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Biomedical subjects

W J Gallen

Publications and source records attributed to W J Gallen.

17 recordsLinked to original sources
PubMed1979

The spectrum of clinical manifestation of anomalous origin of the left coronary artery and surgical management.

Intercoronary collaterals play a major role in determining whether patients with the symptoms of anomalous left coronary artery will suffer infarction early in life with resultant complications or will survive to an older age before becoming symptomatic with angina. We believe that the definitive surgical treatment should be performed at the earliest age possible to avoid further damage to myocardial muscle.

Angina Pectoris↗
PubMed1978

Pulmonary fiber embolism and granuloma.

Three infants had pulmonary fiber embolism and granuloma following cardiac catheterization. These complications were traced to the use of nondisposable woven synthetic fiber catheters. The fibrous linings of the catheter may fray and break, and the debris may become disseminated during angiography to the lungs to form emboli and intravascular and extravascular granulomas.

Cardiac Catheterization↗
PubMed1976

Chest pain in children: a prospective study.

In a prospective study of children with the primary complaint of chest pain, 43 patients were identified. This gave an occurrence (per patient visits) of 0.288%. The average age was 12.9 years for boys and 11.80 years for girls. Diagnostic categories identified were idiopathic chest pain (45%), costochondritis (22.5%), chest pain secondary to bronchitis (12.5%), miscellaneous (10%), chest pain secondary to muscle strain (5%), and chest pain secondary to trauma (5%). These six categories are discussed in terms of age, sex, resolution of symptoms, duration of the complaint, return for follow-up examination, quality of pain, psychiatric profile, and results of laboratories studies. It is concluded that chest pain in children is not as ominous a symptom as it is in adults, and that it infrequently signals underlying cardiac disease or other serious disease that is not apparent from a thorough history and physical examination.

Adolescent↗
PubMed1975

Pneumococcal endocarditis in a 7-week-old infant. A case complicated by congenital heart malformation with mitral valve perforation.

A 7-week-old girl had pneumococcal endocarditis and perforation of the mitral valve. Pneumococcal endocarditis in children under 2 years of age is extremely rare, and is a prototype for endocarditis in general in infants less than 2 years of age. To our knowledge, this is the youngest reported patients with pneumococcal endocarditis in the penicillin era.

Endocarditis, Bacterial↗
PubMed1975

Left ventricular aneurysmectomy in a child. Treatment of anomalous left coronary artery.

Anomalous origin of the left coronary artery from the pulmonary artery with development of a massive left ventricular aneurysm in a 23-month-old child is described. Operative treatment included ligation of the anomalous origin, ventricular aneurysmectomy, and a saphenous vein bypass graft to the anterior descending coronary artery. The principles of ventricular aneurysm resection used in adults are applicable to small children with this complication of anomalous coronary artery origin.

Age Factors↗