Biomedical subjects

J Bohm

Publications and source records attributed to J Bohm.

At least 37 records · Page 2Linked to original sources

PubMed1986

[Allogeneic heart-lung transplantation--present state and perspectives].

The paper gives a survey of indication, technique, immunosuppression as well as results of the isolated heart transplantation. The isolated heart transplantation represents a genuine therapeutic alternative for many hopeless patients with heart disease who cannot be helped neither with medicamentous nor with the usual cardiosurgical methods. In future the combined heart-lung transplantation might be an essential enlargement of the treatment of patients with terminal heart diseases and with a pulmonary hypertension or of patients with a terminal pulmonary disease.

Cardiomyopathies↗

PubMed1986

[2d operations in coronary artery surgery].

In coronary heart surgery, reoperations are performed on about seven per cent of all cases, primarily for progressive coronary artery sclerosis and sclerosis in autologous bypass veins. The problems relating to progressive coronary artery sclerosis and bypass sclerosis are expounded in this paper by the example of 14 patients, with reference being made to indications for recurrent surgical intervention for vascular reconstruction. Particular emphasis is laid on the surgical approach. With the given risk tolerable, coronary reoperation, today, is a genuine alternative in the treatment of recurrent angina pectoris, following bypass surgery. It is likely to enhance the patient's life expectancy and quality of life.

Adult↗

PubMed1985

[Heart valve replacement with myocardial revascularization].

Coexisting coronary artery insufficiency includes risks to patients with valvular heart disease, thus complicating management. In 15 patients requiring aortic or mitral valve replacement preoperative coronary angiography demonstrated severe coronary stenoses which were treated by bypass grafts with valve surgery. These combined operations turned out to be safe and effective.

Adult↗

PubMed1980

[The mammary-coronary anastomosis. Indications--advantages--problems].

In 25 (5.3%) of surgically treated coronary patients the mammarocoronary anastomosis was performed. A follow-up angiographic checkings made after 1 to 3.5 years proved its patency in all instances. The minimal lumen of the internal thoracic artery at the anastomosis site should be 1.5 mm. The use of the internal thoracic artery, with the appropriate indication, is limited to the anterior ventricular branches of the left coronary artery. The peculiarities of the operation are described.

Adult↗

PubMed1980

[Diagnosis and surgical technic of intramural coronary arteries].

384 patients with ischaemic heart disease were treated surgically. Out of 165 patients operated upon consecutively, in 38 (23%) an intramural course of coronary arteries was found. Peroperative diagnosis of the intramural course of the anterior interventricular branch is feasible with a high probability; diagnostic criteria were also elaborated for the intramural course of the marginal branch. Several aspects of the operation technique and tactics are discussed.

Coronary Angiography↗

PubMed1978

[Coronary heart disease; surgical aspects (author's transl)].

Aspects of indication, of the surgical technique as well as long-term results are discussed on the basis of own experiences in 279 coronary artery operations. Patients suffering from unstable angina pectoris should be operated on as soon as possible. In cases with stable angina pectoris due to a triple vessel disease the long-term results are better with surgery than without.

Angina Pectoris↗

PubMed1978

[Experimental studies on surgical therapy of acute infarct].

The authors examined the effects of reperfusion after temporary ischemia in 50 dogs. The morphologic alterations were documented by methods of electron microscopy, fluorescence microscopy, and histochemistry. Lactate and activity of glycogen phosphorylase were assessed. According to the results, the optimal ischemia interval is 30 to 60 minutes for rational application of reperfusion, while it is just possible after 120 minutes. After a 4-hours-period of ischemia reperfusion increase morphologic damage of myocardium and impairment of myocardial metabolism. Prolonged reperfusion of 7 days resulted in a reduced extent of infarction compared with controls. In non-ischemic myocardium the morphologic and metabolic alterations were less expressed. The effects of "no-reflow"-phenomenon and conclusions for clinical practice are discussed.

Animals↗

PubMed1978

[Reperfusion of the myocardium after acute ischemic lesion].

In a complex experimental study on 52 dogs the myocardium was examined after ischemia and reperfusion of various duration. Morphologic, metabolic, and functional findings proved that a short-term reperfusion after coronary occlusion for more than 2 hours has disadvantageous effects on the regression of ischemic lesions. During the early period (up to 3 days) this is caused by the "no-reflow" phenomenon. Combined qualitative and quantitative findings are required for correct appraisal of the ultrastructural alterations after reperfusion. In acute coronary occlusion, early revascularization after passing the crucial initial phase is advantageous, because the extent of myocardia necrosis is decreased by the prolonged reperfusion, thus leaving a larger myocardiac reserve in case of re-infarction. Clinical conclusions are drawn.

Animals↗

PubMed1976

[Enzyme-histochemical findings in the reperfused heart muscle of the dog (author's transl)].

Enzyme-histochemical changes due to temporary ischemia of canin heart muscle with subsequent reperfusion of the ischemic damaged muscle are described. In relation to findings in the rat, the first enzyme-histochemical changes were observed after two hours of coronary artery ligation. These changes were more impressive after 4 hours of ligation. A further increase was caused by the reperfusion.

Animals↗

PubMed1976

[Morphological and angiographic studies on mammary artery in coronary sclerosis].

Macroscopic and microscopic studies on the anterior interventricular ramus of left coronary artery, internal thoracic artery, and great saphenous vein were carried out 50 dead, aged 21 to 60 years. The internal thoracic artery was always normal whereas in 40 cases stenosing coronary sclerosis was found. At mammography, 25 patients with operable coronary obstruction also showed no degenerative alterations of this systematic artery. With a diameter of 1.5 mm in the 5th intercostal space the internal thoracic artery was fit for performing an anastomosis.

Adult↗

PubMed1975