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Biomedical subjects

M Higo

Publications and source records attributed to M Higo.

30 records · Page 2Linked to original sources

Permanent pacemaker implantation in patients over 80 years of age.

During the past five years, 150 pacemaker implantations have been done at Hiroshima Prefectural Hospital for the treatment of atrioventricular block, sick sinus syndrome, or slow heartbeat with atrial fibrillation. The patients were divided into two groups by age: the older group of 18 patients over 80 years of age and the younger group of 132 patients under 79 years of age. A comparative study of these two groups was undertaken with respect to pre- and postoperative courses, underlying diseases, cardiac output at variable pacing rate, capture threshold, and prognosis. The older group has as satisfactory a course as the younger group. Seventeen patients out of 18 (94%) in the older group are leading normal productive lives at this writing, and 119 out of 132 (89%) in the younger group are also doing well. In the light of this five-year comparative study, it can be concluded that it is safe and rewarding to implant prosthetic cardiac pacemakers in symptomatic patients over 80 years of age.

Adolescent

A case report of surgical repair of traumatic rupture of the pericardium and diaphragm.

A 55 year-old male with traumatic rupture of the pericardium, diaphragm and spleen, and with crush of the pancreas was successfully operated upon. The diagnosis of rupture of the diaphragm was done on the chest X ray on admission, and the rupture of the pericardium was diagnosed at the time of laparotomy and thoracotomy. The ruptured spleen and the crushed pancreas tail were removed, and the ruptured pericardium and diaphragm were closed successively.

Accidents, Traffic

Occipitocervical fusion by Luque loop rod instrumentation in Down syndrome.

Four children with Down syndrome who had developed atlantoaxial dislocation and myelopathy underwent occipitocervical fusion with Luque loop rod instrumentation and decompressive laminectomy of C1. The postoperative results are presented and the indications discussed. This procedure provides many advantages in the surgical treatment of Down syndrome compared with the conventional procedures, because of the associated mental retardation that makes the postoperative management very complicated.

Atlanto-Axial Joint