Showing papers in "The Annals of Thoracic Surgery in 1979"

TL;DR: Eight patients with intrathoracic esophageal disruptions were managed nonoperatively and without pleural drainage, with minimal symptoms; and minimal signs of clinical sepsis.

TL;DR: Analysis of poor results after myotomy indicates that late serious complications of gastroesophageal reflux developed in only 3% of patients operated on, which is an uncommon but major complication of both types of therapy.

TL;DR: From 1960 to 1977, 663 resections for pulmonary metastases were performed in 448 patients, 202 with a sarcoma and 246 with a carcinoma, and the majority of the patients (70%) had wedge resection or segmentectomy.

TL;DR: Regionalally inadequate cardioplegic protection during coronary artery bypass graft operation may contribute to perioperative infarction and LV dysfunction, and appropriate timing of anastomoses to ensure early cardioleongic perfusion of all ischemic myocardium is important.

TL;DR: In this setting where blood conservation is already aggressively practiced, the ability of the technique to further reduce the use of banked blood following cardiac surgical procedures was not demonstrated.

TL;DR: The augmented series suggests that myasthenia no longer carries this stigma, possibly because of improved methods in its management in patients who have undergone operation.

TL;DR: Segmental resection was performed on 168 patients with peripheral, Stage I bronchogenic carcinoma from 1957 to July 1, 1978, with patients with epidermoid lesions having the most favorable prognosis.

TL;DR: In 6 patients, 5 of whom had situs ambiguous, the unroofed coronary sinus was associated with complex congenital heart disease, and in 5 there was a L(contralateral) SVC, three of these 6 patients died.

TL;DR: Preservation of all or part of the posterior leaflet and its chordae tendineae does not appear to interfere with prosthetic valve function and, by reducing the risk of ventricular rupture, should enhance survival after mitral valve replacement.

TL;DR: A prospective study of blood utilization in 50 consecutive patients undergoing elective coronary artery bypass was undertaken, and 95% of the patients received no bank blood or blood products during their hospital stay.

TL;DR: From January, 1971, to January, 1977, 26 patients underwent surgical resection of a carcinoma of the superior pulmonary sulcus, and twenty-five patients survived operation.

TL;DR: The operative experience is used to emphasize the urgency of precise diagnosis and surgical management of this poorly recognized clinical syndrome.

TL;DR: The present review collects and examines the clinical results of all techniques designed to treat a recurrent malignant pleural effusion and recommends intrapleurally administered tetracycline with thoracostomy drainage as the technique of choice.

TL;DR: Surgical experience since 1975 in 39 patients confirms the idea that primary repair is feasible in small infants, and the highest risk of hospital death is when the operation is done in the early months of life; it falls to 17% by age 12 months.

TL;DR: Of the 5 patients with injury due to blunt trauma, three had avulsions of the right main bronchus from the trachea, and the subsequent course was generally good in all patients.

TL;DR: In contrast to perioperative autotransfusion techniques, collection and reinfusion of shed mediastinal blood is particularly useful for intravascular volume replacement in patients with serious postoperative bleeding.

TL;DR: Patients with Pancoast's tumor treated at the University of Maryland Hospital between 1955 and 1978 were reviewed, and retrospective staging of 42 patients undergoing operation indicated that 22 (52%) were inoperable.

TL;DR: Three patients with anomalous origin of the right coronary artery from the pulmonary artery are presented together with a review of the 14 patients with this anomaly previously reported, finding no diagnostic electrocardiographic or chest roentgenographic changes.

TL;DR: It is concluded that patients should undergo mitral valve replacement before the development of the advanced functional stage of valve disease, and coronary arteriograms should be performed on all patients who are more than 40 years old at the time of cardiac catheterization, and revascularization considered at thetime of mitral valves replacement for those patients with significant coronary disease.

TL;DR: In 50 patients undergoing cardiac operation, hypothermic cardioplegic solution was infused into the root of the aorta immediately after aortic cross-clamping, and widespread differences in this temperature during cardiac operation make monitoring advisable for optimal myocardial protection.

TL;DR: Excluding those patients with undifferentiated small cell carcinoma, segmental resection in this compromised group offered a good chance for cure while providing reasonable palliation, and this procedure should be considered as a surgical option to other modalities of treatment commonly offered to these individuals.

TL;DR: The patency rate for saphenous vein grafts compares favorably with the reported patency for internal mammary grafts when critical factors such as vessel size and degree of stenosis are considered in bypass selection.

TL;DR: From 1965 to 1978, 111 patients underwent combined operation for ascending aortic aneurysms and aortIC valve insufficiency, and the mortality rate for repaiajor complication after incomplete resection of the aortsic root was high.

TL;DR: The evaluation of excessive hemorrhage was carried out in 774 patients after cardiopulmonary bypass and hyperfibrinolytic bleeding was the most frequently identifiable coagulation disorder and occurred in 159 patients (20%).

TL;DR: Cold blood with potassium, 34 mEq/L, was compared with cold blood and with a cardioplegic solution, and ATP and ADP were lowest in hearts perfused with cardiographers, and CP and ATP did not return to control in any group.

TL;DR: An approach is recommended using gallium scanning along with chest roentgenograms for clinical staging and preoperative evaluation of patients with carcinoma of the lung, and specific organ scans should be reserved for the occasional symptomatic patient with a negative gallium scan or for clarification of an indeterminate galliumscan.

TL;DR: Although calcification of the porcine heterograft is known to occur in patients with infection or disorders of calcium metabolism, dysfunction of the heterografted is rare in the experience.

TL;DR: It is concluded that catecholamines and the renin-angiotensin system contribute to the production of postoperative hypertension and that pulsatile flow diminishes renin stimulation, which results in a decreased incidence of postoperatively hypertension.