1,721,018 research outputs found
LA CHIRURGIA VALVOLARE IN CORSO DI ENDOCARDITE INFETTIVA ACUTA
No full textSu 896 protesi, impiantate in un decennio nel centro Cardiochirurgico di Parma, 43 volte l'indicazione all'intervento fu posta per la presenza di una endocardite batterica acuta. Sulla scorta di queste osservazioni, vengono presi in considerazione diversi elementi, che possono portare alla diagnosi precoce ed alla corretta indicazione terapeutica. Dopo avere dettagliatamente riferito i risultati immediati ed a distanza, gli Autori insistono sulla necessità di instaurare precocemente una terapia antibiotica mirata, che deve poi essere proseguita per un adeguato periodo, al fine di prevenire pericolose recidive
Bypass aorto coronarico circolare: risultati immediati ed a distanza.
No full textAt Cardiovascular surgery department of Parma, from January 1984 through December 1985, myocardial revascularization with aortocoronary circular sequential vein graft technique was performed in 48 patients with severe and diffuse coronary stenosis and with saphenous vein with large caliber. There were no operative deaths, bypass/patient ratio was 5:1 and 6 patients underwent combined cardiovascular surgical procedures. The incidence of perioperative myocardial infarction was 4,1%. At mean follow-up interval of 37,35 mounths (ranging from 21 to 46) survival rate was 93,8% (1 non cardiac death occurring) and 4 patients (8,8%) had anginal recurrence medically treated. We concluded that in patients with clinical and perioperative features such as large saphenous vein, multiple distal coronary lesions, the aortocoronary circular bypass technique is indicated; moreover, because of its dependency on single proximal aortic connection this procedure should not been considered as an alternative method of myocardial revascularization, but can be used in selected coronarographic and intraoperative cases
Unilateral pulmonary embolectomy without extracorporeal circulation. A report of a clinical case
No full textThe surgical treatment of pulmonary embolectomy is currently indicated for acute massive obstruction of the pulmonary artery with severe haemodynamic failure and, as in this case, when medical treatment with anticoagulants or thrombolytic drugs is contraindicated. In this work, the Authors focus on the technique of unilateral pulmonary embolectomy through a median sternotomy; this approach allowed an easier and safer embolectomy without extracorporeal circulation
Asymptomatic patient reoperated on for severe proximal stenosis of circular sequential vein graft.
No full textThe case is described of a fifty year old man who underwent coronary bypass surgery using the circular sequential vein graft technique. At follow-up study (6 months after operation), despite his asymptomatic status, the effort test revealed antero-lateral myocardial ischemia. A coronary angiography showed a 90% proximal stenosis of the graft at 1.5 cm from the aortic anastomosis. The patient was reoperated on and the circular graft was reconstructed. Despite the severe stenosis this technique of myocardial revascularization has developed intercoronary anastomoses, improving the cardiac contractility and avoiding further clinical complications
Risultati immediati ed a distanza degli interventi sulla valvola mitrale associati a rivascolarizzazione miocardica.
No full textSulodexide versus ASA+dipirydamole after coronary bypass graft: assessment with Thallium-201 imaging
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