[A case of "late" perforation of the right atrium during permanent endocardiac stimulation].
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Biomedical subjects
Publications and source records attributed to S Klugmann.
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A case of intracardiac micotic thrombosis during permanent endocardial stimulation is reported. After a brief note on the pathogenesis of pocket infections, the AA. conclude that, in those cases, a medical treatment is insufficient and a surgical treatment is necessary to remove the micotic thrombus.
In recent years, mono and biplane cardioangiography has been used to calculate the left ventricular volume. In order to evaluate the reliability of the various methods currently most used, a study of 14 hearts removed during autopsy was carried out. The left ventricle was filled with a mixture of paraffin and Lipiodol, the hearts were then X-rayed in anteroposterior projection (AP), laterolateral (LL) and left oblique posterior (OPS) at 30 degrees. The ventricles were opened and the real volume of the cost was obtained by means of the measurement of the volume of displaced liquid. The left ventricular volume was calculated using the methods of Dodge and coll., Sandler and Dodge, Greene and coll. and Kennedy and coll. The data obtained were statistically worked out. With all the tecniques used, there was a good correlation between values of true volume and the volume calculated with the angiographic methods. The coefficient of correlation varied between 0,940 (Dodge and coll. method) and 0,979 (Sandler and Dodge method). A more detailed analysis however, demonstrated that in the hearts with lower volumes, the correlation coefficient is lower and completely unsatisfactory with the methods of Kennedy and coll. and the method of Greene and coll. In these cases some indexes of ventricualr function (stroke volume, ejection fraction) may be not reliable.
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A congenital aneurysm of the left atrium is an unusual disease, which can be confused with other diseases of the heart and of the mediastinum. It is a frequent cause of complications, like dysrhythmias and embolism. A surgically treated case is reported.
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Explore the source record for details and available documents.
Explore the source record for details and available documents.