[Regulation of renal circulation in congenital diseases of the heart and major vessels].
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Biomedical subjects
Publications and source records attributed to V T Selivanenko.
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The authors had 29 patients with myxomas of the left atrium under observation and treated them by operation. Three patients died after the operation. Examination of 22 patients in postoperative periods of 8 months to 15 years did not reveal recurrent tumors of the heart. The extremely rare development of tumors of the heart and the absence of specific clinical manifestations make it difficult to establish the diagnosis in time. The relatively high postoperative mortality (12%) is due, first of all, to establishment of the diagnosis during the operation as a consequence of which an emergency operation on an open heart cannot be conducted. Operative treatment is indicated for all patients with a recognized tumor of the heart.
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Experiments were carried out to explore the possible use of tetrapolar rheography in the assessment of pulse blood supply to a certain area and quantitative characteristics of cardiac output and blood flow in the limbs. Sixty five subjects were examined: fifty subjects had congenital diseases of the heart and the major vessels and 15 subjects were healthy. The volume-pulse blood supply was measured by means of a tetrapolar rheograph. Calculations were based on the Kedrov formula. Control measurements of cardiac output were made by the dye-dilution method (Evans blue). The correlation coefficient was 0.96. This gives evidence that the above instrument can be used to determine cardiac output. Studies of the pulse blood supply to the limbs show that the measurements may reflect not only marked pathology but also changes due to functional vascular shifts.
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