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Biomedical subjects

N V Mandke

Publications and source records attributed to N V Mandke.

9 recordsLinked to original sources

Intra myocardial dissecting hematoma with epicardial rupture - an unusual complication of the Octopus 3 stabilizer.

Stabilizer devices have revolutionized off-pump coronary artery bypass surgery. They stabilize the myocardial wall locally and allow the surgeon to accurately place anastomotic sutures without the need of establishing CPB and without much compromise in patient hemodynamics. We report here an unusual complication of an intramyocardial dissecting hematoma with epicardial rupture caused after using the Octopus 3 stabilizer.

Aged↗

Repair of left superior vena cava entering the left atrium.

Connection of an anomalous left superior vena cava to the left atrium is an uncommon lesion that is usually associated with other complex intracardiac malformations. A technique for diverting the anomalous caval return along the left atrial roof and into the right atrium is presented. This simple tunnel method avoids potential obstruction to systemic and pulmonary venous return and leaves viable atrial tissue comprising the majority of the new pathway. The technique and results in 7 patients are described.

Adult↗

Repair of congenital pulmonary venous stenosis with living autologous atrial tissue.

Repair of localized bilateral congenital pulmonary venous stenosis with living autologous atrial tissue was accomplished in two patients, 3 and 4 months of age. The tip of the left atrial appendage was opened and used as an onlay patch to widen the stenotic area of the left pulmonary veins, leaving a double pathway for venous return. A flap of interatrial septum was evaginated through an incision in the right side of the left atrium and used as an onlay patch to widen the stenotic area of the right pulmonary veins. Effective relief of obstruction was demonstrated by nearly normal postrepair pulmonary artery pressure in each and early postoperative angiography in one. Although we believe this method of repair will increase the probability of a lasting result, further experience and subsequent late reevaluation are needed to demonstrate its long-term effectiveness.

Female↗