Surgery for Acquired Heart Disease

Emergency open heart surgery for acquired heart disease.

Eighteen patients, 15 to 74 years of age, in intractable and life-threatening heart failure underwent emergency open heart surgery. There were 14 long term survivors. One hundred percent mortality was predicted withont the application of surgery. The cause of failure was valvular heart disease in 14 and coronary heart disease in four patients. Assisted circulation during the most critical perio...

Echocardiography in acquired heart disease.

The Use of Lidocaine Containing Cardioplegia in Surgery for Adult Acquired Heart Disease.

BACKGROUND Del Nido cardioplegia, a crystalloid-based solution with lidocaine as a key element, is given as a single dose and has been used successfully in congenital cardiac surgery. HYPOTHESIS We retrospectively compared a lidocaine containing "modified del Nido" solution with our standard whole blood cardioplegia to investigate its safety and efficacy in adult cardiac surgery. METHODS Fr...

Cardiac surgery for carcinoid heart disease.

Carcinoid is a rare tumor originating from neuroendocrine cells, which are generally localized in the gastrointestinal tract. It has an annual incidence of 1.5 persons per 100 000. Usually, only carcinoid tumors that invade the liver result in pathological changes to the heart. The cardiac manifestations are caused by paraneoplastic effects of vasoactive substances such as serotonin, bradykinin...

Pulmonary resistance in acquired heart disease.

Disproportionately high pulmonary artery pressures and pulmonary vascular resistance in acquired heart disease, particularly mitral stenosis, have been repeatedly observed. Seventeen patients with pulmonary hypertension secondary to elevated left atrial pressure have been studied by the method of temporary unilateral pulmonary artery occlusion: Resistances calculated before and after occlusion ...