V P Podzolkov, Iu I Bondarev, B G Alekian, A I Kim
{"title":"[Correction of complete transposition of great vessels in association with common atrium, partial form of patent atrioventricular canal, tricuspid insufficiency and accessory superior vena cava].","authors":"V P Podzolkov, Iu I Bondarev, B G Alekian, A I Kim","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":73184,"journal":{"name":"Grudnaia khirurgiia (Moscow, Russia)","volume":" 6","pages":"85-7"},"PeriodicalIF":0.0,"publicationDate":"1989-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13755169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M M Makhmudov, D S Guliamov, Kh A Abdumadzhidov, E M Nagrebetskaia, T A Nazarova
{"title":"[Radical correction of isolated left ventricle-right atrium communication].","authors":"M M Makhmudov, D S Guliamov, Kh A Abdumadzhidov, E M Nagrebetskaia, T A Nazarova","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":73184,"journal":{"name":"Grudnaia khirurgiia (Moscow, Russia)","volume":" 6","pages":"87-8"},"PeriodicalIF":0.0,"publicationDate":"1989-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13755173","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The article describes the method of operation for removal of a pyothorax cavity and a bronchial fistula with the use of the latissimus dorsi muscle which is mobilized from all sites of attachment to bone structures and separated to a neurovascular pedicle. The operation was carried out on 6 patients with tuberculous and unspecific pyothorax with a bronchial fistula and a defect in the thoracic wall. Due to its large size, the presence of a long main vascular pedicle, and anatomical position, this muscle can be used successfully in the management of such patients. A good effect was produced with minimum functional loss.
{"title":"[Plastic surgery of pleural empyema cavity using the latissimus dorsi muscle on a vascular pedicle].","authors":"K A Tsybyrné, D I Gulia, G N Groza, I A Bunu","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The article describes the method of operation for removal of a pyothorax cavity and a bronchial fistula with the use of the latissimus dorsi muscle which is mobilized from all sites of attachment to bone structures and separated to a neurovascular pedicle. The operation was carried out on 6 patients with tuberculous and unspecific pyothorax with a bronchial fistula and a defect in the thoracic wall. Due to its large size, the presence of a long main vascular pedicle, and anatomical position, this muscle can be used successfully in the management of such patients. A good effect was produced with minimum functional loss.</p>","PeriodicalId":73184,"journal":{"name":"Grudnaia khirurgiia (Moscow, Russia)","volume":" 6","pages":"59-61"},"PeriodicalIF":0.0,"publicationDate":"1989-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13754524","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The authors examined 50 patients with chronic diseases of the lungs in the pre- and post-operative period. Immunological indices, neutrophil phagocytic activity in the first place, in combination with the laboratory severity index make it possible to conduct effective control of preoperative management and the patients condition in the postoperative period.
{"title":"[Immunological tests in the prognostication of postoperative complications in patients with chronic diseases of the lungs].","authors":"Iu N Levashev, T E Dovnar, V F Martalog","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The authors examined 50 patients with chronic diseases of the lungs in the pre- and post-operative period. Immunological indices, neutrophil phagocytic activity in the first place, in combination with the laboratory severity index make it possible to conduct effective control of preoperative management and the patients condition in the postoperative period.</p>","PeriodicalId":73184,"journal":{"name":"Grudnaia khirurgiia (Moscow, Russia)","volume":" 6","pages":"74-8"},"PeriodicalIF":0.0,"publicationDate":"1989-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13755177","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The article discusses the results of study of central hemodynamics in patients with acquired aortic valvular diseases who were operated on under conditions of hypothermia without perfusion. The minute circulation volume reduced at a temperature of 26.8 degrees C to 63% of the initial level. The stroke volume did not change practically. The changes of the values of central hemodynamics in the stages of hypothermia (active and passive cooling) were irregular in character. No essential inhibiting effect of hypothermia on the cardiovascular activity was noted.
