Biomedical subjects
Publications and source records attributed to W Ursinus.
2 patients suffering from Ebstein's malformation underwent a total correction 3 years or 9 months respectively ago. In the first case we used a Björk-Shiley valve, plication according to Hardy was omitted. In the second case an Angell-Shiley-bioprosthesis combined with Hardy's plication was performed. Both children are in a good condition now.
The clinical aspects, differential diagnosis and aetiology of the rare pulmonary glomangiosis are described by means of four cases observed in our clinic. It is a hamartogenous stenosing disease of the lungvessels, appearing predominately in children who suffer from congenital heart disease. It leads to pulmonary hypertension. The pulmonary glomangiosis is of practical importance: By palliative operation as the banding of the pulmonary artery the demand hypertension in the pulmonary circulation is suppressed artificially, so that in heavy cases a sufficient oxygenation is not provided, and the children die in the postoperative period. From the surgical aspect such a disease of the pulmonary vessels has to be supposed when the blood pressure distally of the experimentally banded pulmonary artery drops insufficiently. The authors recommend to exclude the disease of the vessels by excicion of lungtissue and immediate histologic investigation before the final banding is performed.
Report of a successful treated case of Bland-White-Garland syndrome of adult type in a 13 year old girl. A vena saphena bypass was implanted between the aorta and the ramus descendens anterior of the left coronary artery. The main stem of the left coronary artery was ligated near its origin from the pulmonary artery. Eight months after operation the patient is well and the bypass open.