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J W Yarbrough

Publications and source records attributed to J W Yarbrough.

11 recordsLinked to original sources

Surgical treatment of ventricular septal rupture complicating myocardial infarction.

A review of postinfarction ventricular septal defects repaired surgically at Providence Hospital over the past 6 years is presented. Although this complication of myocardial infarction carries a high mortality rate, a lower rate can be achieved with early operative intervention. Preoperative pharmacologic reduction of preload, afterload, and intra-aortic balloon pumping are only temporizing measures to allow delineation of concomitant lesions. Operative mortality does not appear to be influenced by posterior location of the ventricular septal defects.

Aged

Epicardial corkscrew lead fracture: an underreported cause of pacing failure?

Three children with a pacemaker sustained similar lead fractures within a two-year period. Each fracture occurred in the corkscrew portion of a Medtronic Model 6917 epicardial lead. All patients were boys. The leads had been in place for 12, 45, and 43 months prior to fracture. None of the patients had sustained major trauma. Fracture of the corkscrew lead has been considered an uncommon complication. However, three lead fractures in the corkscrew area in a population of 60 children followed at this institution indicate that this may be a more common cause of pacemaker-system malfunction than previous data suggest. A plea is made for reporting all pacing failure to the manufacturer.

Child

Facial paleness.

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Cardiopulmonary Bypass

Thoracic surgical problems associated with rheumatoid arthritis.

Nine cases are presented that represent nearly all of the pleural, lung, and pericardial manifestations of rheumatoid arthritis. Three of the 9 had lung biopsies for various reasons to confirm the presence of the rheumatoid change. Six patients had complications of the disorder that required thoracic surgical intervention. The operations included emergency exploration of an empyema cavity for hemorrhage, decortication of the heart and lung, permanent open empyema drainage, and tube thoracostomy. The fact that all of the patients withstood the major complications and major surgery proves that patients with severe rheumatoid disease can withstand major thoracic surgery whenever there occurs a problem that will further increase their disability or threaten their lives.

Adult