Biomedical subjects

S A Kinard

Publications and source records attributed to S A Kinard.

13 recordsLinked to original sources

PubMed1979

Treatment of microemboli of the upper extremity.

A patient with microembolism of the left hand from an ulcerated lesion in the proximal part of the left subclavian artery was treated by a simple procedure for removing the embolic source from the arterial circulation. Through a supraclavicular approach, the subclavian artery was divided from the aorta distal to the lesion and anastomosed to the left common carotid artery. This technique was effective not only in restoring unobstructed distal circulation but also in avoiding the use of the more complicated thoracotomy.

Aorta, Abdominal↗

PubMed1977

Pseudoaneurysm of atrioventricular groove. A late complication of mitral valve replacement.

This report describes an unusual late complication of mitral valve replacement in which a false aneurysm of the atrioventricular groove produced compression on the circumflex coronary artery and myocardial infarction. The cause of this condition is not well explained, but its potential is present whenever there is early separation of the mitral anulus from the fibrous skeleton of the heart. Early hematoma formation resulting in frank perforation and hemorrhage has been reported, but late pseudoaneurysm formation after initial mitral valve replacement appears to be a rare occurrence.

Adult↗

PubMed1976

Coccidioidal pericarditis.

A 26-year-old man developed coccidioidomycosis which resulted in myocarditis associated with congestive heart failure. A pericardial effusion developed and progressed to constrictive pericarditis. A pericardiectomy was performed and revealed that the pericarditis was due to Coccidioides immitis. The patient was subsequently treated with amphotericin B and showed marked improvement.

Adult↗

PubMed1975

Hypoplasia of the coronary sinus with coronary venous drainage into the left ventricle by way of the Thebesian system.

A 60-year-old woman with recent onset of exertional chest pain, left anterior hemiblock and negative stress electrocardiogram was found to have hypoplasia of the coronary sinus with drainage of the major coronary venous blood by way of the Thebesian system into the left ventricle. This abnormality appeared to be of no great functional significance.

Coronary Circulation↗

PubMed1975

Transmyocardial left-to-right shunt complicating acute inferior wall myocardial infarction after aortocoronary bypass.

A 61-year-old woman suffered an inferior wall myocardial infarction on the third day following aortocoronary bypass surgery. Her condition subsequently deteriorated and she was not responsive to vigorous conventional therapy. On the twenty-first postoperative day, selective coronary arteriography revealed a patent circumflex bypass graft and an occluded right coronary artery bypass graft. Left ventricular injection showed slight dilation of the ventricle and a reduced ejection fraction. A dissection from the left ventricular cavity into the myocardium, across the septum near the apex of the left ventricle with rupture into the right ventricle, was seen functioning as a left-to-right shunt with a step-up in oxygen saturation at that level. This was corrected by operation on the twenty-ninth postoperative day and, 9 months after operation, the patient remains asymptomatic and has normal exercise tolerance.

Cardiac Catheterization↗

PubMed1974