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Biomedical subjects

T A Angerpointner

Publications and source records attributed to T A Angerpointner.

26 records · Page 2Linked to original sources
PubMed1981

[Operative procedure in choledochal cysts (author's transl)].

Case-description of a large cyst of the bile duct in a 10-year-old girl. The cyst extended from the distal part of the common hepatic duct almost to the duodenum. The pancreatic and bile ducts drained the cyst distally with a common outlet. The cyst was resected, except for a small preduodenal remnant. The remaining part was closed to form a hood, and implanted end-to-side into a loop of small bowel which had been diverted by Roux's method. The common hepatic duct was also anastomosed end-to-side with the same diverted loop of bowel.

Child↗
PubMed1977

Effects of PEEP on cardiovascular dynamics after open-heart surgery: a new postoperative monitoring technique.

The circulatory effects of incremental increases in positive end-expiratory pressure ventilation (PEEP) were assessed on 11 occasions in post-operative cardiac surgical patients by phasic aortic blood flow measurements and high-fidelity pressure recordings from which flow and pressure-flow derivatives of cardiac performance were calculated. At 15 cm H2O PEEP, mean arterial blood pressure was decreased by 10%, stroke volume and cardiac output by 15%, and peak left ventricular power by 21%. Although these indices promptly returned to control levels when PEEP was discontinued, levels of PEEP above 10 cm H2O should be used with caution for this group of patients.

Adolescent↗
PubMed1977

A monitor for the continuous assessment of left ventricular performance after open-heart operations.

A cardiac monitoring system has been developed that incorporated phasic aortic blood flow measurement by an extractable electromagnetic flow probe and high-fidelity arterial blood pressure recordings. Cardiac output, stroke volume, and peak aortic blood flow are measured continuously; using logarithmic amplifiers, the pressure-flow derivatives of left ventricular function, such as cardiac power and stroke work, are obtained beat by beat. This monitor is used to follow the postoperative course of patients undergoing cardiac operations and to evaluate the hemodynamic effect of therapeutic agents.

Cardiac Surgical Procedures↗
PubMedDate not supplied

[Postoperative course in children with malignant tumors following preoperative chemotherapy].

Postoperative course is reported in 52 children with malignant tumors (neuroblastoma, Wilms-tumor, non-Hodgkin-lymphoma, osteosarcoma etc.) who were operated on between 1979 and 1987. 26 children received chemotherapy prior to surgery, whereas 26 children were operated on without preceding chemotherapy (control group). Most children were under six years of age. 15 Children (57.7%) with preoperative chemotherapy developed early postoperative complications, such as sepsis, pneumonia, suture dehiscence, woundhealing disturbances and ileus, whereas this was the case in only 5 children (19.2%) without preoperative chemotherapy (P 0.0005). Four of the children with preoperative chemotherapy (15.4%) sustained late complications, such as local recurrence or mechanical bowel obstruction, whereas none of the control children did so. Lethality rate from underlying disease did not differ in both groups during follow-up (5 = 19.2% vs. 5 = 19.2%). This demonstrates that the surgeon must carefully be aware of an increased possibility of early and late complications in children who have to undergo surgery for malignant tumors following preoperative chemotherapy.

Adolescent↗
PubMedDate not supplied

The long term effect of intra-aortic balloon counterpulsation on left ventricular performance.

A patient who had had two coronary artery bypass grafts and an aneurysmectomy required intra-aortic balloon pump (IABP) assistance to allow discontinuation of cardiopulmonary bypass (CPBP). An indwelling electromagnetic flow probe on the ascending aorta was used to monitor IABP over the following 8 days of assistance. Stroke volume (SV), Cardiac output (CO), stroke work (SW), and ventricular afterload (VA) were measured directly. Recovery was indicated as the discrepancy between CO and SV on and off IABP decreased. VA depended upon the degree of augmentation. SW bore an incostant relationship to IABP.

Aorta, Thoracic↗