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Biomedical subjects

D C Newman

Publications and source records attributed to D C Newman.

29 records · Page 2Linked to original sources
PubMed1980

Complications with glutaraldehyde-preseved bioprostheses.

Between May, 1975, and May, 1979, 184 glutaraldehyde-preserved valve bioprostheses were implanted (92 aortic, 76 mitral, and 16 multiple). In the last two years, anticoagulants have been administered for the first three post-operative months. Of 176 patients, 10 patients had simultaneous coronary surgery, and five had previous valve surgery; endocarditis had occurred in eight patients before operation, and heart block existed in four patients. In the group of patients who underwent aortic valve replacements, there were four early deaths, all in patients with associated severe coronary artery disease. There was one late death in this group caused by bacterial endocarditis. In the group with mitral valve replacements, there were three early deaths, one related to massive thrombosis of the prosthesis, and two late deaths of unknown cause. Within the whole group, there were seven instances of significant thromboembolism, and nine instances of incompetence, including five mitral periprosthetic leaks which required reoperation. Three patients had stenosis of the mitral prosthesis. There has been no known incidence of intrinsic leaflet incompetence.

Adolescent↗
PubMed1979

Deep hypothermic arrest: observations on later development in children.

Thirty-two children were reviewed following closure of ventricular septal defect in infancy. Fifteen had undergone continuous perfusion and 17 had been subjected to core cooling followed by deep hypothermic arrest. Parental and professional evaluations of intellectual and motor development, at periods between 7 and 72 months following operation, suggest that there is a higher incidence of developmental abnormality in the subgroup treated with deep hypothermic arrest.

Cardiopulmonary Bypass↗
PubMed1978

Ligation of the patent ductus. Technical considerations at different ages.

Over a 10 year period, 185 patients have been treated for patent ductus, including nine premature infants with a respiratory distress syndrome. Thirty-five other infants have had duct obliteration during the neonatal period, the incidation for surgery being intractable heart failure. Six of 18 adults had calcification or aneurysm in the duct region. three of these required extracorporeal circulation for duct control and closure. The remaining patients were from 1 to 18 years of age and underwent elective duct obliteration. Double ligation of the duct is regarded as the simplest, safest, and quickest technique generally applicable. Special techniques are required for fragile, broad, calcified, hypertensive, and conical ducts.

Adolescent↗
PubMed1977

Heart valve replacement by porcine aortic valve (Hancock prosthesis).

Glutaraldehyde preservation of heterograft valves has increased their durability. Sixty-nine Hancock prostheses have been implanted, 30 in the mitral position and 39 in the aortic position. Anticoagulants have not been administered. There has been one important thromboembolic complication and periprosthetic mitral incompetence has occurred in three instances, but prosthetic incompetence has not developed. Two asymptomatic aortic diastolic murmurs have been noted. After a follow-up ranging between two and 19 months, it appears that the Hancock prosthesis offers a valuable alternative to mechanical valve replacement and anticoagulants are not required as a routine.

Adolescent↗
PubMed1977

Dopamine hydrochloride (Intropin) and open-heart surgery: results of a clinical trial.

Dopamine hydrochloride (Intropin) has been used in the postoperative management of open-heart surgical patients, both children and adults. It has been associated with a very low incidence of undesirable responses and a high frequency of circulatory improvement associated with diuresis. Its administration requires careful control of infusion rate and measurement of response. In the dosages employed, it has been free of most of the undesirable side effects of other commonly used catecholamines.

Adult↗
PubMed1976

Current management of coarctation of the aorta.

A series of 55 surgically treated cases of coarctation of the thoracic aorta is presented with an operative mortality of 5-4%. The problems encountered in infants are discussed and postoperative complications in adults and children detailed. The advantages of patch graft aortoplasty over resection and end-to-end anastomosis are described.

Adolescent↗
PubMed1976

The influence of surgery on survival of patients with angina.

Myocardial revascularization surgery has proved most effective in relieving angina pectoris. Its influence on the survival of patients with coronary atherosclerosis, however, remains a contentious subject and one which may not be finally settled for years. The follow-up results of the first 196 patients to undergo direct coronary artery surgery at the Prince Henry Hospital support those who claim increased longevity as one of its benefits.

Adult↗
PubMed1975

Topologic forms of mitochondrial DNA in AKR mice.

Circular dimer forms of mitochondrial DNA were found in leukemic and preleukemic AKR mice but not in nonleukemic animals. There was a positive correlation between the presence of circular dimers and progression of the disease, the leukemic mice having the greatest evidence of circular dimers. This finding suggested that the occurrence of early subcellular changes is an important cellular modification in the leukemogenic process.

Animals↗
PubMedDate not supplied

Coexistent carotid and coronary arterial disease. Outcome in 50 cases and method of management.

The coexistence of coronary and carotid arterial disease in the same patient requires that particular measures be undertaken to avoid the risks of myocardial infarction and stroke. The last 50 patients requiring operations on both subsystems and with no mortality and minimal morbidity are reported. A method for the management is described, to allow discrimination between those patients needing a combined coronary-carotid procedure and those in whom the operations should be staged. The application of this protocol to the last 1732 patients who presented with coronary and/or carotid artery disease has resulted in all overall mortality of 0.63% and morbidity of 0.17%.

Aged↗