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Biomedical subjects

J F Conso

Publications and source records attributed to J F Conso.

At least 37 records · Page 2Linked to original sources
PubMed1978

[A new anatomo-clinical entity? The left superior vena cava obstructing the interior of the left atrium in association with a left-right shunt. Apropos of 2 cases].

The association of a left-right shunt with obstruction to the pulmonary venous return must not be ignored. Failure to recognise this may be fatal post-operatively. We have described here what we believe to be a new cause of supra-mitral obstruction: an abnormal left superior vena cava. The echocardiogram was essential in the diagnosis, and allowed us to establish, after surgical correction, that all abnormalities of the left auricle had disappeared.

Echocardiography↗
PubMed1978

[Aberrant left pulmonary artery. Apropos of 5 operated cases].

The authors report 5 cases of aberrant left pulmonary artery undergoing surgery with 3 successful results and 2 failures; 4 of the 5 operations were carried out through a sternal split with either extra-corporeal circulation or circulatory arrest and profound hypothermia. The authors have reviewed the cases reported in the literature which amount to 78, 51 of which have been operated on surgically, the condition having been corrected in only 34 of them. They have studied particularly the incidence of associated tracheo-bronchial lesions which are themselves the reason for the seriousness of the condition, as well as the longterm results and the possible incidence of thrombosis in the anastomosis. By contrast with the views of Sade, the authors are optimistic about the results which have been obtained in the survivors.

Abnormalities, Multiple↗
PubMed1977

[Unexpected findings during surgery for interventricular communication and for banding of the pulmonary artery in the infant and child].

While the authors recognise the difficulty of obtaining a complete picture of the lesion in certain types of ventricular shunt with pulmonary hypertension, they emphasise the importance of a precise diagnosis, which may modify the medical treatment and the decision to operate. Conditions may nevertheless be found by surprise at operation, and lead to a modification of the planned action.

Child, Preschool↗
PubMed1977

[Tuberculous mediastinal adenopathy in a child].

One case of mediastinal tuberculous lymph node with fistulae into the esophagus is reported in a 9 years old girl. The first symptom was the appearance of epigastric abdominal pain, with secondary dysphagia. The diagnosis was confirmed by histology after thoracotomy and surgical excision. Esophageal tuberculosis is rare and seems to be secondary to contamination from mediastinal lymph nodes. Treatment is always medical and often requires surgery.

Biopsy↗
PubMed1976

[The direct closure of interventricular communications in infants].

The authors report the greatest number of cases of closure of Inter-Ventricular Communication of the newborn published to date. The use of the new technique of deep hypothermia and extra-corporeal circulation, together with the improvement of post-operative care, have permitted them to obtain results which are particularly satisfactory.

Cryosurgery↗
PubMed1976

[Surgical correction of ventricular septal defects treated by banding the pulmonary artery. Apropos of 38 cases].

The authors report their experience with two-stage surgical treatment of severe ventricular septal defects in babies: initial banding of the pulmonary artery, followed by closure of the ventricular septal defect and removal of the band by an open-heart technique. Out of 162 operations to band the pulmonary artery, 90 were for cases of ventricular septal defect. The mortality was low (9.1%) when there was a ventricular septal defect with or without a patent ductus. It is considerably higher (31.4%) when there is a coincident coarctation of the aortic isthmus. So far 38 children have had the second operation, with 2 deaths. The authors have studied the surgical problems and the long-term results (6 months to 3 years follow-up) in the first 29 patients undergoing surgery. Although the results from this two-stage operation are good, when the authors take into account their current experience with one-stage closure of ventricular septal defects in the babies, they feel that this latter technique is to be preferred. Reservations must, however, be expressed when the child is very young (Weighing 3.5 kg or less), when there are multiple defects between the ventricles, and when the defect is severe, with a combination of VSD, patent ductus and coarctation of the aorta, and sometimes when the opertion must be carried out as an emergency.

Aortic Coarctation↗
PubMed1976

[First stage closure of badly tolerated ventricular septal defects in the infant].

The authors report their experience of one-stage closure of poorly-tolerated ventricular septal defects in small children and babies. They use both extra-corporeal circulation and profound hypothermia. The results which they present have been very encouraging. They emphasise the fact that the closure is not complete after surgery, and that most of the murmurs which persist post-operatively disappear gradually. Of the neurological defects which were seen in two cases after surgery (one after profound hypothermia and one after extra-corporeal circulation) one resolved completely; in the other (in which there was a cardiac arrest followed by cardiac massage for one hour) certain intermittent visual defects have persisted. All of the other children can now be regarded as normal.

Age Factors↗
PubMed1976

[Surgical treatment 0f 52 obstructive cardiomyopathies. 11-year experience (1964-75)].

The authors present their 11 year experience of treating severe cases of obstructive cardiomyopathy which were resistant to medical treatment. They consider that myotomy is the simplest procedure (it is always effective) in this mysterious disorder for which it must be admitted that there is no treatment that is entirely satisfactory.

Cardiomyopathy, Hypertrophic↗