{"title":"[Central hemodynamics during correction of acquired aortic defects without artificial blood circulation].","authors":"I Iu Bravve, S E Naumenko, S F Kim, E S Filimonov","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The article discusses the results of study of central hemodynamics in patients with acquired aortic valvular diseases who were operated on under conditions of hypothermia without perfusion. The minute circulation volume reduced at a temperature of 26.8 degrees C to 63% of the initial level. The stroke volume did not change practically. The changes of the values of central hemodynamics in the stages of hypothermia (active and passive cooling) were irregular in character. No essential inhibiting effect of hypothermia on the cardiovascular activity was noted.</p>","PeriodicalId":73184,"journal":{"name":"Grudnaia khirurgiia (Moscow, Russia)","volume":" 6","pages":"20-3"},"PeriodicalIF":0.0,"publicationDate":"1989-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13754516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A A Vishnevskiĭ, A K Oganesian, V V Golovteev, Iu V Romashov, V A Mazhorov, A L Gaganov
The efficacy of surgical rehabilitation of patients with chronic osteomyelitis of the sternum is shown. Surgical treatment was divided in most cases into two stages: removal of the involved areas of the sternum and adjoining ribs and fixed muscular or musculocutaneous plastics. The obtained results are reassuring and promote further development of surgery of this region.
{"title":"[Surgical treatment of chronic osteomyelitis of the sternum].","authors":"A A Vishnevskiĭ, A K Oganesian, V V Golovteev, Iu V Romashov, V A Mazhorov, A L Gaganov","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The efficacy of surgical rehabilitation of patients with chronic osteomyelitis of the sternum is shown. Surgical treatment was divided in most cases into two stages: removal of the involved areas of the sternum and adjoining ribs and fixed muscular or musculocutaneous plastics. The obtained results are reassuring and promote further development of surgery of this region.</p>","PeriodicalId":73184,"journal":{"name":"Grudnaia khirurgiia (Moscow, Russia)","volume":" 6","pages":"46-51"},"PeriodicalIF":0.0,"publicationDate":"1989-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13754521","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[2 cases of diaphragmatic hernia].","authors":"A A Sadobnikov, A D Kuznetsova, P V Pastukhov","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":73184,"journal":{"name":"Grudnaia khirurgiia (Moscow, Russia)","volume":" 6","pages":"94-6"},"PeriodicalIF":0.0,"publicationDate":"1989-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13755178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
O F Gor'kavaia, Iu I Buziashvili, L M Fitileva, V P Kertsman, T Iu Kuznetsova
After examination of 255 patients with ischemic heart disease (IHD) and concomitant arterial hypertension (AH) two groups were distinguished according the level of arterial pressure. Group 1 was formed of 89 patients (arterial pressure below 180/80 mm Hg), group 2--of 166 patients (arterial pressure above 180/100 mm Hg). Survival was determined according to certain morphofunctional indices (total affection of coronary arteries, left ventricular output fraction, left ventricular end diastolic pressure, tolerance to physical effort) in nonoperated on and operated on patients suffering from IHD and concomitant AH. It was found that the operation affects positively the "quality" of life more than the survival.
