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Biomedical subjects

N Goebel

Publications and source records attributed to N Goebel.

At least 55 records · Page 3Linked to original sources

[Acute aneurysm with prerupture of the left ventricle following inferior infarct].

A large infero-posterior aneurysm of the left ventricle following myocardial infarction is reported, which still showed the echo- and angiocardiographic criteria of a true aneurysm. Because of concomitant pericardial effusion a prerupture was suspected. A resection showed that the wall of the aneurysm was composed of epicardium and thrombi only.

Angiocardiography

[Follow-up of familial idiopathic dilatation of the right atrium].

In 1979 the diagnosis of idiopathic enlargment of the right atrium had been made in four members of a family, living in the northeastern part of Switzerland. A 5-year follow-up study of these four patients by ECG, chest X-ray, bicycle-ergometry and echocardiography showed a variable evolution: One of the two patients with the originally largest atria, showed further massive enlargement of the right atrium, combined with tricuspid insufficiency. One presented unchanged echo findings. In the other two patients with originally smaller atria a discrepancy of the course was also observed: in one right atrial size increased considerably (with appearance of atrial flutter), in the other patient the size of the atrium remained unchanged. In both patients a pericardial effusion occurred. Subjective symptoms and physical working capacity did not change in the four patients.

Adult

[Aneurysm of the membranous septum. Angiocardiographic study].

Amongst 9000 patients on whom angiocardiograms had been carried out, a membranous septum aneurysm (MSA) was found in 47. In nine patients out of 27 the MSA could be demonstrated by sonography. The most common abnormalities accompanying this lesion were disturbances in rhythm and conduction (in 29 patients), ventricular septal defect in 29 and aortic insufficiency in 14. Complications included bacterial endocarditis in five patients (three with aortic insufficiency and two with sepsis lenta), aortic insufficiency (which was not of rheumatic or bacterial origin in three patients with conduction defects) and thirteen patients with abnormalities of cardiac rhythm with small VSDs.

Adolescent

[Heart luxation following pneumonectomy].

A herniation (with torsion) of the heart trough a dehiscent pericardial suture was observed on the second postoperative day after right-sided pneumonectomy, when shock symptoms developed. Chest x-ray was diagnostic and lead to rethoracotomy with successful reposition of the heart.--Another case showed an atypical bulge of the heart contour after pneumonectomy with partial pericardial resection. It was caused by pericardial fat, sutured on the defect for occlusion.

Heart Diseases

[Lipoma of the left ventricle and insulinoma of the pancreas].

In a 59-year-old woman with cerebral attacks a left ventricular tumor was detected by two-dimensional echocardiography and confirmed by angiocardiography. The tumor was considered a source of embolism and resected. It proved to be a lipoma. Recurrent cerebral attacks finally led to the diagnosis of an insulinoma of the pancreas. After resection the cerebral attacks ceased.

Adenoma, Islet Cell

[Fascioliasis hepatis--computed tomographic aspect].

In a patient with liver fascioliasis (already excreting eggs with the faeces) a CT scan of the liver showed after i. v. contrast injection a relatively characteristic aspect with multiple, small, hypodense areas, partly in formations of bunches of grapes, partly in a street-like arrangement towards the portal vein - bile duct - areas. 9 months later the hypodense lesions had markedly decreased.

Fasciola hepatica

[Progression of coronary stenosis following aorto-coronary bypass surgery].

In a prospective study (238 men, mean age 53 years) the changes in native vessels were studied 3 months after aorto-coronary bypass operation and 5 months after preoperative angiography. Progression was defined as increase in stenoses of at least 20% or new total occlusion. Progression was significantly more frequent in vessels with bypass than without; it was located proximally to the anastomoses in most cases, less frequently at the anastomoses and very rarely distally to the anastomoses. Proximal progression was significantly more frequent with open bypasses than with occluded ones. Stenoses at the anastomoses were significantly more frequent with occluded bypasses than with open ones. More severe stenoses had a stronger tendency to progression than less severe stenoses. Regression was rare and nearly always caused by surgery.

Aortic Valve Stenosis