[Replacement of the superior vena cava by a Gore-Tex bifurcated prosthesis].
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Biomedical subjects
Publications and source records attributed to H Viard.
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The authors report a case of digestive hemorrhage due to rupture of oesophageal varices, for which treatment by means of a Prioton oesophageal clip was effective but followed by two rare complications: pyloric stenosis by migration of the balloon of the gastrostomy catheter and retention of the clip which required its removal by oesophagotomy. Analysis of the mechanism of these complications rarely encountered in the literature suggests a method of prevention.
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Forty four observations of patients with chronic or acute broncho-pulmonary affections were gathered over 6 years. All exploration tests for an obstructive etiology were negative. All these patients had a hiatal hernia by sliding with gastro-oesophageal reflux. In 27 patients the repeated pulmonary accidents, the importance of oesophageal symptomatology prompted a treatment of the hiatal hernia. In all these patients every pulmonary symptoms disappeared. In assessing some acute or chronic pulmonary affections, when etiology cannot by traced, besides considering anatomical, clinical and histological data, radiological and endoscopic examination should be undertaken to find gastro-oesophageal reflux.
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The case-history of a patient with calcified constrictive epicardopericarditis with rapidely progressive aggravation after digestive hemorrage due to excessive dose or oral anticoagulant therapy is reported. The occurrence of a cardiac tamponade has necessitated pericardectomy which has permitted to detect a partitionned hemopericardium. The surgical act was followed by gross improvement of both constrictive phenomenon and angina pectoris which have grounded the prescription of anticoagulant therapy. Anticoagulant therapy is likely responsible of the hemopericardium. Such facts are exceptionals in the course of constrictive pericarditis; diagnostic and therapeutic problems related to this complication are studied. The question of angina pectoris in the course of acute and chronic pericarditis is briefly studied by the way of this observation. Attention is drawed on the danger of the prescription of anticoagulant therapy in the course of some constrictive pericarditides.
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