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Biomedical subjects

C Salzmann

Publications and source records attributed to C Salzmann.

At least 37 records · Page 2Linked to original sources

[Sequential cardiac szintigraphy: a methodological contribution to the evaluation of local cardiac dynamics].

A non-invasive technique is described in which the initial passage of a radionuclide is followed through the heart using an tanger camera after intravenous bolus injection. This method allows analysis of the regional and global wall motion of the left ventricle as well as estimation of the regional distribution of stroke volume and ejection fraction. Supplementing radionuclide angiocardiography with gradient scintigraphy permits the diagnosis of left ventricular aneurysms, intracardiac shunts and av-valve insufficiency. Initial comparisons show fair agreement between the radionuclide technique and left ventricular contrast angiography.

Angiocardiography↗

[Selective double-isotope coronary scintigraphy with 99mTc- and 111In-HSA-microspheres].

A small fraction of a commercially available kit for the preparation of human serum albumin (HSA)-microspheres is labeled with 111In or 99mTc. The regional coronary blood flow is determined after selective injection of these labeled microspheres at rest and during rapid atrial pacing using a double-isotope coronary scintigraphy with a gamma camera.

Adult↗

[Surgery of mitral valve stenosis: open or closed commissurotomy?].

Up to October 1975 a total of 206 mitral commissurotomies were performed in Berne. 170 patients underwent closed commissurotomy (CMC). In the period from 1973, 36 patients underwent open commissurotomy (OMC). To compare results and operative risk as between OMC and CMC, the last 36 consecutive patients of the CMC group were selected for critical evaluation. Though not coinciding chronologically the 2 groups turned out to be essentially comparable with regard to preoperative clinical and hemodynamic findings. In neither group was there a hospital death. Frequency and severity of postoperative complications did not prove to be greater following OMC. Cerebral embolism was observed in 3 cases after CMC, whereas this complication occurred only once following OMC. On the basis of clinical, radiological and electrocardiographic data, OMC must be considered superior to CMC. The incidence of significant residual stenosis and the risk of causing mitral regurgitation appear to be lower. Without involving a higher operative risk, the open approach to mitral commissurotomy offers the following main advantages: safe removal of intraatrial thrombi, precise and complete incision of the fused commissures under direct vision, avoidance of leaflet tears, separation of fused chordae tendineae and incision of papillary muscles in order to remove subvalvular stenosis, debridement of calcium from leaflets, and repair of concomitant mitral regurgitation by valvuloplasty.

Adult↗

[Measurement of the heart minute volume by means of the ether dilution method].

Ethyl ether dissolved in saline has been used as an indicator for measuring cardiac output in patients with various congenital and acquired valvular heart diseases without shunts. The solution was infused at a constant rate into the superior vena cava. By means of a simultaneous rebreathing maneuver it was possible to determine the ether concentration of the mixed venous blood and hence the dilution factor. Comparative measurements with the direct Fick method revealed a satisfactory accuracy of the ether dilution method (r = 0.94), which does not require sampling and analysis of mixed venous and arterial blood.

Cardiac Output↗