Severe left ventricular outflow tract obstruction despite sliding leaflet technique for repair of the mitral valve.
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Cardiac Surgical Procedures↗
Biomedical subjects
J Vandommele
Publications and source records attributed to J Vandommele.
Isolated left sided superior vena cava draining into the left atrium associated with recurring intracerebral abscesses. A case report.
A case is reported of recurrent intracerebral abscesses occurring in a patient with isolated drainage of a persistent left superior vena cava to the left atrium without causing cardiac symptoms or arterial desaturation. The diagnosis and therapy are discussed.
Adult↗
Pulmonary embolism confirmed by transoesophageal echocardiography.
A 60-year-old patient suffered a pulmonary embolism following the application of an Esmarch and pneumatic tourniquet before arthroscopy of the knee. The diagnosis was suspected because of sudden hypotension, ECG changes, a decrease in end-expiratory carbon dioxide concentration and oxygen desaturation as indicated by pulse oximetry. Before performing a sternotomy and cardiopulmonary bypass for removal of pulmonary artery clots, the diagnosis was confirmed by the demonstration of severe right ventricular strain using transoesophageal echocardiography.
Arthroscopy↗
Anesthesia for trauma.
Anesthesia of polytraumatized patients represents a considerable risk for them. The proper treatment of a polytraumatized patient comprises the rapid stabilisation of all his vital functions. At the same time, the attempt must be made to achieve a complete picture of all his injuries in order to be able to select a reliable and safe anesthetic procedure. Over and beyond this, a continuation of all intensive care measures, in particular the optimalization of blood volume, the maintenance of gas exchange, the support of the cardiac, and the balancing of the acid-base and electrolytes, is of the greatest importance for an effective treatment of the polytraumatized patient.
Acid-Base Equilibrium↗