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The AustralAsian Journal of Cardiac and Thoracic Surgery
Pub Date : 1993-08-01 DOI: 10.1016/1037-2091(93)90068-F
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引用次数: 0
Metabolic interventions in myocardial preservation 代谢干预心肌保存
The AustralAsian Journal of Cardiac and Thoracic Surgery
Pub Date : 1993-08-01 DOI: 10.1016/1037-2091(93)90052-6
Franklin Rosenfeldt MD, FRACS

It is possible to manipulate myocardial metabolism to improve recovery after ischaemic insults. We studied 2 metabolic manipulations: addition of amino acids during cardioplegia, and treatment with orotic acid before cardioplegia. Aspartate improved recovery after cardioplegic arrest, and glutamate exerted a minimal protective effect. We studied the recently infarcted heart to determine whether orotic acid therapy could improve recovery after cardioplegia. The infarct placed the non-infarcted myocardium under stress and increased its sensitivity to hypothermic cardioplegia. This sensitivity was reduced by treatment with orotic acid. Metabolic supplementation may be useful during cardiac surgery, after myocardial infarction, and in the early period after cardiac surgery.

通过控制心肌代谢来改善缺血损伤后的恢复是可能的。我们研究了两种代谢操作:在心脏骤停时添加氨基酸和在心脏骤停前用乳清酸治疗。天门冬氨酸促进心脏骤停后的恢复，谷氨酸发挥最小的保护作用。我们研究了最近梗死的心脏，以确定是否可以改善心脏骤停后的恢复。梗死使非梗死心肌处于应激状态，增加了其对低温心脏骤停的敏感性。这种敏感性在用山茱萸酸处理后降低。在心脏手术期间、心肌梗死后以及心脏手术后早期，代谢补充可能是有用的。
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引用次数: 1
Surgery for supraventricular arrhythmias and its future 室上性心律失常的外科治疗及其未来
The AustralAsian Journal of Cardiac and Thoracic Surgery
Pub Date : 1993-08-01 DOI: 10.1016/1037-2091(93)90065-C
Gil Shardey FRACs

From February 1981 to December 1991, 152 patients had surgery for supraventricular arrhythmias; 118 had division of an accessory atrioventricular connection (AAVC) for Wolff Parkinson-White syndrome. At the first operation, 128 of 133 pathways were divided, and 112 patients were asymptomatic. Five patients had a second, successful procedure. No patients died. A procedure for partial isolation of the atrioventricular (AV) node was performed in 15 patients; 14 were cured. There were 2 late deaths. Four patients had division of an AAVC and AV node re-entry; all were cured. In our early experience, 10 patients had ablation of the atrioventricular node, and all the procedures were successful.

1981年2月至1991年12月，共收治室上性心律失常152例;118例伴有副房室连接分裂(AAVC)。第一次手术，133条通路中有128条被分割，112例患者无症状。5名患者进行了第二次成功手术。没有患者死亡。15例患者行房室(AV)结部分分离术;14例治愈。有2人晚死。4例患者有AAVC分裂和房室结再入;所有人都治愈了。在我们的早期经验中，10例患者行房室结消融，所有手术均成功。
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引用次数: 0
A festschrift for George Stirling 这是乔治·斯特林的精彩表演
The AustralAsian Journal of Cardiac and Thoracic Surgery
Pub Date : 1993-08-01 DOI: 10.1016/1037-2091(93)90043-4
Franklin Rosenfeldt (Editor)
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引用次数: 0
Arterial grafts for coronary artery bypass: Experience with the right gastroepiploic artery and internal mammary artery 冠状动脉搭桥术中的动脉移植:右胃网膜动脉和乳腺内动脉的移植经验
The AustralAsian Journal of Cardiac and Thoracic Surgery
Pub Date : 1993-08-01 DOI: 10.1016/1037-2091(93)90051-5
M.A.J. Newman DS, FRACS

We have performed in Perth 153 coronary artery bypass operations using the right gastroepiploic artery (RGE), almost always in association with internal mammary artery grafts. Use of the RGE increases operative complexity and morbidity. We limit use of the RGE to situations where no other suitable conduit is available.

我们在珀斯进行了153例使用右胃网膜动脉(RGE)的冠状动脉搭桥手术，几乎总是与乳腺内动脉移植有关。RGE的使用增加了手术的复杂性和发病率。我们将RGE的使用限制在没有其他合适导管可用的情况下。
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引用次数: 0
Double lung replacement: The options in 1993 双肺置换:1993年的选择
The AustralAsian Journal of Cardiac and Thoracic Surgery
Pub Date : 1993-08-01 DOI: 10.1016/1037-2091(93)90064-B
Donald S. Esmore FRACS
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引用次数: 0
Thoracic surgeons are different 胸外科医生则不同
The AustralAsian Journal of Cardiac and Thoracic Surgery
Pub Date : 1993-08-01 DOI: 10.1016/1037-2091(93)90057-B
Peter Clarke FRACS
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引用次数: 1
Surgery and oesophageal carcinoma 手术和食管癌
The AustralAsian Journal of Cardiac and Thoracic Surgery
Pub Date : 1993-08-01 DOI: 10.1016/1037-2091(93)90048-9
Ian E. McInnes FRACs, Gary M. Frydman MBBS

Resection remains an important part of treating oesophageal carcinoma. The type of operation may not be as important as selecting the correct patient. Long-term survival will improve when systemic treatment is combined with surgery.

切除仍然是食管癌治疗的重要组成部分。手术类型可能不如选择正确的病人重要。当全身治疗与手术相结合时，长期生存率将会提高。
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引用次数: 0
Paediatric cardiac surgery: An independent specialty 儿科心脏外科:一个独立的专业
The AustralAsian Journal of Cardiac and Thoracic Surgery
Pub Date : 1993-08-01 DOI: 10.1016/1037-2091(93)90058-C
Tom Karl MD,MS
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引用次数: 1
Introduction to the George Stirling Festschrift 乔治·斯特林费斯契夫介绍
The AustralAsian Journal of Cardiac and Thoracic Surgery
Pub Date : 1993-08-01 DOI: 10.1016/1037-2091(93)90044-5
Bruce B. Davis FRACs
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引用次数: 0
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