Alterations of hemostasis associated with cardiopulmonary bypass.
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Biomedical subjects
Publications and source records attributed to N R Arbegast.
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Left atrial myxomas may present with signs of mitral valve obstruction, embolic phenomena or systemic disease. The diagnosis is suspected on clinical grounds and confirmed by angiocardiography. However, the tumor may be unexpectedly discovered on surgical exploration. Once the diagnosis is established, operation, using cardiopulmonary bypass, should be done promptly. A coexisting valvular lesion should be looked for. Complete cure may be expected, especially if the involved atrial septum is excised and repaired by patch replacement.
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Congenital diaphragmatic hernia must be seriously considered in the differential diagnosis of acute respiratory distress in neonates as well as in older infants who present with chronic progressive gastrointestinal and respiratory symptoms. An x-ray film of the chest is mandatory and is almost always diagnostic. Immediate nasogastric decompression of the stomach, with simultaneous fluid and electrolyte replacement and prompt surgical intervention offers the patient the best chance of survival.
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