对255例缺血性心脏病(IHD)合并动脉高血压(AH)患者进行检查,根据动脉压水平将其分为两组。第一组89例患者(动脉压低于180/80 mm Hg),第二组166例患者(动脉压高于180/100 mm Hg)。根据某些形态功能指标(冠状动脉总影响、左室输出分数、左室舒张末期压、体力耐受性)来确定IHD合并AH的非手术和手术患者的生存期。研究发现,手术对患者生活质量的积极影响大于对生存率的积极影响。
{"title":"[Morphofunctional criteria for the selection of patients with ischemic heart disease and associated arterial hypertension for surgical treatment].","authors":"O F Gor'kavaia, Iu I Buziashvili, L M Fitileva, V P Kertsman, T Iu Kuznetsova","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>After examination of 255 patients with ischemic heart disease (IHD) and concomitant arterial hypertension (AH) two groups were distinguished according the level of arterial pressure. Group 1 was formed of 89 patients (arterial pressure below 180/80 mm Hg), group 2--of 166 patients (arterial pressure above 180/100 mm Hg). Survival was determined according to certain morphofunctional indices (total affection of coronary arteries, left ventricular output fraction, left ventricular end diastolic pressure, tolerance to physical effort) in nonoperated on and operated on patients suffering from IHD and concomitant AH. It was found that the operation affects positively the \"quality\" of life more than the survival.</p>","PeriodicalId":73184,"journal":{"name":"Grudnaia khirurgiia (Moscow, Russia)","volume":" 6","pages":"42-5"},"PeriodicalIF":0.0,"publicationDate":"1989-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13754519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Giant chondroma of the thoracic wall].","authors":"V V Zharkov, I A Davidovskiĭ, Zh A Stefanovich","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":73184,"journal":{"name":"Grudnaia khirurgiia (Moscow, Russia)","volume":" 6","pages":"88-90"},"PeriodicalIF":0.0,"publicationDate":"1989-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13755171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
B G Alekian, V A Garibian, A P Nikoliuk, G A Zubkova, M A Nasedkina
The article analyses experience in the diagnosis of a pathological condition of the aorta in complete transposition of the great vessels (CTGV) in infants. Pathology of the aorta was revealed in 9 (2.6%) of the 350 patients who were examined. Six patients with CTGV had coarctation of the aorta (CA), 2 had subaortic stenosis, and one patient had complete interruption of the arch of the aorta. Our experience provides evidence that two-dimensional echocardiography allows the region of the thoracic aorta to be located from a suprasternal or a high right parasternal approach. Subaortic stenosis was diagnosed in 2 patients during autopsy. Retrospective analysis of the echocardiograms and angiocardiograms revealed characteristic signs of subaortic obstruction. Absence of the continuity of the arch and descending aorta is an echocardiographic sign of interruption of the arch of the aorta which was recognized retrospectively only after angiocardiography. Right and left ventriculography must be performed for precise anatomical diagnosis of CTGV with an intact interventricular septum combined with coarctation of the aorta. In patients with concomitant interventricular septal defect this examination is supplemented by antegrade and retrograde aortography from the ascending aorta to exclude patent ductus arteriosus and for better visualization of CA. Catheterization of all heart cavities, right and left ventriculography, aortography, and pulmonary arteriography must be carried out in all patients with total interruption of the continuity of the arch of the aorta.
{"title":"[Angiocardiographic and echocardiographic diagnosis of complete transposition of great vessels in association with pathology of the aorta].","authors":"B G Alekian, V A Garibian, A P Nikoliuk, G A Zubkova, M A Nasedkina","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The article analyses experience in the diagnosis of a pathological condition of the aorta in complete transposition of the great vessels (CTGV) in infants. Pathology of the aorta was revealed in 9 (2.6%) of the 350 patients who were examined. Six patients with CTGV had coarctation of the aorta (CA), 2 had subaortic stenosis, and one patient had complete interruption of the arch of the aorta. Our experience provides evidence that two-dimensional echocardiography allows the region of the thoracic aorta to be located from a suprasternal or a high right parasternal approach. Subaortic stenosis was diagnosed in 2 patients during autopsy. Retrospective analysis of the echocardiograms and angiocardiograms revealed characteristic signs of subaortic obstruction. Absence of the continuity of the arch and descending aorta is an echocardiographic sign of interruption of the arch of the aorta which was recognized retrospectively only after angiocardiography. Right and left ventriculography must be performed for precise anatomical diagnosis of CTGV with an intact interventricular septum combined with coarctation of the aorta. In patients with concomitant interventricular septal defect this examination is supplemented by antegrade and retrograde aortography from the ascending aorta to exclude patent ductus arteriosus and for better visualization of CA. Catheterization of all heart cavities, right and left ventriculography, aortography, and pulmonary arteriography must be carried out in all patients with total interruption of the continuity of the arch of the aorta.</p>","PeriodicalId":73184,"journal":{"name":"Grudnaia khirurgiia (Moscow, Russia)","volume":" 6","pages":"31-7"},"PeriodicalIF":0.0,"publicationDate":"1989-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13754517","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}