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Biomedical subjects

E L Flamand

Publications and source records attributed to E L Flamand.

13 recordsLinked to original sources
PubMedDate not supplied

[Vascular rings].

Anomalies in the development of aortic arches may cause the formation of a vascular ring around trachea and esophagus, responsible for compression symptoms. The most frequently found vascular rings are the double aortic arch, the right arch with left ligament and the retroesophageal right subclavian artery. The diagnosis is established by means of contrast esophagogram. Surgery is usually done through a left posterolateral thoracotomy to dissect widely the retroesophageal area, after liberating the obstruction by section of a secondary vessel. Three cases are reported to illustrate the most frequent types of vascular rings and their management.

Angiography↗
PubMedDate not supplied

[Turner's syndrome and heart surgery. Presentation of 3 clinical cases].

Three patients with Turner's Syndrome are shown; one associated with coarctation of the aorta, other with patent ductus arteriosus and the last one with congenital valvular aortic stenosis. The cytogenetic and clinical picture of the disease are reviewed, also its association with some cardiovascular malformations. The results of the surgical treatment of the congenital heart disease are reported. The difficulties to establish the operatory indication are described and besides the technical problems that occur frequently in these patients.

Adolescent↗
PubMedDate not supplied

[Surgical correction of acute congenital cardiopathies in the newborn infant].

The experience of the Cardiac Surgery Service at the Hospital del Niño IMAN with the deep hypothermia method and hemodynamic arrest is shown in 30 infants with severe congenital cardiac malformations. The procedures followed before and during the operation are carefully described in their three aspects; anesthesia, extracorporeal circulation and surgery, including postoperative care. Ventilatory assistance is stressed. Results are analyzed considering postoperative evolution; stress is made on the causes of morbidity and mortality. Considering the results of this and other similar reports, we believe that the deep hypothermia method and heart arrest in treating severe cardiac malformations in infants are of outstanding importance since they have significantly improved results in these problems.

Anesthesia, General↗
PubMedDate not supplied

[Surgical treatment of pulmonary valve stenosis].

"Open" pulmonary valvotomy with vena cava occlusión and normothermia was first performed by Varco in 1950, but the procedure was abandoned with the arrival of extracorporeal circulation. This paper compares two groups of patients who were operated with Varco's procedure and extracorporeal circulation. Similar data of both procedures are analyzed as well as their advantages and disadvantages. It is concluded that Varco's proceduce is useful in well selected patients with no associated anomalies in which the possibility of complications of extracorporeal circulation is avoided. Also, equipment, personnel, surgical time and stay in the Intensive Care Unit and in the hospital are reduced, saving cost as much as 50%.

Body Temperature↗