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Biomedical subjects

J E Fossdal

Publications and source records attributed to J E Fossdal.

11 recordsLinked to original sources
PubMed2001

Aortic dissection: natural course of disease? Report of two cases representing the extremes of the condition.

OBJECTIVE: In a time when diagnostic methods and above all, surgical as well as interventional radiological treatment for aortic aneurysms and aortic dissections have reached a point nobody could think of a few years back, the present authors feel that it is worth while to remind oneself of the natural course of disease in these conditions. Taking into consideration the high morbidity and mortality rate in surgically treated patients with aortic dissection, and the high complication rate per- and postoperatively, it also seems right to ask if a more expectative and conservative approach to the condition sometimes perhaps may be justified. METHODS AND MATERIAL: Two case reports are given. One was a 15-year-old boy with Stanford (Daily) type B dissection who statistically ought to have a good prognosis, but who died within 2 h after onset of symptoms. The other patient, a middle-aged woman with Stanford type A dissection, survived for 25 years without operation. CONCLUSION: These two cases, though not unique viewed separately, we consider to represent the extremes of the condition and also a natural course of disease, while none of them was operated on.

Adolescent↗
PubMed1994

[Ureteral obstruction and hydronephrosis. A complication after aortic bypass surgery].

Ureteral obstruction is a rarely reported complication of reconstructive surgery on the aorta. It is often an asymptomatic condition seen several years after the initial operation. The true incidence is unknown, but is estimated to 1%. As delayed hydronephrosis appears to be a marker of present graft complications, the patients should be closely evaluated. Two cases of ureteral obstruction are described and the management of this complication is discussed.

Aged↗
PubMed1990

Traumatic rupture of the thoracic aorta. A clinicopathological study.

In a county hospital serving a population of roughly 240,000, the hospital records from the period 1982 to 1987 included 27 patients who presented with traumatic rupture of the thoracic aorta. Eighteen patients died instantaneously, one was dead on admission, five died in hospital and three survived operation. Two patients had direct cross clamping of the aorta and Dacron interposition graft soon after admission; both survived. The third patient had a Gott shunt and Dacron interposition graft the day after the accident and survived with paraplegia. In all patients who died in hospital except one, the condition was not diagnosed before death. We conclude that traumatic rupture of the thoracic aorta occurs more frequently than is generally thought. Although most patients die at the scene of the accident, a liberal use of angiography is indicated in all trauma cases admitted to hospital with a history of a forceful deceleration or acceleration injury.

Accidents, Traffic↗
PubMed1986

Early complications with a new bovine arterial graft (Solcograft-P).

In three separate centers of vascular surgery in Norway, a total of 26 patients underwent implantation of a new bovine arterial graft (Solcograft-P) for femoropopliteal or femorotibial bypass or arterial patch-plasty. Serious complications--graft deterioration and formation of aneurysm or pseudoaneurysm--arose in eight patients, all within 4 months after the implantation. In central Europe only four anastomotic pseudoaneurysms have been reported after about 700 Solcograft implantations, even with longer observation time. Possible causes of the difference in complication rates are discussed.

Aged↗
PubMed1977

Visceral ischaemia following coeliac- and superior mesenteric artery occlusion. Report of a case.

A patient with acute ischaemia of the abdominal organs after coeliac- and superior mesenteric artery occlusion is reported. Following vascular reconstruction and resection of gangrenous colon and ileum the main early postoperative problem was hepatic failure. A grave malabsorption syndrome developed necessitating periodic i.v. hyperalimentation. The patient showed no improvement of intestinal function and died 5 months postoperatively from peritonitis.

Acute Disease↗