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J L Ochsner

Publications and source records attributed to J L Ochsner.

179 records · Page 10Linked to original sources
PubMedDate not supplied

Javelin injury to the subclavian artery.

Penetrating arterial injuries are exceedingly rare in athletics. The successful repair of a traumatic transection of a subclavian artery resulting from a javelin injury is reported. The importance of a high index of suspicion and an expedient and thorough evaluation of penetrating cervical and supraclavicular injuries on the part of the athletic staff and the physician is stressed. Subclavian arterial injuries are discussed and pitfalls in their assessment are listed. The principles of surgical management are outlined.

Adolescent↗
PubMedDate not supplied

Chylopericardium after orthotopic heart transplantation.

Chylopericardium is an infrequent cause of pericardial effusions after heart surgery and to our knowledge has not been reported after orthotopic transplantation. We report the occurrence of chylopericardium in a heart transplant recipient who was successfully treated with a pericardial window, pericardiocentesis, and a diet rich in medium-chain triglycerides.

Chyle↗
PubMedDate not supplied

The approach to large left ventricular aneurysms. A report of three difficult cases.

We report the management and evaluation of three difficult left ventricular aneurysms from a series of 246 cases treated between 1970 and 1985. These three cases reflect our present approach to left ventricular aneurysms after previous aortocoronary bypass (case 1), aneurysms with distorted ventricular geometry and severe mitral regurgitation (case 2), and large, minimally symptomatic left ventricular aneurysms (case 3). All three cases had very little or no coronary artery disease, and the main purpose of surgery in them was primarily to correct ventricular pathology.

Heart Aneurysm↗
PubMedDate not supplied

Dr. Oscar Creech Jr.

Explore the source record for details and available documents.

General Surgery↗
PubMedDate not supplied

Neonatal aortic thrombosis: complication of umbilical artery cannulation.

Thrombotic occlusion of the abdominal aorta secondary to umbilical artery cannulation in two critically ill neonates with severe ischemia is presented. Emergency surgical treatment by abdominal aortotomy and thrombectomy resulted in survival of both patients. Details of the operative technique are reviewed. Etiologic factors predisposing to this disastrous complication are discussed. Recommendations for prevention and a logical approach to diagnosis and management are outlined.

Aorta, Abdominal↗
PubMedDate not supplied

Management of thrombotic complications of invasive arterial monitoring of the upper extremity.

Invasive arterial monitoring is essential intraoperative and perioperative management of vascular and cardiac patients. Complications resulting from arterial monitoring, although rare, can result in severe functional sequelae and loss of an extremity. Severe extremity ischemia and repeated thromboses in a 10-year-old male resulted from brachial arterial monitoring line. Multiple operative thrombectomies and systemic anticoagulation were unsuccessful. Limb salvage and arterial patency were achieved by saphenous vein patch angioplasty at site of arterial injury and intermittent intra-arterial streptokinase infusion placed into a natural side branch of the saphenous vein segment. Although many complications may result from arterial monitoring, the most serious is arterial thrombosis with impending digital or extremity gangrene. This constitutes a surgical emergency. When aggressive conventional surgical techniques alone fail to control catheter induced thrombosis, an innovative technique in combination with regional intra-arterial streptokinase therapy has been successful adjunctive measure in reestablishing microvascular patency resulting in limb salvage.

Arm↗