[Surgical treatment of endomyocardiofibrosis. Report of a case and review of the literature].
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Biomedical subjects
Publications and source records attributed to S Arie.
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Six cases of coronary artery fistulae surgically treated are presented. All patient but one was male; the ages varied from 4 to 44 years. The fistulae originated from the left coronary artery in three cases from the right in two cases and from both arteries in one case. The draining heart chambers were the right atrium in three, the right ventricle in two and the pulmonary artery in one case. Associated lesions were present in three cases. One patient died on the early postoperative period and the evolution was satisfactory in five cases.
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In this report, we shall describe a case of interventricular septal defect with severe cardiac and respiratory insufficiency unresponsive to clinical treatment. The critical condition of the patient prompted us to introduce an obstructive balloon into the pulmonary artery with the objective of reducing pulmonary flow and improving respiratory insufficiency. The mean pressure was reduced from 45 to 19 mm. Hg, and the infant's cardiopulmonary status improved dramatically. After 36 hours, during which the clinical picture stabilized, a banding operation was performed with success.
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