RESUMEN
Among 104 patients with aortic stenosis 15 had subvalvular stenosis. In 4 cases the subvalvular stenosis was caused by fibromuscular constriction of the left-ventricular outlet, in the other cases it was formed by a connective-tissue membrane. A rather frequent combination of the subaortic stenosis with other heart anomalies is pointed out. Two patients died after the operation from progressive cardiac failure.
Asunto(s)
Estenosis Aórtica Subvalvular/cirugía , Circulación Extracorporea , Adolescente , Adulto , Estenosis Aórtica Subvalvular/diagnóstico , Estenosis Aórtica Subvalvular/etiología , Aortografía , Cateterismo Cardíaco , Niño , Preescolar , Electrocardiografía , Femenino , Humanos , Masculino , Resultado del TratamientoRESUMEN
The authors analyze the results of treatment of 1500 patients suffering from varicose conditions. They have developed original methods for the treatment of varicose dilatation of subcutaneous veins: endovascular and ++perivascular electrocoagulation of subcutaneous veins, removal and crossing of subcutaneous and communicant ++ veins with vein extractor and capron fish line; liquidation of venous conglomerates by means of a submerged removable suture; ++supra-fascial crossing of subcutaneous veins. Employment of these methods in combination with the traditional treatment modalities yields a good therapeutic and cosmetic effect. The methods are simple and available, this recommending them for any surgical hospital.
Asunto(s)
Várices/cirugía , Procedimientos Quirúrgicos Vasculares/métodos , Adolescente , Adulto , Anciano , Caprolactama , Electrocoagulación/métodos , Humanos , Persona de Mediana Edad , Vena Safena/cirugía , Técnicas de Sutura/instrumentaciónRESUMEN
In the period between 1967 and 1985 the authors operated on 5 patients with chemodectoma; their ages ranged from 29 to 39. The duration of the disease ranged from 2 to 4 years. The tumor was on the right side in 3 and on the left side in 2 patients. Carotid angiography, which was conducted in all cases, revealed a richly vascularized tumor in the region of the carotid artery bifurcation with characteristic "angulation" and "cuff" signs. Damage to the carotid arteries was avoided during the operation in 3 patients and the chemodectoma was removed subadventitionally. In 2 patients the arteries were injured. There were neither neurological complications nor fatal outcomes.
Asunto(s)
Tumor del Cuerpo Carotídeo/cirugía , Adulto , Tumor del Cuerpo Carotídeo/diagnóstico por imagen , Femenino , Humanos , Hipotensión Controlada , Cuidados Intraoperatorios , Masculino , RadiografíaAsunto(s)
Anomalías Múltiples/diagnóstico , Ventrículo Derecho con Doble Salida/diagnóstico , Aneurisma Cardíaco/diagnóstico , Defectos del Tabique Interventricular/diagnóstico , Anomalías Múltiples/cirugía , Adolescente , Adulto , Niño , Preescolar , Ventrículo Derecho con Doble Salida/complicaciones , Ventrículo Derecho con Doble Salida/cirugía , Aneurisma Cardíaco/complicaciones , Aneurisma Cardíaco/congénito , Aneurisma Cardíaco/cirugía , Defectos del Tabique Interventricular/complicaciones , Defectos del Tabique Interventricular/cirugía , HumanosRESUMEN
The authors analyzed the potentialities of combined radiodiagnosis of supravalvular stenosis (SS) and concomitant diseases of the heart and major vessels (Williams-Beuren syndrome) in 7 patients aged 7 mos. to 24 yrs. Polypositional chest and heart x-ray procedure, catheterization of the cardiac cavities, pulmonary artery and aorta, left ventriculography (6), right ventriculography (4) and angiopulmonography were used. The diagnostic potentialities of each method were defined. It was proved that SS practically in all patients was accompanied by major vascular changes in the pulmonary, vertebral, coronary, carotid, subclavicular, renal and other arteries, heart failure (atrial septal defect, and mitral incompetence).
Asunto(s)
Estenosis de la Válvula Aórtica/diagnóstico , Adolescente , Adulto , Estenosis de la Válvula Aórtica/diagnóstico por imagen , Niño , Preescolar , Femenino , Humanos , Lactante , Masculino , RadiografíaAsunto(s)
Anomalías Múltiples , Defectos del Tabique Interatrial , Válvula Mitral/anomalías , Preescolar , Femenino , HumanosAsunto(s)
Vena Axilar , Vena Subclavia , Trombosis/terapia , Adolescente , Adulto , Humanos , Masculino , Persona de Mediana Edad , SíndromeAsunto(s)
Neoplasias Cardíacas/cirugía , Mixoma/cirugía , Adulto , Atrios Cardíacos/patología , Atrios Cardíacos/cirugía , Neoplasias Cardíacas/patología , Ventrículos Cardíacos/patología , Ventrículos Cardíacos/cirugía , Humanos , Masculino , Mixoma/patología , Recurrencia Local de Neoplasia/patología , Recurrencia Local de Neoplasia/cirugía , ReoperaciónAsunto(s)
Defecto del Tabique Aortopulmonar/cirugía , Cardiopatías Congénitas/cirugía , Enfermedad Aguda , Adolescente , Defecto del Tabique Aortopulmonar/diagnóstico , Defecto del Tabique Aortopulmonar/fisiopatología , Niño , Preescolar , Diagnóstico Diferencial , Errores Diagnósticos , Femenino , Humanos , Lactante , MasculinoAsunto(s)
Insuficiencia Cardíaca/etiología , Pericardiectomía/efectos adversos , Complicaciones Posoperatorias/etiología , Adulto , Corazón/fisiopatología , Insuficiencia Cardíaca/fisiopatología , Hemodinámica , Humanos , Persona de Mediana Edad , Pericarditis Constrictiva/complicaciones , Pericarditis Constrictiva/fisiopatología , Pericarditis Constrictiva/cirugía , Complicaciones Posoperatorias/fisiopatologíaAsunto(s)
Complicaciones Posoperatorias/cirugía , Tetralogía de Fallot/cirugía , Adolescente , Anastomosis Quirúrgica/métodos , Niño , Circulación Extracorporea , Hemodinámica , Humanos , Cuidados Paliativos , Complicaciones Posoperatorias/fisiopatología , Reoperación , Esternón/cirugía , Tetralogía de Fallot/fisiopatologíaAsunto(s)
Neoplasias Cardíacas/cirugía , Mesotelioma/cirugía , Mixoma/cirugía , Sarcoma/cirugía , Adolescente , Adulto , Niño , Femenino , Humanos , Masculino , Persona de Mediana EdadAsunto(s)
Circulación Sanguínea , Pericarditis Constrictiva/fisiopatología , Pericardio/cirugía , Adolescente , Adulto , Anciano , Niño , Preescolar , Hemodinámica , Humanos , Lactante , Persona de Mediana Edad , Pericarditis Constrictiva/cirugía , Pletismografía de Impedancia , Periodo Posoperatorio , Factores de TiempoRESUMEN
The study included 10 patients with anomalous development of the aortic arch, of whom 5 had a double aortic arch, 5 had anomalous branching of the right subclavian artery with the formation of a vascular ring. 5 patients were operated with good long-term results during a 15-year follow-up period.