[The antro-pyloric residue in the pathogenesis of the gastric postoperative ulcer].
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Biomedical subjects
Publications and source records attributed to F Fesani.
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Late clinical and istological changes. The Authors studies clinical and istological changes in dogs underwent to actue myocardial ischemia and follow revascularization after six hours. The experience infer that while clinical and ECGraphic changes had a patency grow worsing after revascularization, istological changes presents a reduction of necrotic area with functional improvement of little myocardial areas strictly interested by ischemia.
This paper described the various types of procedures used for cardiopulmonary bypass related to the operative procedures. The Authors emphasize emodiluition and hypothermia as local as general recommend a limited use of coronary perfusion.
This study was undertaken to evaluate the efficacy of hypothermic extracorporeal circulation for cerebral protection in 17 patients having simultaneous carotid endarterectomy and cardiac operations. The cardiopulmonary by-pass (CPB) was conducted using total hemodilution. The body temperature was cooled to 25 degrees C and the heart was arrested with cardioplegic solution. The carotid endarterectomy was performed first followed by the cardiac operation. No neurological or cardiac complications occurred. These results support the reliability of hypothermic cardiopulmonary bypass as a method of providing cerebral protection during simultaneous cardiac and carotid surgical procedures.
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A case of right atrial hemangioma as a rare tumor of the heart is reported. Because of its single, pedunculated mass, surgical excision of the tumor resulted in the complete treatment. Histologically, it was classified as arteriolar type. The importance of recent non-invasive techniques to diagnose these tumors during life is emphasized.
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The 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.
The authors report the clinical haemodynamic and angiographic data and early and late postoperative results of 179 patients consecutively operated on for left main coronary artery stenosis. Operative mortality was 3.9%; incremental risk factors were identified by univariate analysis and included female sex, unstable angina pectoris and congestive heart failure. Late postoperative mortality was 4.9%. After a mean follow-up of 31 months overall survival is 91.6%; the great majority of survivors are doing well, free from anginal pain, while 16.4% of patients experience recurrent angina pectoris of lesser severity than before operation (I-II C.C.S. class) and well controlled by medical treatment alone.
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