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Biomedical subjects

A Arbulu

Publications and source records attributed to A Arbulu.

At least 37 records · Page 2Linked to original sources
PubMed1976

Fixation of Celestin tube to the anterior abdominal wall. A new technique.

Palliative intubation in the management of an unresectable carcinoma of the esophagus can be accomplished by "push through" or "pull through" techniques. The most frequently encountered complication is tube dislodgment-proximal or distal migration. Dislodgment occurs more freqeuntly with the "push through" tubes such as the Souttar tube than with the "pull through" tubes such as the Celestin tube. The incidence of migration reported for the "pull through" tubes varies from 3 to 14 per cent. In order to prevent migration, we sutured the tube to the anterior abdominal wall in 6 patients. The sixth patient developed a gastrocutaneous fistula and fasciitis at the point of anterior abdominal wall fixation. In the next 4 cases, we used a two-suture technique, in which no single suture passed from the gastric lumen to the anterior abdominal wall fascia. The Celestin tube was fixed to the gastric wall over a Dacron felt pledget and this pledget was then anchored to the rectus fascia. This technique has prevented both migration of the tube and complications related to gastric perforation.

Abdominal Muscles↗
PubMed1975

Hemodynamic consequences of total removal of the tricuspid valve without prosthetic replacement.

Tricuspid valvulectomy without prosthetic replacement has been advocated as a life-saving measure in the treatment of Pseudomonas endocarditis of the tricuspid valve. This report describes the hemodynamic data obtained in 10 patients before and after removal of the tricuspid valve. Seven patients remained free of carciac decompensation, but right heart failure developed in three. Analysis of the preoperative data did not permit differentiation of these two groups of patients.

Blood Pressure↗
PubMed1975

Interventricular septal defects from penetrating injuries of the heart: a report of 12 cases and review of the literature.

In the past 7 years, 1967 through 1973, 12 patients who had interventricular septal defects from penetrating stab wounds of the thorax were treated at Detroit General Hospital. In 10, the defects were confirmed by cardiac catheterization. Four of the 12 patients were symptomatic and required surgery. Two of these patients had pulmonary-to-system flow ratios less than 2:1. Both these patients had left ventricular dysfunction as a result of coronary artery and myocardial damage from the penetrating trauma to the left ventricle. One of the 4 patients had an injury to the tricuspid valve; this is the first reported case of a traumatic interventricular septal defect associated with a left ventricle-right atrium shunt and tricuspid valve insufficiency. Another patient had a laceration of the left anterior descending coronary artery, in addition to the interventricular septal defect. Ligation of the injured artery resulted in a left ventricular aneurysm. Three patients had "multiple defects" in the muscular septum which proved to be a single interventricular septal defect in which the left to right shunt was divided into multiple jets by the trabeculae carneae of the right ventricle.

Adult↗