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Biomedical subjects

A Castellani

Publications and source records attributed to A Castellani.

At least 109 records · Page 6Linked to original sources

Rescue PTCA for a totally occluded left main coronary artery in acute myocardial infarction with cardiogenic shock: technical success and long-term survival.

Percutaneous transluminal coronary angioplasty was performed after failed thrombolysis in a 54-year-old man for total occlusion of the left main coronary artery in the setting of acute myocardial infarction with cardiogenic shock. The procedure was successful in terms of vessel recanalization and restoration of flow. The recovery of muscle function was limited due to the time lag between onset of symptoms and recanalization. This case highlights the crucial role of early identification and prompt referral of patients with extensive ischemia to centers with the capability for emergency percutaneous revascularization procedures.

Angioplasty, Balloon, Coronary↗

[Current status of Senning's physiologic correction of transposition of the great vessels. Personal experience].

From January 1978 to December 1985, 70 children affected by TGA have been operated with the Senning operation. Among the 70 cases, 64 were simple TGA and 6 were TGA + VSD. The mean age at operation was 6 months (range 2 day - 3 years). Of 64 cases with simple TGA, two (respectively of 2 days and 40 days) died with an operative mortality rate of 3.1% of 6 cases with TGA and VSD, one died with a mortality rate of 16.6%. The total mortality was 4.2%. Since 1981 in a continuative series of 47 patients there were no deaths. Our current policy is now the following: after the diagnosis of simple TGA by ECHO, if the Rashkind septostomy is successful, we perform Senning operation over 3 months; if the Rashkind is unsuccessful, we give prostaglandin (PGE1) for a long period (25-30 days) and in case we do a Blalock-Hanlon septectomy. In conclusion we think that in our hands, the policy followed in the treatment of simple TGA is justified by the results achieved but this policy does not prevent us from using different techniques if the results are better.

Follow-Up Studies↗

[Minor diseases].

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Acrodermatitis↗