[Large intra-auricular thrombosis. Report of 8 operated cases].
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Biomedical subjects
Publications and source records attributed to M García Cornejo.
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It is presented a pulmonary artresia case with untouched interventricular partition wall surgically treated. It was established the continuity between right ventricle and pulmonary artery's trunk with duramater ceiling, for which it was made a pulmonary valve. Postoperation evolution was excelent and it was obteined a frank diminution of the right ventricle's systolic pression. It is discussed about therapeutic conducts in this kind of congenital badformation.
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A case of congenital intrapericardial aneurysm of the left atrium associated with functional mitral insufficiency is described; it was resected successfully. Clinical, radiographic, vecto-electrocardiographic, ecocardiographic and angiocardiographic findings are shown. Those are compared with those of other nine similar cases. The finding of qR or QS complexes in L-I and a VL in the electrocardiogram as a sign of left atrial enlargement and eco-fre space posterior to the left ventricular endocardium in the ecocardiogram is mentioned as useful data in the diagnosis of left atrial aneurysmal dilatation not previously reported. Considering that the surgical result is always good, it is concluded that the congenital intrapericardial aneurysm of the left atrium is a rare malformation which needs to be resected irregardless of the presence or absence of arrhythmias, embolisms or heart failure.
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It is presented the experience in the first 60 patients with duramater's prothesis. It is exposed the methodology which was utilized for these patients, in the same manner, the valve's confection technic. There are signaled the advantages, over mechanic valves, that these prothesis have, specially the no utilization of anticoagulatings, a minor incidence of tromboembolic phenomena, insignificant transvalvular gradient, major resistance to infection, central flux, minor turbulence and lower cost. It is informed about the obtained results with electrocardiographic, radiologic, phonomechanocardiographic, echocardiographic and haemodynamic postoperation studies, evolution after two years has been very good, 90% of the patients shows substantial improvement and only 30% need to take anticoagulants. There were 5 hospital deaths and 1 late death by hepatitis.
It is communicated an isolated mytral insufficiency case, secondary to thorax's penetrative wound by steel arm. There are commented the clinic discoveries, phonomechanocardiographic, echocardiographic, haemodynamic and operation results of a unique orifice in the mytral's septal valve with important overflow. When perforation was sutured it was necessary reoperate it in order to suture's dehiscence and valve's substitution by a Bjork-Shilley's prothesis. The patient persists asymptomatic 35 months after intervention.
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