of the fluid volume was observed in response to therapeutic doses of Lasix and Nitroglycerin. Data are cited on the increasing (85 percent) volumes of the fluid in preclinical pulmonary edema in patients with left ventricular insufficiency.


Assuntos
Líquidos Corporais , Pulmão , Pletismografia de Impedância , Edema Pulmonar/fisiopatologia , Furosemida/uso terapêutico , Insuficiência Cardíaca/tratamento farmacológico , Insuficiência Cardíaca/fisiopatologia , Hemofiltração , Humanos , Unidades de Terapia Intensiva , Pulmão/fisiopatologia , Modelos Biológicos , Nitroglicerina/uso terapêutico , Período Pós-Operatório , Edema Pulmonar/tratamento farmacológico , Procedimentos Cirúrgicos Operatórios
3.
Khirurgiia (Mosk) ; (9): 8-13, 1989 Sep.
Artigo em Russo | MEDLINE | ID: mdl-2811168

RESUMO

Studies of hemodynamics in 22 patients with Fallot's tetrade in the operative and early post-operative periods were analysed. The stroke and cardiac output were studied in all patients as well as the pressure in the cavities of the heart with subsequent calculation of coefficients PRV/PLV, PPA/PRV, and P.P-Q diagrams were constructed to characterize the pathophysiological processes in the heart ventricles. Correction of the anomaly was considered adequate in PRV/PLV less than or equal to 0.6. Coefficient PRV/PLV greater than 0.6 calls for additional analysis for the purpose of identifying residual stenosis or blood dumping at the level of the interventricular septum.


Assuntos
Coração/fisiopatologia , Hemodinâmica , Tetralogia de Fallot/fisiopatologia , Adolescente , Adulto , Criança , Eletrocardiografia , Feminino , Humanos , Masculino , Período Pós-Operatório , Tetralogia de Fallot/cirurgia
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