[Correlation between urinary beta 2-microglobulin and azotemia values in the postoperative course of open-heart surgery].
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Biomedical subjects
Publications and source records attributed to S Eufrate.
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A rare case of chylopericardium following correction of Total Anomalous Pulmonary Venous Drainage (TAPVD) in a 10 month old female child is presented. Conservative treatment was successfully adopted. The Authors review the English Literature concerning this unusual complication.
From 4,100 patients who had cardiac catheterization for congenital heart disease and " normocardia ", 6 were found to have a persistent left superior vena cava ( PLSVC ) and an absence of right superior vena cava ( RSVC ). Because of the rarity of this finding (1.46%) the clinical and surgical implications are considered. Four of them were successfully operated upon.
A technique of total pericardiectomy for chronic constrictive pericarditis is presented. The authors have used a femoro-femoral cardiopulmonary bypass in nine cases of constrictive pericarditis to prevent the complications of the traditional approach. The advantages of this technique in comparison to the performance of pericardiectomy without the use of extracorporeal circulation (ECC) or with standard ECC are discussed.
Eleven cases of chylothorax following cardiac surgery in children are described. Conservative treatment was carried out with success in all patients but one, who died because of the underlying cardiac pathology, with the chylothorax still present. Our results indicate that conservative treatment is effective in children, although surgery has been previously considered by some authors as the treatment of choice in this age group.
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