PubMed HealthSearch

Biomedical subjects

J S Dorsey

Publications and source records attributed to J S Dorsey.

8 recordsLinked to original sources

Transection of the first portion of jejunum from blast injury in accidental discharge of a (2.75-inch aircraft) rocket from an F-15.

Injury to the small intestine and its mesentery, while common with penetrating abdominal wounds, is relatively uncommon in patients who have received nonpenetrating abdominal trauma. Review of larger series indicates that small bowel injuries occur in only 5-10% of trauma patients. The focus of this paper is: 1) to present a case of transected jejunum and retroperitoneal hematoma incurred through a blast injury from accidental discharge of a 2.75-inch folding fin aircraft rocket from an F-15; and 2) to discuss pathogenesis, diagnosis, and treatment that apply specifically to injuries of the small intestine exclusive of the duodenum.

Adult

Late complications of traumatic arteriovenous fistula. Case report and overview.

Traumatic arteriovenous (AV) fistulas produce several profound pathophysiologic and structural changes in the circulatory dynamics of the vessels associated with the fistula. Most of the changes are reversible with surgery. However, in longstanding AV fistulas, irreversible degenerative changes occur in the arterial wall and result in dilatation and thrombosis. This can make late closure technically difficult. This report presents a case of peroneal AV fistula of 18 years duration. The diagnosis, management, and complications of long-standing AV fistulas are discussed.

Angiography

Harvesting the greater saphenous vein with a subcutaneous vein remover.

A subcutaneous vein remover has been developed to facilitate harvesting of the greater saphenous vein. The technique described is applicable only to the segment of saphenous vein above the knee. This technique was used in 19 selected patients without complication; however, intraoperative and postoperative precautions are necessary to prevent bleeding and injury to the vein.

Coronary Artery Bypass

Aneurysms of the septum primum in adults.

Sixteen aneurysms of the septum primum were found at autopsy among 1,578 adults. Most occurred in individuals in their fifth or sixth decade. All aneurysms were asymptomatic and none were diagnosed before death. Fourteen bulged into the right ventricle. The aneurysm may develop in patients with a raised intra-atrial pressure but most seemed associated with normal intra-atrial pressures. A particular morphology of the fossa ovalis region may predispose the septum to aneurysm formation. Echocardiographic and angiographic features of the aneurysm need definition to distinguish them from those caused by other lesions.

Adult